[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-046":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"產兒科護理學","maternal-pediatric",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-111-2-產兒科護理學-046","nurse-111-2-maternal-pediatric-046",111,2,46,"丁丁，3 歲，被家中養的母貓咬傷手背，傷口流血，疼痛哭泣，送至急診處理，下列處置何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"儘快打破傷風抗毒素","沖洗傷口，予抗生素藥膏局部塗抹","指導家長，傷口若發生紅腫須趕快就醫","指導家長回家應注意體溫及局部淋巴腫脹","A",null,[],"本題考點為兒童動物咬傷的急診處置,答案選錯誤者。考點在於破傷風的預防應依疫苗史給予而非一律「儘快打破傷風抗毒素」。多數幼兒已依時程接種破傷風類毒素(DTaP),若疫苗完整通常給予追加類毒素即可,並非人人須立即注射破傷風抗毒素(免疫球蛋白),故 A 為錯誤的絕對化敘述。B 傷口沖洗清創並局部塗抹抗生素藥膏屬正確處置;C 指導家長傷口出現紅腫需儘速就醫評估,屬正確衛教;D 提醒回家注意體溫與局部淋巴腫脹以監測感染徵象,亦正確。故錯誤者為 A。","咬傷處置核心是徹底清創沖洗以降低感染,並依動物種類評估狂犬病風險。破傷風預防須依疫苗史:完整接種且距上次 \u003C5~10 年通常不需追加,不完整或不明者才給類毒素,深部污染傷口且免疫不全者才加打免疫球蛋白。動物咬傷屬易感染的髒傷口,故需個別評估而非一律施打。",[24,27,29,31],{"term":25,"count":26},"動物咬傷處置",1,{"term":28,"count":26},"破傷風預防",{"term":30,"count":26},"傷口清創",{"term":32,"count":26},"疫苗史評估",[34,38,43,47,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-047","小玲，8 歲，住院期間常抱怨因右手打點滴無法自己吃飯及畫畫、不願意打針及吃藥，護理師協助小玲增進其「自我控制感」的護理措施，下列敘述何者最適當？",47,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-112-1-maternal-pediatric-063","下列那種疾病不是由 A 群 β 型溶血性鏈球菌所引起？",63,112,{"webId":44,"stem":45,"number":46,"year":42,"session":10},"nurse-112-2-maternal-pediatric-077","有關肌肉失養症（Muscular Dystrophy）病童之臨床表徵與處置，下列敘述何者不適當？",77,{"webId":48,"stem":49,"number":50,"year":51,"session":52},"nurse-113-3-maternal-pediatric-045","有關乳糜或粥樣瀉（celiac disease）的敘述，下列何者正確？",45,113,3,{"webId":54,"stem":55,"number":56,"year":57,"session":26},"nurse-115-1-maternal-pediatric-049","小明，4 歲 2 個月大，右側股骨骨折（right femoral fracture）而住院，有關使用石膏治療產生患肢循環和神經系統的異常現象，下列徵象何者不適當？",49,115,{"webId":59,"stem":60,"number":41,"year":61,"session":10},"nurse-106-2-maternal-pediatric-063","廖小妹，2 個月，罹患心室中膈缺損，因肺炎引發鬱血性心衰竭（congestive heart failure）而入院，下列那一項不屬於鬱血性心衰竭的臨床表徵？",106,"2026-09-04",1788510739400]