[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-111-2-maternal-pediatric-073":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-073","nurse-111-2-maternal-pediatric-073",111,2,73,"小佳，3 歲半女童，因經常泌尿道感染而反覆入院，此次入院準備作靜脈注射腎盂攝影（intravenous pyelogram, IVP）檢查，下列護理指導之敘述，何者不適當？",{"A":14,"B":15,"C":16,"D":17},"檢查目的為觀察上泌尿道結構","檢查期間，為防止感染宜給予預防性抗生素","檢查前，宜先確認有無對放射線顯影劑產生過敏","檢查後，宜讓小佳攝取大量液體","B",null,[],"本題考點為靜脈注射腎盂攝影(IVP)的護理指導。IVP 使用含碘顯影劑經靜脈注射後觀察上泌尿道結構，重點在確認顯影劑過敏史與檢查後補充水分促進顯影劑排除。B 敘述「為防止感染宜給予預防性抗生素」並不適當，IVP 屬顯影檢查而非侵入性感染高風險操作，不須常規預防性抗生素，故為答案。A 檢查目的為觀察腎盂、輸尿管等上泌尿道結構，正確；C 檢查前須先確認有無對放射線顯影劑(含碘)過敏以避免過敏反應，正確；D 檢查後鼓勵大量飲水加速顯影劑排出、保護腎臟，正確。考點在於分辨顯影檢查的必要準備與非必要的預防性抗生素。","IVP 關鍵護理：檢查前確認含碘顯影劑與海鮮過敏史、腎功能;檢查後水化促排。含碘顯影劑可能引起過敏反應與顯影劑腎病變(CIN)。預防性抗生素僅用於有明確感染或特定侵入操作，不是常規顯影檢查所需，屬本題陷阱。",[24,27,29,31],{"term":25,"count":26},"靜脈注射腎盂攝影",1,{"term":28,"count":26},"含碘顯影劑",{"term":30,"count":26},"顯影劑過敏史",{"term":32,"count":26},"檢查後水化",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-111-2-maternal-pediatric-074","陳小弟，4 歲，診斷急性腎絲球性腎炎（acute glomerulonephritis），下列護理指導何者最適當？",74,{"webId":39,"stem":40,"number":41,"year":42,"session":10},"nurse-112-2-maternal-pediatric-010","護理師教導孕婦在家每日自行監測胎動，下列何者最適當？",10,112,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-112-3-maternal-pediatric-024","有關人工受精的敘述，下列何者正確？",24,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-114-1-maternal-pediatric-022","有關產後血栓性靜脈炎之敘述，下列何者正確？",22,114,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-115-2-maternal-pediatric-026","有關兒童及青少年憂鬱症的飲食治療建議，下列敘述何者最適當？",26,115,{"webId":59,"stem":60,"number":41,"year":61,"session":26},"nurse-107-1-maternal-pediatric-010","有關生產過程中子宮肌肉活動的敘述，下列何者錯誤？",107,"2026-09-04",1788510739640]