[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":63},"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-112-2-產兒科護理學-063","nurse-112-2-maternal-pediatric-063",112,2,63,"小祁，10 歲，男童，主訴眼睛發癢、持續打噴嚏但無發燒，診斷為過敏性鼻炎，下列護理措施何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"需長期使用鼻血管收縮噴劑","勿使用毛毯及絨毛玩具","提醒小祁咳嗽打噴嚏需用手帕或衛生紙蓋住口鼻的禮節","依醫囑給予口服 Antihistamine 緩解過敏性徵兆和症狀","A",null,[],"本題考點在於鼻血管收縮噴劑不可長期使用。本題為反向題，錯誤敘述為 A。依藥理，局部去充血噴劑（血管收縮劑）連續使用超過數天會產生反彈性鼻充血（rhinitis medicamentosa），使鼻塞更嚴重，故長期使用最不適當為答案。B 正確，避免毛毯與絨毛玩具可減少塵蟎等過敏原暴露。C 正確，咳嗽打噴嚏以手帕或衛生紙掩口鼻是合宜的呼吸道禮節衛教。D 正確，過敏性鼻炎可依醫囑給予口服抗組織胺（antihistamine）緩解症狀。","過敏性鼻炎屬第一型（IgE 媒介）過敏反應，治療三主軸：避免過敏原、藥物（抗組織胺、鼻用類固醇為長期控制首選）、減敏療法。局部血管收縮噴劑僅供短期（一般不超過 3～5 天）緩解鼻塞，久用會反彈性充血甚至藥物性鼻炎。判題訣竅：凡「長期使用血管收縮噴劑」幾乎恆為錯誤選項，須改以鼻用類固醇作為長期控制。",[24,27,29,31],{"term":25,"count":26},"過敏性鼻炎",1,{"term":28,"count":26},"反彈性鼻充血",{"term":30,"count":26},"抗組織胺",{"term":32,"count":26},"過敏原避免",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-064","曹小妹為足月產新生兒，有關其出生後會出現之循環變化，下列何者正確？",64,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-030","護理師給與2歲小廷耳滴藥的照護措施，下列敘述何者錯誤？",30,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-024","護理師從胎兒監測器得知，胎兒心跳 100 次／分，持續 80 秒，其型態與宮縮沒有一定關係，此胎心率型態為：",24,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-022","下列何者是發生產後血栓靜脈炎的主要原因？",22,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-046","小傑，9 歲，罹患先天性心室中膈缺損（VSD），此次利用暑假期間安排到醫院做心導管檢查，檢查後下列何項是小傑最大的壓力源？",46,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-maternal-pediatric-080","陳小弟，因腦瘤（brain tumor）接受手術，下列護理措施何者錯誤？",80,107,"2026-09-04",1788510748524]