[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-maternal-pediatric-067":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-067","nurse-112-2-maternal-pediatric-067",112,2,67,"王小弟因血紅素值 4.1 g\u002FdL 須輸血治療，下列敘述何者正確？",{"A":14,"B":15,"C":16,"D":17},"過敏反應時，依醫囑於血袋中加入 Antihistamine 滴注，緩和過敏引發的症狀","輸血過程中，王小弟抱怨注射部位灼熱感，應立即更換為 5%葡萄糖水滴注","急性溶血反應通常因輸入的血型不合所引起，大多在輸血後 2 小時出現症狀","輸血過程中使用溫血器，但溫度不可高於 37℃","D",null,[],"本題考點在於輸血加溫的安全上限。本題為反向題，正確敘述為 D。依輸血照護，使用血液加溫器時溫度不可超過 37℃（過高會造成紅血球溶血），故選 D。A 錯在絕不可在血袋中加入任何藥物（如抗組織胺），藥物與血品混合可能引起凝集或不良反應，過敏處置應停止輸血並另循靜脈給藥。B 錯在輸血中注射部位灼熱或不適應立即停止輸血、改以生理食鹽水（0.9% NaCl）維持管路，而非 5% 葡萄糖水，因葡萄糖水會使紅血球溶血。C 錯在急性溶血反應多因 ABO 血型不合，通常在輸血開始後極短時間（數分鐘內）即出現，並非 2 小時後。","輸血鐵則：血品只可搭配 0.9% 生理食鹽水，禁與含鈣的林格氏液（易凝集）、葡萄糖水（致溶血）或任何藥物混輸。急性溶血反應（ABO 不合）最凶險，發生於輸血起始數分鐘至 15 分鐘內，表現發燒、寒顫、腰背痛、血紅素尿、休克，處置為立即停輸、保留血袋回送、維持腎灌流。加溫器上限 37℃，過高溶血、過低則引發寒顫與心律不整。",[24,27,29,31],{"term":25,"count":26},"輸血護理",1,{"term":28,"count":26},"血液加溫上限 37°C",{"term":30,"count":26},"生理食鹽水沖洗",{"term":32,"count":26},"急性溶血反應",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-maternal-pediatric-068","有關血友病（Hemophilia）兒童的居家照護指導，下列敘述何者最為正確？",68,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-113-1-maternal-pediatric-034","小紅，12歲，罹患急性骨髓性白血病，治療後復發，目前處於疾病末期，她向父母發脾氣說：「為什麼生病的人是我，都是你們沒有把我照顧好！」，下列照護措施何者最適合？",34,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-maternal-pediatric-028","有關成骨不全（osteogenesis imperfecta）的相關敘述，下列何者錯誤？",28,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-115-1-maternal-pediatric-026","小華，2 個月大，因被厚棉被蓋住頭部，母親掀開棉被後發現小華呈現無意識，有關其急救措施之敘述，下列何者正確？",26,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-maternal-pediatric-050","為學齡前期兒童執行侵入性治療時，下列護理措施何者錯誤？",50,106,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-1-maternal-pediatric-004","懷孕 24 週婦女接受產檢，血壓值：124\u002F80 mmHg、未有水腫，尿液試紙的白蛋白顯現痕跡（trace），下列解釋何者最適當？",4,108,"2026-09-04",1788510748562]