[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"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-112-3-產兒科護理學-047","nurse-112-3-maternal-pediatric-047",112,3,47,"小倩，11 歲，有急性腎衰竭病史，因控制不佳，此次入院診斷為慢性腎衰竭，有關其護理照護之敘述，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"觀察身體有無瘀傷、紫斑等現象以預防出血","皮膚因尿霜堆積，易出現搔癢問題，可給與適當潤膚劑使用","給與高鉀之飲食指導，如香蕉、橘子，以避免低血鉀導致心律不整現象","給與含鐵質與葉酸之飲食指導，以避免貧血之發生","C",null,[],"本題考點在於兒童慢性腎衰竭的飲食與電解質管理。腎功能衰竭時腎臟排鉀能力下降，血鉀容易堆積，過高的血鉀會導致致命性心律不整，因此飲食應「限制」高鉀食物。觀察瘀傷紫斑以防出血（A）、尿霜堆積搔癢給予潤膚劑（B）、補充鐵質與葉酸預防腎性貧血（D）皆屬適當。本題為反向題，最不適當的是 C，給予香蕉、橘子等高鉀飲食並以『避免低血鉀』為由完全站不住腳，慢性腎衰竭的風險是高血鉀而非低血鉀，故選 C。","病生理：腎衰竭→鉀滯留（高血鉀）、磷滯留、活性維生素 D 減少（低血鈣）、EPO 減少（腎性貧血）。飲食原則：限鉀（少香蕉、柑橘、深綠蔬菜、堅果）、限磷、限鈉、依情況限蛋白，補鐵與葉酸及 EPO 治療貧血。高血鉀急症可見心電圖 T 波高尖、QRS 增寬，須警覺心律不整。",[24,27,29,32],{"term":25,"count":26},"慢性腎衰竭",2,{"term":28,"count":26},"限鉀飲食",{"term":30,"count":31},"高血鉀風險",1,{"term":33,"count":31},"腎性貧血補鐵葉酸",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-112-3-maternal-pediatric-048","有關發展性髖關節發育不良之護理措施，下列敘述何者錯誤？",48,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-113-2-maternal-pediatric-044","有關白血病病童接受化學治療期間，依醫囑注射 Rasburicase 及 Allopurinol 的目的，下列敘述何者正確？",44,113,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-114-1-maternal-pediatric-038","使用氧氣頭罩（O 2 hood）之照護措施，下列敘述何者最不適當？",38,114,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-115-2-maternal-pediatric-036","有關傳染病病童的症狀及其護理措施，下列敘述何者正確？",36,115,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-107-1-maternal-pediatric-030","承上題，下列何者可能為造成上述情形的原因？",30,107,{"webId":60,"stem":61,"number":62,"year":63,"session":31},"nurse-108-1-maternal-pediatric-064","有關新生兒生產過程造成的鎖骨骨折，下列護理措施何者錯誤？",64,108,"2026-09-04",1788510745675]