[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-112-3-maternal-pediatric-049":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-3-產兒科護理學-049","nurse-112-3-maternal-pediatric-049",112,3,49,"有關兒童顱內壓增高的臨床表徵及處置，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"早上起床後發生頭痛及噴射狀嘔吐","會出現呼吸不規則，心搏過緩，血壓升高的 Cushing’s triad 現象","顱內壓大於 15 mmHg 時，即稱為顱內壓增高","給與全速靜脈輸注 Mannitol","D",null,[],"本題考點在於兒童顱內壓增高的臨床表徵與 Mannitol 的正確給藥方式。清晨頭痛併噴射狀嘔吐（A）、庫欣氏三聯徵—呼吸不規則、心搏過緩、血壓升高（B）、顱內壓大於 15 mmHg 定義為顱內壓增高（C）皆為正確。本題為反向題，錯誤敘述為 D，Mannitol 屬滲透性利尿劑，須經過濾器並以『控制速率、限時（約 15～30 分鐘）』靜脈滴注，若『全速』快速灌注可能造成電解質與血循劇烈波動及結晶問題，給法錯誤，故選 D。","Mannitol 藉提高血漿滲透壓，將腦組織水分拉回血管內經腎排出以降腦壓，須用過濾器（可能結晶）、監測尿量、血鈉與滲透壓，並避免溢出血管。庫欣氏三聯徵是顱內壓明顯升高的晚期警訊。護理擺位：床頭抬高約 30 度、頭頸中線、避免頸部彎曲以利靜脈回流降腦壓。",[24,26,29,31],{"term":25,"count":10},"顱內壓增高",{"term":27,"count":28},"庫欣氏三聯徵",1,{"term":30,"count":28},"Mannitol 滲透性利尿劑",{"term":32,"count":28},"限時控速靜脈滴注",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-3-maternal-pediatric-050","有關罹患無菌性腦膜炎（aseptic meningitis）病童之腦脊髓液，下列敘述何者正確？",50,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-113-2-maternal-pediatric-046","王小美，5 歲，罹患巨結腸症（megacolon），進行腸道無神經節部位切除，有關術後之護理措施與指導，下列敘述何者錯誤？",46,113,2,{"webId":45,"stem":46,"number":47,"year":48,"session":28},"nurse-114-1-maternal-pediatric-040","小強，5歲，長期服用毛地黃（digoxin）之護理指導，下列敘述何者最適當？",40,114,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-115-2-maternal-pediatric-038","王小弟，8 歲，罹患氣喘住院治療後病情已穩定，有關護理師提供居家照護指導，下列何者錯誤？",38,115,{"webId":55,"stem":56,"number":57,"year":58,"session":28},"nurse-107-1-maternal-pediatric-032","楊女士，懷孕 8 週，陰道點狀出血、腹部微痛，子宮頸口未擴張，其最有可能為下列何種情形？",32,107,{"webId":60,"stem":61,"number":62,"year":63,"session":28},"nurse-108-1-maternal-pediatric-066","有關以家庭為中心的兒童緩和安寧醫療照護，下列何者錯誤？",66,108,"2026-09-04",1788510745700]