[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-038":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-113-1-產兒科護理學-038","nurse-113-1-maternal-pediatric-038",113,1,38,"陳小弟，5歲，罹患扁桃腺炎（tonsillitis），接受扁桃腺切除手術（tonsillectomy），下列術後護理何者正確？",{"A":14,"B":15,"C":16,"D":17},"預防肺擴張不全，鼓勵深呼吸、用力咳嗽","注意觀察是否有吞嚥或清喉嚨次數增加","局部熱敷或提供熱食，促進傷口血液循環","提供含維生素C飲料（如檸檬汁），促進傷口癒合","B",null,[],"本題考點在於扁桃腺切除術(tonsillectomy)後的出血觀察與傷口照護。依術後照護原則,最重要的是觀察是否有出血徵象,而頻繁吞嚥或清喉嚨動作是後咽壁血液流下所致,為出血的早期警訊,故B正確。A錯:不可鼓勵用力咳嗽或清喉嚨,這類動作會刺激傷口引發出血,應避免。C錯:不可局部熱敷或給熱食,熱會使血管擴張增加出血風險,術後應給冷、涼、軟質飲食。D錯:不宜給檸檬汁等酸性或含維生素C的刺激性飲料,酸性刺激傷口且紅色飲料會混淆出血判斷。辨識關鍵在「頻頻吞嚥=可能在吞血」。","扁桃腺切除術後出血好發於術後24小時內及術後5～10天(結痂脫落期)。觀察重點:頻繁吞嚥、躁動、嘔吐鮮血或咖啡色物、心跳加快。飲食採冷流質→軟質,避免熱、酸、紅色、粗糙食物與吸管。俯臥或側臥利於分泌物引流。記憶:扁桃腺術後看到孩子一直吞口水,要高度警覺後咽出血。",[24,27,29,31],{"term":25,"count":26},"頻繁吞嚥警訊",2,{"term":28,"count":10},"扁桃腺切除術",{"term":30,"count":10},"術後出血徵象",{"term":32,"count":10},"冷質飲食",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-1-maternal-pediatric-039","有關嬰幼兒呼吸道特性的敘述，下列何者錯誤?",39,{"webId":39,"stem":40,"number":41,"year":9,"session":42},"nurse-113-3-maternal-pediatric-035","7 歲的小雄，面對爺爺過世，小雄一直吵著媽媽說爺爺在睡覺，要去找爺爺說話。有關和小雄談論死亡的敘述，下列何者不適當？",35,3,{"webId":44,"stem":45,"number":46,"year":47,"session":26},"nurse-114-2-maternal-pediatric-029","醫護人員為未滿 1 歲兒童執行心肺復甦術，下列敘述何者錯誤？",29,114,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-027","新生兒出生 5 分鐘時，護理師評估 Apgar score，除評估心跳、呼吸、膚色及刺激反射外，尚須評估新生兒的那一部分？",27,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-1-maternal-pediatric-071","有關胎血循環的血流方向，下列敘述何者正確？",71,107,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-108-2-maternal-pediatric-025","有關新生兒囟門的敘述，下列何者正確？①前囟門為菱形，由二塊額骨及二塊頂骨組成 ②後囟門為三角形，約出生後 18 週關閉 ③囟門若凹陷代表有脫水現象 ④胎頭之塑形現象（molding）， 1 個月後即可恢復",25,108,"2026-09-04",1788510750961]