[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"lastmod":62},"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-113-1-產兒科護理學-048","nurse-113-1-maternal-pediatric-048",113,1,48,"有關兒童腦神經疾病導致的顱內壓升高（IICP），若無適切介入措施，常會造成兒童生命危險，下列護理措施何者正確？",{"A":14,"B":15,"C":16,"D":17},"可過度換氣讓動脈血中氧氣濃度（PaO2）維持在27～30 mmHg","應維持病童房間光線明亮，避免病童因頭昏跌倒","協助抬高床頭約30度，維持頭頸部自然平直","若有痰液，教導常做深呼吸咳嗽，避免積痰而缺氧","C",null,[],"本題考點在於兒童顱內壓升高(IICP)的護理措施。依降低顱內壓原則,應抬高床頭約30度並維持頭頸部中線自然平直,以促進腦部靜脈回流、降低顱內壓,故C正確。A錯:過度換氣目標是降低動脈二氧化碳(PaCO₂)使腦血管收縮,而非把氧氣PaO₂降到27～30 mmHg;讓PaO₂過低反而缺氧,選項數值與生理均錯。B錯:應維持環境安靜、光線柔和昏暗以減少刺激,明亮環境會增加刺激與顱內壓。D錯:不可鼓勵用力咳嗽或深呼吸用力動作,咳嗽、用力(Valsalva)會使胸腔與顱內壓上升,應避免。辨識關鍵在抬高床頭30度+頭頸中線。","降低IICP措施:床頭抬高15～30度、頭頸中線位(避免頸部彎曲壓迫頸靜脈)、減少刺激(安靜、避免疼痛與用力)、避免Valsalva與抽痰過久、控制發燒、可用高張食鹽水或mannitol滲透性利尿。過度換氣使PaCO₂輕度下降(約30～35 mmHg)促腦血管收縮以急性降壓,但過度會致腦缺血。記憶:IICP要抬頭、擺正、安靜、別用力。",[24,26,28,30],{"term":25,"count":10},"顱內壓升高IICP",{"term":27,"count":10},"床頭抬高30度",{"term":29,"count":10},"頭頸中線位",{"term":31,"count":10},"避免Valsalva",[33,37,42,48,53,57],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-113-1-maternal-pediatric-049","小英，6歲，罹患重症肌無力（myasthenia gravis），下列護理措施何者不適當？",49,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-113-3-maternal-pediatric-045","有關乳糜或粥樣瀉（celiac disease）的敘述，下列何者正確？",45,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-114-2-maternal-pediatric-039","小櫻，18 個月大，因細支氣管炎（bronchiolitis）住院治療，對其疾病的相關敘述，下列何者最適當？",39,114,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-106-1-maternal-pediatric-037","王先生與太太結婚 3 年一直沒有孩子，醫師請他接受精液分析檢查，有關收集精液之護理指導，下列何者正確？",37,106,{"webId":54,"stem":55,"number":10,"year":56,"session":47},"nurse-107-2-maternal-pediatric-001","依我國「人工生殖法」規定，下列何者錯誤？",107,{"webId":58,"stem":59,"number":60,"year":61,"session":47},"nurse-108-2-maternal-pediatric-035","子宮頸於產後多久可以恢復到幾乎完全閉合，且變得較厚？",35,108,"2026-09-04",1788510751044]