[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-113-2-maternal-pediatric-039":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-113-2-產兒科護理學-039","nurse-113-2-maternal-pediatric-039",113,2,39,"有關細菌性肺炎（bacterial pneumonia）敘述，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"傳染性高，須採呼吸道隔離","聽診出現哮鳴音（stridor）","痰液量多且黏稠","體溫正常或輕微上升","C",null,[],"本題考點在於細菌性肺炎的臨床特徵，須找出正確敘述。細菌性肺炎因肺泡發炎、化膿性滲出物增加，臨床表現為痰液量多且黏稠（常呈膿性、黃綠色），故 C 正確。A 錯，一般細菌性肺炎並非高傳染性、不需常規呼吸道隔離（結核、百日咳等特定病原才需），敘述過度。B 錯，哮鳴音（stridor）是上呼吸道阻塞（如哮吼、會厭炎）的吸氣性喘鳴聲，肺炎的肺部聽診典型為囉音（crackles\u002Frales）而非 stridor。D 錯，細菌性肺炎通常有明顯高燒，而非「體溫正常或輕微上升」；體溫變化不明顯較常見於病毒性或非典型感染。本題須辨識細菌性肺炎「膿痰、高燒、囉音」的典型三特徵，並區分 stridor 與 crackles 的來源。","肺炎鑑別：細菌性肺炎—急性高燒、寒顫、膿性黏稠痰、聽診濕囉音（crackles）、胸部 X 光肺葉實質浸潤（consolidation），白血球與 CRP 上升，需抗生素。病毒性肺炎—發燒較低、乾咳、瀰漫性間質浸潤。呼吸音辨識：stridor（喘鳴）為吸氣時高調聲，源於上呼吸道／喉部阻塞（哮吼、異物、會厭炎）；wheezing（哮鳴／喘鳴）為呼氣時哨聲，源於下呼吸道狹窄（氣喘、細支氣管炎）；crackles（囉音）為肺泡開合的爆裂聲，見於肺炎、肺水腫。記憶法：細菌性肺炎「燒得高、痰又稠、聽到囉音（crackles）」，別把 stridor（上呼吸道）誤植到肺炎。",[24,27,29,31],{"term":25,"count":26},"細菌性肺炎臨床特徵",1,{"term":28,"count":26},"膿性痰液",{"term":30,"count":26},"囉音crackles與stridor鑑別",{"term":32,"count":26},"肺炎發燒表現",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-113-2-maternal-pediatric-040","小光，3 個月大，診斷為法洛氏四重畸形，在矯正手術前，依醫囑給與 prostaglandin E 1 （PGE 1 ）的理由，下列敘述何者正確？",40,{"webId":39,"stem":40,"number":41,"year":42,"session":26},"nurse-114-1-maternal-pediatric-036","簡小妹為35週出生的早產兒，體重2,400公克，被診斷有高膽紅素血症（hyperbilirubinemia），今抽血所得總膽紅素值（total bilirubin）為26 mg\u002FdL，有關換血治療的護理，下列敘述何者正確？",36,114,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-114-3-maternal-pediatric-030","為 2 歲患有右側中耳炎幼童滴耳藥，下列敘述何者正確？",30,3,{"webId":49,"stem":50,"number":51,"year":52,"session":26},"nurse-106-1-maternal-pediatric-078","小敏，出生 6 天，罹患脊髓脊髓膜膨出，有關其手術後的護理措施，下列敘述何者錯誤？",78,106,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-107-2-maternal-pediatric-042","有關瀕死兒童的呼吸與心臟血管生理反應，下列敘述何者錯誤？",42,107,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-108-2-maternal-pediatric-076","5 歲以下兒童跌倒，容易導致何部位脫臼（dislocation）？",76,108,"2026-09-04",1788510755644]