[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-113-3-maternal-pediatric-044":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":26},"nurse-113-3-產兒科護理學-044","nurse-113-3-maternal-pediatric-044",113,3,44,"有關甲狀腺功能亢進（hyperthyroidism）的照護措施，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"配合病童代謝率增加的需求，可準備高熱量飲食","不可隨便停藥，以防病童產生甲狀腺危象","觀察病童體溫過低的症狀和徵象","病童注意力不集中，宜安排在安靜環境中學習","C",null,[],"本題考點在於兒童甲狀腺功能亢進（hyperthyroidism）的照護。本題為反向題，最不適當者為 C。甲狀腺功能亢進使基礎代謝率上升、產熱增加，病童常見怕熱、多汗、體溫偏高，故應觀察體溫「過高」的徵象，而非體溫過低，C 不適當。A 因代謝率增加需求，準備高熱量飲食以補充消耗，正確；B 抗甲狀腺藥不可自行停藥，以免誘發甲狀腺危象，正確；D 亢進使病童躁動、注意力不集中，安排安靜環境有助學習，正確。判斷關鍵在於代謝率增加所致的產熱方向。","甲狀腺素調控全身代謝，過多時表現為心搏過速、體重下降、怕熱多汗、情緒躁動、突眼（Graves 病）。甲狀腺危象是急重症，可由停藥、感染、壓力誘發，出現高燒、心搏過速、譫妄。治療含抗甲狀腺藥（PTU、methimazole）、β 受體阻斷劑控制心搏。照護重點在補足熱量消耗與提供安靜涼爽環境。",[24,27,29,31],{"term":25,"count":26},"甲狀腺功能亢進",1,{"term":28,"count":26},"基礎代謝率",{"term":30,"count":26},"甲狀腺危象",{"term":32,"count":26},"高熱量飲食",[34,38,44,49,54,59],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"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,{"webId":39,"stem":40,"number":41,"year":42,"session":43},"nurse-114-2-maternal-pediatric-041","有關先天性心臟病病童的藥物護理，下列敘述何者錯誤？",41,114,2,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-115-1-maternal-pediatric-035","小敏，8 歲，罹患肌肉失養症（muscular dystrophy），呼吸急促且有喘鳴聲，經門診入院求治，以家庭為中心的護理措施，下列敘述何者最不適當？",35,115,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-106-2-maternal-pediatric-053","小萱，出生兩天的早產兒，曾有幾次呼吸暫停的現象，現在小萱的呼吸暫停警鈴響了，下列護理措施何者正確？",53,106,{"webId":55,"stem":56,"number":57,"year":58,"session":26},"nurse-108-1-maternal-pediatric-017","有關待產與生產時姿勢的敘述，下列何者錯誤？",17,108,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-109-1-maternal-pediatric-051","下列何者是幼兒泌尿道感染常見的致病菌？",51,109,"2026-09-04",1788510753351]