[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-1-產兒科護理學-044","nurse-114-1-maternal-pediatric-044",114,1,44,"小雄，3歲，罹患威爾姆氏腫瘤（Wilms tumor）第三期，有關護理照護，下列敘述何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"提醒父母、家人和相關醫療人員，應避免觸診小雄的腹部","主要治療方式包含腎臟切除術、化學治療以及放射線治療","小雄白血球低於1,000 \u002Fmm 3，採取保護性隔離避免感染","放射線治療主要採全身性治療，避免腫瘤擴散","D",null,[],"本題考點在於威爾姆氏腫瘤（Wilms tumor，腎母細胞瘤）的照護重點。本題為反向題，錯誤敘述為 D：放射線治療針對腫瘤「局部」照射而非全身性治療，宣稱「全身性治療避免擴散」的敘述錯誤。A 應避免觸診腹部，因擠壓腫瘤恐使包膜破裂致癌細胞擴散，須床頭標示禁觸診，正確。B 主要治療為腎切除加化療與放療的多模式治療，正確。C 化療致白血球低於 1,000\u002Fmm³ 時採保護性隔離防感染，正確。故本題選 D 為錯誤敘述。","Wilms tumor 是幼兒最常見腎臟惡性腫瘤，護理鐵則是「勿觸診腹部」——外力擠壓恐破裂使腫瘤沿腹腔散播、升期。放射治療為局部照射受累區域，非全身。治療採手術（腎切除）＋化療±放療的分期綜合療法，預後相對良好。化療骨髓抑制期以保護性隔離（reverse isolation）防伺機性感染。",[24,27,30,32],{"term":25,"count":26},"保護性隔離",6,{"term":28,"count":29},"威爾姆氏腫瘤",2,{"term":31,"count":29},"禁觸診腹部",{"term":33,"count":10},"局部放射治療",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-1-maternal-pediatric-045","有關急性腎絲球腎炎（acute glomerulonephritis）病童的照護措施，下列敘述何者最適當？",45,{"webId":40,"stem":41,"number":42,"year":9,"session":43},"nurse-114-3-maternal-pediatric-041","陳小妹，出生後診斷大血管轉位（transposition of the great arteries, TGA），醫囑服用前列腺素（Prostaglandin E 1 ），有關此藥的使用目的，下列敘述何者正確？",41,3,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-115-2-maternal-pediatric-035","有關慢性病兒童，提供以家庭為中心之照顧，下列敘述何者較不適當？",35,115,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-107-1-maternal-pediatric-023","黃女士 G 1 P 1 ，產後第三天，主訴乳房觸痛、發熱、變硬且有硬塊，下列護理指導何項正確？",23,107,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-108-1-maternal-pediatric-067","小瑛，2 歲，入院時，護理師在進行呼吸系統評估時，聽到哮鳴音（Stridor），可能的原因為何？",67,108,{"webId":60,"stem":61,"number":62,"year":63,"session":29},"nurse-109-2-maternal-pediatric-021","王女士剖腹產後第一天，主訴腹部疼痛。評估美容膠覆蓋之傷口無滲液，腹部叩診鼓音，子宮收縮良好，惡露色紅量少無異味，下列何項護理措施最優先？",21,109,"2026-09-04",1788510758021]