[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-1-maternal-pediatric-047":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":32,"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":10},"nurse-114-1-產兒科護理學-047","nurse-114-1-maternal-pediatric-047",114,1,47,"小敏，8歲，因為長期嚴重便秘而入院檢查，檢查後發現大量大便堆積腸道，欲執行大量灌腸。有關大量灌腸的護理指導，下列敘述何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"大量灌腸溶液的溫度，以30～36 oC左右較合適","可以利用遊戲、故事或娃娃模型示範解釋灌腸的目的與步驟","灌腸中如出現臉色蒼白、冒冷汗、心跳加快應停止，並通知醫師","協助病童採左側臥，右膝屈曲的姿勢","A",null,[],"本題考點在於兒童大量灌腸的安全與技術原則。本題為反向題，最不適當敘述為 A：灌腸溶液溫度過低（30～36°C 偏涼）會刺激腸道致痙攣不適，應接近體溫、約 37～40°C 為宜，故 A 溫度設定不當。B 以遊戲、故事或娃娃示範說明步驟符合兒童準備原則，正確。C 灌腸中出現臉色蒼白、冷汗、心跳加快（可能迷走神經反應或水中毒徵象）應立即停止並通報醫師，正確。D 協助採左側臥、右膝屈曲的姿勢順乙狀結腸走向利溶液灌入，正確。","灌腸溶液溫度須接近體溫（約 37-40°C）：太冷致腸痙攣絞痛、太熱燙傷黏膜。姿勢採左側臥（Sims' position）順應乙狀結腸與降結腸解剖走向。兒童大量灌腸須慎防水中毒（低張液大量吸收致低鈉），故常用生理食鹽水；灌腸中若出現蒼白、冷汗、心搏加快或腹痛須即刻停止。遊戲治療降低幼兒恐懼。",[24,26,28,30],{"term":25,"count":10},"大量灌腸",{"term":27,"count":10},"溶液溫度",{"term":29,"count":10},"左側臥姿勢",{"term":31,"count":10},"水中毒風險",[33,37,42,48,53,58],{"webId":34,"stem":35,"number":36,"year":9,"session":10},"nurse-114-1-maternal-pediatric-048","芷妹，9歲，因頭痛、發燒就醫，診斷為病毒性腦膜炎（virus meningitis）入院治療，有關此疾病相關症狀和治療，下列敘述何者錯誤？",48,{"webId":38,"stem":39,"number":40,"year":9,"session":41},"nurse-114-3-maternal-pediatric-044","林小妹，國小 5 年級，罹患第 1 型糖尿病（type 1 diabetes mellitus），有關糖尿病居家護理指導，下列敘述何者正確？",44,3,{"webId":43,"stem":44,"number":45,"year":46,"session":47},"nurse-115-2-maternal-pediatric-038","王小弟，8 歲，罹患氣喘住院治療後病情已穩定，有關護理師提供居家照護指導，下列何者錯誤？",38,115,2,{"webId":49,"stem":50,"number":51,"year":52,"session":10},"nurse-107-1-maternal-pediatric-026","出生 3 天的足月新生兒，出生體重為 3,000 公克，採純母乳哺餵，下列何項營養評估的結果為異常﹖",26,107,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-108-1-maternal-pediatric-070","王小弟，一出生即被診斷為大血管轉位，合併心室中隔缺損。下列何者錯誤？",70,108,{"webId":59,"stem":60,"number":61,"year":62,"session":47},"nurse-109-2-maternal-pediatric-024","有關產後婦女生理復舊變化之敘述，下列何者正確？",24,109,"2026-09-04",1788510758052]