[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-maternal-pediatric-048":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"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-114-3-產兒科護理學-048","nurse-114-3-maternal-pediatric-048",114,3,48,"張小弟，8 歲，騎單車跌倒導致右側肱骨骨折，上石膏住院治療，下列護理措施何者最適當？",{"A":14,"B":15,"C":16,"D":17},"上石膏肢體出現蒼白、麻痺感，可做等長運動，促進血液循環","患側未被石膏固定的關節，維持正常關節活動，減輕關節僵直","石膏表面出現灼熱點或滲出液，屬正常現象，持續觀察即可","石膏弄濕時，避免水分滲入，儘快以烤燈或吹風機加速乾燥","B",null,[],"本題考點在於肢體骨折上石膏後的護理措施。依關節活動維護原則,未被石膏固定的關節應維持正常關節活動,以防僵直並促進循環,故 B 正確。A 錯,患肢出現蒼白、麻痺是腔室症候群或神經血管受損警訊,屬急症須立即通報鬆解,而非做等長運動;C 錯,石膏表面出現灼熱點或滲出液常代表下方感染或壓瘡,並非正常,須通報處理;D 錯,石膏弄濕不可用烤燈或吹風機加速乾燥,高溫會灼傷皮膚並使石膏龜裂變形。","腔室症候群的『5P』——疼痛(Pain,尤其被動牽張加劇)、蒼白(Pallor)、感覺異常(Paresthesia)、脈搏消失(Pulselessness)、麻痺(Paralysis)——是石膏照護最須警覺的併發症,處置為儘速鬆開或剖開石膏。石膏乾燥應採自然通風,搬動時以手掌托扶避免凹陷壓迫。",[24,27,29,32],{"term":25,"count":26},"石膏護理",2,{"term":28,"count":26},"神經血管評估",{"term":30,"count":31},"腔室症候群 5P",1,{"term":33,"count":31},"未固定關節活動",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-maternal-pediatric-049","林小妹，15 個月大，疑似腦膜炎住院，有關此疾病之敘述下列何者最適當？",49,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-maternal-pediatric-045","患有第 1 型糖尿病的病人，突然出現口渴、頻繁排尿及呼吸加快的情況，醫療團隊應首先懷疑的是那一種急性併發症？",45,115,{"webId":45,"stem":46,"number":47,"year":48,"session":26},"nurse-106-2-maternal-pediatric-009","有關海洋性貧血的敘述，下列何者錯誤？",9,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-maternal-pediatric-047","小玉，罹患先天性甲狀腺功能低下（congenital hypothyroidism），長期服用甲狀腺藥物，下列何者不是甲狀腺毒性反應之症狀？",47,107,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-109-1-maternal-pediatric-011","待產婦女陰道檢查結果為 station +1，表示先露部位位於何處？",11,109,{"webId":60,"stem":61,"number":42,"year":62,"session":31},"nurse-110-1-maternal-pediatric-045","小瑄，1 歲 1 個月，因不明原因發燒而入住兒童病房，測量小瑄的生命徵象時，下列護理措施何者較不適當？",110,"2026-09-04",1788510762661]