[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-1-maternal-pediatric-044":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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-115-1-產兒科護理學-044","nurse-115-1-maternal-pediatric-044",115,1,44,"小均，13 歲，診斷為第一型糖尿病，有關胰島素注射的護理指導，下列敘述何者最適當？",{"A":14,"B":15,"C":16,"D":17},"注射部位選擇應以大腿部位為主，吸收效果最佳","進行劇烈運動，當日注射部位應避免於執行運動的肢體","注射後應加強按摩注射部位，以加強吸收效果","先抽中效或長效胰島素，再抽取短效的胰島素","B",null,[],"本題考點在胰島素注射部位與運動之間的交互影響。運動會使該肢體局部血流量增加、皮下藥物吸收加快,若把胰島素注射在當天要劇烈運動的肢體,吸收速度會超出預期而升高低血糖風險,故 B 最適當。A 錯誤,皮下吸收速率依序為腹部最快,其次上臂、大腿,臀部最慢,大腿並非吸收效果最佳的部位。C 錯誤,注射後按摩會加速吸收並改變作用曲線,注射完只需輕壓、不搓揉。D 錯誤,混合抽藥的順序是先抽澄清的短效胰島素、再抽混濁的中效或長效胰島素,以免中長效懸浮液污染短效藥瓶而改變其起效與作用時間。","症狀不要對調:低血糖表現為冒冷汗、心悸、手抖、飢餓感、臉色蒼白、頭暈與意識改變,屬交感神經興奮與腦部能量不足;而三多一少(多吃、多喝、多尿、體重減輕)是高血糖的典型表現,兩組症狀分屬相反方向,考題常在此設陷阱。抽藥口訣可記成「先清後濁、先短後長」;注射部位輪替的目的是避免同一點反覆注射造成脂肪增生(lipohypertrophy),使該處吸收變慢且不穩定。青少年的血糖控制另有生理背景:青春期生長激素與性荷爾蒙上升造成胰島素阻抗,劑量需求常隨之增加,加上生活作息與同儕活動變動大,運動前後的劑量與點心安排是照護計畫的重點。可延伸複習:第一型與第二型糖尿病的病生理對照、糖化血色素的意義、酮酸中毒的表徵與呼吸型態。",[24,27,29,31,33],{"term":25,"count":26},"低血糖症狀",2,{"term":28,"count":10},"胰島素皮下吸收速率",{"term":30,"count":10},"運動對局部吸收的影響",{"term":32,"count":10},"混合抽藥順序",{"term":34,"count":10},"注射部位輪替",[36,40,45,49,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-1-maternal-pediatric-045","有關腸套疊（intussusception）的敘述，下列何者正確？",45,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-1-maternal-pediatric-041","下列何者不是 16 歲青少女神經性厭食症的表徵？",41,106,{"webId":46,"stem":47,"number":48,"year":44,"session":26},"nurse-106-2-maternal-pediatric-055","有關協助雙親面對新生兒死亡，下列護理措施何者最適當？",55,{"webId":50,"stem":51,"number":52,"year":53,"session":10},"nurse-108-1-maternal-pediatric-013","蔡女士第一胎，因待產緊急狀況需進行剖腹產，醫師採用吸入性麻醉藥物進行全身麻醉，下列何者錯誤？",13,108,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-109-1-maternal-pediatric-057","小春，國中 3 年級，1 年前被診斷罹患青少年憂鬱症，曾服用 fluoxetine 及 ativan 治療。最近因會考在即，課業壓力導致失眠，情緒常常不穩定，今在家忽然情緒失控，故至醫院求治，醫師表示可能憂鬱症再發，需再服藥治療。母親詢問護理師應該要怎麼做對小春最好，下列回答何者為佳？",57,109,{"webId":60,"stem":61,"number":62,"year":63,"session":26},"nurse-110-2-maternal-pediatric-011","陳女士 G 2 P 1 待產時發現胎位為枕後位，主訴腰酸疼痛，下列護理措施何者不適當？",11,110,"2026-08-06",1787299089575]