[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-115-2-maternal-pediatric-038":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"lastmod":65},"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-115-2-產兒科護理學-038","nurse-115-2-maternal-pediatric-038",115,2,38,"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？",{"A":14,"B":15,"C":16,"D":17},"運動前 20 分鐘可吸入 Cromolyn sodium 預防氣喘發作","尖峰呼氣流量值若為理想值的 75%，已達黃燈區，則可考慮減藥","每週以 55℃以上的熱水洗床單、被套和枕巾","吸入型類固醇使用後要漱口避免黴菌感染","B",null,[],"本題考點在於氣喘居家自我監測的尖峰呼氣流量分區判讀。以個人最佳值為基準,綠燈區為百分之八十以上、黃燈區約百分之五十到八十、紅燈區低於百分之五十;落在黃燈區代表控制不佳、需要加強治療而非減藥,故 B 錯誤。A 正確,Cromolyn sodium 屬肥大細胞穩定劑,運動前吸入可預防運動誘發型氣喘。C 正確,以攝氏五十五度以上熱水清洗寢具可殺除塵蟎這一常見過敏原。D 正確,吸入型類固醇後漱口可降低口腔念珠菌感染機會。","延伸原理:尖峰呼氣流量反映大氣道阻塞程度,常在自覺症狀出現前先下降,因此紅綠燈分區的價值在於提早行動;分區的比較基準是病童自己的個人最佳值,而不是族群預測值。用藥觀念要分兩軸:控制型藥物包含吸入型類固醇、白三烯素受體拮抗劑與肥大細胞穩定劑,需每日規則使用;緩解型藥物為短效乙二型交感神經興奮劑,用於急性發作。Cromolyn sodium 屬控制型,但它同時是少數可作為運動前預防用藥者,常與短效支氣管擴張劑一起出現在考題。環境控制的重點是塵蟎、蟑螂、二手菸、絨毛玩具與地毯。記憶口訣:綠燈通行、黃燈警戒加藥、紅燈急救。可連結概念:運動誘發型氣喘機轉、吸入器與間隔艙使用技巧、氣喘嚴重度分級。",[24,27,29,31,33],{"term":25,"count":26},"尖峰呼氣流量紅綠燈分區",1,{"term":28,"count":26},"Cromolyn sodium 肥大細胞穩定劑",{"term":30,"count":26},"吸入型類固醇口腔照護",{"term":32,"count":26},"塵蟎環境控制",{"term":34,"count":26},"氣喘控制型與緩解型藥物",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-115-2-maternal-pediatric-039","有關流行性感冒與一般感冒之差異，下列敘述何者錯誤？",39,{"webId":41,"stem":42,"number":43,"year":44,"session":10},"nurse-106-2-maternal-pediatric-005","孕期婦女需增加碘的攝取，主要促進胎兒何部分的發育？",5,106,{"webId":46,"stem":47,"number":48,"year":49,"session":26},"nurse-107-1-maternal-pediatric-019","有關避孕方法原理的敘述，下列何者錯誤？",19,107,{"webId":51,"stem":52,"number":53,"year":54,"session":26},"nurse-108-1-maternal-pediatric-057","小華，4 歲，因急性腸胃炎住院，護理師與其溝通時，下列何者錯誤？",57,108,{"webId":56,"stem":57,"number":58,"year":59,"session":10},"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,{"webId":61,"stem":62,"number":63,"year":64,"session":10},"nurse-110-2-maternal-pediatric-055","小妮，1 歲半，診斷為蠶豆症（G-6-PD），有關此疾病之兒童與家庭壓力反應之護理措施，下列敘述何者最不適當？",55,110,"2026-08-06",1787299007304]