[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-106-1-fundamental-nursing-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"基本護理學與護理行政","fundamental-nursing","基本護理學(包括護理原理、護理技術)與護理行政",{"id":8,"webId":9,"year":10,"session":11,"subject":4,"number":12,"stem":13,"options":14,"answer":19,"answerNote":20,"images":21,"explanation":22,"explanationDeep":23,"topics":24,"freq":27},"nurse-106-1-基本護理學與護理行政-036","nurse-106-1-fundamental-nursing-036",106,1,36,"為導尿管留置病人進行尿液培養之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"由尿袋中倒出適量尿液以進行培養","拔除導尿管以收集病人自行解尿的中段尿液","以止血鉗夾住引流管，於 30 分鐘後打開尿管與引流管的銜接處留取尿液","夾住引流管 30 分鐘後，以優碘消毒橡皮接頭處，再以空針抽取所需尿液","D",null,[],"本題考點為留置導尿管採集尿液培養的無菌技術。依尿液培養採檢原則，應先夾住引流管約 30 分鐘使尿液積於導尿管內，再以優碘消毒橡皮採檢接頭，以無菌空針抽取新鮮尿液，故 D 正確。A 由尿袋倒出的尿已滯留污染不可作培養；B 拔管收集非留置採檢方式且增感染風險；C 打開尿管與引流管銜接處會破壞密閉系統、引入細菌。故正確者為 D。","留置導尿採檢鐵則『不拆系統、採檢口取新鮮尿』：夾管使新尿積存、消毒專用採檢口、空針抽取後鬆夾。破壞密閉接頭是導尿管相關泌尿道感染（CAUTI）主因，故任何『打開接頭、由尿袋取尿』選項皆錯。",[25,28,31,33],{"term":26,"count":27},"密閉引流系統",4,{"term":29,"count":30},"尿液培養採檢",3,{"term":32,"count":11},"夾管與消毒採檢口",{"term":34,"count":11},"無菌空針抽取",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-106-1-fundamental-nursing-037","陳先生剛從大陸返台，持續兩天高燒不退，至門診就醫治療，主訴：這兩天身體一直燙燙的，耳溫都約維持 38.5～39.5℃。下列何者是陳先生可能的發燒型態？",37,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-106-2-fundamental-nursing-053","楊爺爺，72 歲，診斷為肺癌合併右肋、胸椎、骨盆等多處轉移，因疾病惡化處於瀕死階段，喉嚨發出臨終嘎音（death rattle），下列護理措施何者最適宜？",53,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-107-1-fundamental-nursing-067","有關個案管理的陳述，下列何者最正確？",67,107,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-108-2-fundamental-nursing-025","劉先生主訴傷口疼痛，皺眉、呻吟，護理師依臨時醫囑給予 pethidine（demerol）50mg I.M. St.，如以護理焦點紀錄法「pethidine（demerol）50 mg I.M. St.」應記錄於下列何項目中？",25,108,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-109-2-fundamental-nursing-069","依據我國傳染病防治法第 3 條規定，下列何者不屬於須 24 小時內完成通報之第五類傳染病？",69,109,{"webId":61,"stem":62,"number":63,"year":64,"session":11},"nurse-111-1-fundamental-nursing-023","若病人手臂靜脈不明顯且不易穿刺，可以採取下列那些措施以擴張血管？",23,111,"2026-09-04",1788510692087]