[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-107-1-fundamental-nursing-056":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":64},"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-107-1-基本護理學與護理行政-056","nurse-107-1-fundamental-nursing-056",107,1,56,"陳先生，意識清楚，診斷腎絲球腎炎，醫師開立收集 24 小時尿液作肌酸酐廓清（CCr）試驗之醫囑，下列尿液收集程序何者最正確？",{"A":15,"B":16,"C":17,"D":18},"收集當日 7AM 第一次解的尿不要，之後每次解的尿液收集至次日 7AM","收集期間若有尿液遺漏一次，檢驗單註明遺漏一次，繼續收集至次日 7AM","協助插上存留導尿管，收集完 24 小時尿液後將導尿管拔除","將所使用的尿液收集桶放置廁所內，以利尿液收集","A",null,[],"本題考點是 24 小時尿液（CCr 肌酸酐廓清試驗）的正確收集程序。依 24 小時定量尿液收集原則，起始時要先請病人排空膀胱、該次尿液捨棄不留，之後每一次解出的尿液全數收集，直到隔日同一時刻（收集期滿）解最後一次尿一併留下，故 A「當日 7AM 第一次尿不要、之後每次收集至次日 7AM」正確。B 錯在遺漏一次仍繼續收集：中途漏尿會使總量不準，應作廢重新收集而非僅註明。C 錯在常規插存留導尿管：非必要不應為收集尿而侵入性導尿，增加感染風險。D 錯在收集桶放廁所：尿液多需冷藏或加防腐劑保存，隨意放置會使檢體變質。","24 小時尿收集的邏輯是『捨頭留尾』：起點的尿是收集前既存於膀胱的、不屬於這 24 小時的產物故丟棄；終點必須排空膀胱把最後累積的都算進去。CCr（creatinine clearance）需同時抽血測血中肌酸酐、並算出 24 小時總尿量與尿肌酸酐濃度，任何一次漏尿都會低估腎絲球過濾率。保存重點：全程冷藏或依項目加防腐劑、避免污染。記法『首棄末留、一漏全廢、冷藏保存』，即可對應本題四個選項的對錯。",[25,28,30,32],{"term":26,"count":27},"24小時尿液收集",3,{"term":29,"count":11},"肌酸酐廓清試驗",{"term":31,"count":11},"捨頭留尾原則",{"term":33,"count":11},"檢體保存",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-107-1-fundamental-nursing-057","根據系統理論，下列何項不屬輸出（output）部分？",57,{"webId":40,"stem":41,"number":42,"year":10,"session":43},"nurse-107-2-fundamental-nursing-073","有關醫療廢棄物的敘述，下列何者錯誤？",73,2,{"webId":45,"stem":46,"number":47,"year":48,"session":43},"nurse-108-2-fundamental-nursing-007","輸注濃縮紅血球前，病人必須先接受下列何項檢驗？",7,108,{"webId":50,"stem":51,"number":52,"year":53,"session":43},"nurse-109-2-fundamental-nursing-045","夢境發生在下列那一睡眠生理週期，醒後最容易記得？",45,109,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-111-1-fundamental-nursing-009","護理人員執行治療後於紀錄中寫下：「10：00 協助病人翻身，發現腳跟破皮傷口，給予傷口換藥」，此護理紀錄未遵守下列何項原則？",9,111,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-112-1-fundamental-nursing-043","護理師為謝女士進行營養評估，謝女士出現下列那一項資料表示異常？",43,112,"2026-09-04",1788510702206]