[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-107-2-medical-surgical-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"lastmod":62},"內外科護理學","medical-surgical",{"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-107-2-內外科護理學-065","nurse-107-2-medical-surgical-065",107,2,65,"有關接受前列腺切除術病人之護理措施與指導，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"手術前 2 天採清淡低渣液體飲食","放置三叉導尿管作為引流尿液及膀胱灌洗的通路","以蒸餾水進行膀胱灌洗","手術後第一天可能會出現鮮紅色尿液","C",null,[],"本題考點在攝護腺切除術後膀胱灌洗液的選擇。依原理,膀胱持續灌洗應使用等張的生理食鹽水,而非蒸餾水;蒸餾水為低張溶液,經手術創面血管吸收會造成紅血球溶血,大量吸收更可能引發水中毒與低血鈉(類似經尿道切除症候群),故錯誤者選 C。選項 A 正確,術前 2 天採清淡低渣液體飲食可減少術後腸道負擔;選項 B 正確,放置三叉導尿管兼作引流與膀胱灌洗通路;選項 D 正確,術後第一天引流出鮮紅色尿液屬預期的手術後出血表現,之後應逐漸變淡。","攝護腺術後持續膀胱灌洗目的是沖走血塊、維持導尿管通暢並監測出血。灌洗液須等張(生理食鹽水),因術野血管開放,低張蒸餾水會被吸收造成溶血與稀釋性低血鈉。三叉導尿管三腔分別供灌洗入液、氣囊固定與尿液引流。觀察引流色澤由鮮紅漸轉清澈是恢復指標。口訣:灌洗用生理食鹽水,忌蒸餾水防溶血水中毒。",[24,27,29,31],{"term":25,"count":26},"攝護腺切除術",1,{"term":28,"count":26},"膀胱持續灌洗",{"term":30,"count":26},"等張生理食鹽水",{"term":32,"count":26},"三叉導尿管",[34,38,42,47,52,57],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-107-2-medical-surgical-066","梁先生每週一、三、五下午 1 點至 5 點接受血液透析，因腎性貧血服用維生素 C 與葉酸，其服用時間下列何者正確？",66,{"webId":39,"stem":40,"number":10,"year":41,"session":10},"nurse-108-2-medical-surgical-002","李先生是建築工人，近日因椎間盤突出入院行腰椎椎板切除術，護理師提供之術後護理指導，下列何者正確？",108,{"webId":43,"stem":44,"number":45,"year":46,"session":26},"nurse-109-1-medical-surgical-016","有關胃食道逆流病人之護理指導，下列何者錯誤？",16,109,{"webId":48,"stem":49,"number":50,"year":51,"session":26},"nurse-110-1-medical-surgical-054","使用卞德里氧氣面罩（Venturi mask）給氧的最主要特點為何？",54,110,{"webId":53,"stem":54,"number":55,"year":56,"session":10},"nurse-111-2-medical-surgical-018","有關骨性關節炎病人適合的運動類型，下列何者錯誤？",18,111,{"webId":58,"stem":59,"number":60,"year":61,"session":10},"nurse-112-2-medical-surgical-052","下列何者不是肺水腫病人之典型臨床表徵？",52,112,"2026-09-04",1788510725474]