[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-031":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-108-1-基本護理學與護理行政-031","nurse-108-1-fundamental-nursing-031",108,1,31,"張太太產後 4 小時，無法自解小便，護理人員欲協助誘尿，下列何種方式錯誤？",{"A":15,"B":16,"C":17,"D":18},"使用冷水沖洗會陰部","手握冰塊，刺激末梢神經","依醫囑給予於膀胱上方熱敷","順時鐘按摩膀胱部位","A",null,[],"本題考點是產後尿滯留的誘尿（誘導排尿）措施，核心原則為「溫熱刺激促進、冷刺激抑制」排尿。依排尿反射生理，溫熱可放鬆尿道括約肌與骨盆底肌、促進膀胱逼尿肌收縮，故於膀胱上方熱敷（C）、順時鐘按摩膀胱區（D），以及聽流水聲、溫水沖洗會陰都能誘發排尿；B以冰塊短暫刺激末梢神經是藉反射誘尿的技巧，屬可行方式。相對地，以「冷水」沖洗會陰（A）會使局部血管與括約肌收縮，與放鬆排尿的目的相反，方向錯誤，故A為錯誤方式，答案選A。","排尿由副交感神經（薦髓S2–S4）主導：刺激時逼尿肌收縮、內括約肌放鬆而排尿。溫熱可提高副交感活性並鬆弛會陰肌群，故熱敷、溫水沖會陰、坐姿如廁、給予隱私都是循此機轉；冷則引發交感性血管與括約肌收縮，抑制排尿。記憶口訣「溫促冷抑、放鬆才尿得出來」。B的冰刺激屬短暫皮膚冷覺誘發反射的例外技巧，與長時間冷水沖洗造成的括約肌持續收縮不同，勿混淆。可延伸對照：產後尿滯留與會陰水腫、麻醉殘效、膀胱過度膨脹有關，處理原則是先誘尿、無效再依醫囑導尿。",[25,28,30,32],{"term":26,"count":27},"誘尿措施",2,{"term":29,"count":11},"排尿反射生理",{"term":31,"count":11},"溫熱刺激促進排尿",{"term":33,"count":11},"尿道括約肌放鬆",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-032","常出現於打噴嚏、大笑、咳嗽及快速走路時，因腹壓增加排出少於 50 c.c.的尿液。這是屬於那一種尿失禁（incontinence of urine）？",32,{"webId":40,"stem":41,"number":42,"year":10,"session":27},"nurse-108-2-fundamental-nursing-048","鄭先生接受腸道手術切除腫瘤，術後第三天排氣且開始嘗試由口進食，下列何者是此時最適當的飲食型態？",48,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-062","護理部門常見的預算編列內容，下列何者正確？①營運預算 ②學術研究費用 ③教育訓練費用 ④品管預算 ⑤藥品費用",62,109,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-110-2-fundamental-nursing-020","醫囑 Tetracycline oint .O.D. t.i.d.，下列給藥方式何者正確？",20,110,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-111-2-fundamental-nursing-064","有關以熱處理之可燃性生物醫療感染性廢棄物的貯存容器，下列何者正確？",64,111,{"webId":59,"stem":60,"number":61,"year":62,"session":63},"nurse-112-3-fundamental-nursing-018","有關成人尿液分析的結果，下列何者異常？",18,112,3,"2026-09-04",1788510709026]