[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-032":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"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-032","nurse-108-1-fundamental-nursing-032",108,1,32,"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）？",{"A":15,"B":16,"C":17,"D":18},"急迫性尿失禁（urge incontinence）","壓力性尿失禁（stress incontinence）","反射性尿失禁（reflex incontinence）","功能性尿失禁（functional incontinence）","B",null,[],"本題考點是尿失禁的分類鑑別。判斷依據在於「誘發情境」:題幹描述打噴嚏、大笑、咳嗽、快走時因腹內壓突增而漏出少量尿液,這正是壓力性尿失禁的典型定義——骨盆底肌與尿道括約肌支持力不足,腹壓一升高即超過尿道閉合壓而滲尿,故選B。A急迫性尿失禁是逼尿肌過度活動,特徵為突發強烈尿意後大量漏尿,與腹壓無關;C反射性尿失禁見於脊髓損傷,膀胱不受大腦控制、定時反射性排空,無尿意;D功能性尿失禁是認知或行動障礙(如失智、行動不便)導致來不及如廁,膀胱功能本身正常。四者關鍵差異在「觸發機轉」,唯壓力性以腹壓升高為誘因。","四型尿失禁記憶對照:壓力型=腹壓漏尿(骨盆底鬆弛,多見於多產、更年期婦女),急迫型=逼尿肌過動(尿意來得又急又猛),反射型=神經受損定時排空(脊髓病變),功能型=想上卻上不了(環境或認知障礙)。壓力性可連結凱格爾運動(Kegel)強化骨盆底肌;急迫性常用抗膽鹼藥抑制逼尿肌。臨床上溢流性尿失禁(overflow)另屬一型,為膀胱過度充盈點滴式滲漏,可一併補充比較。",[25,28,30,33],{"term":26,"count":27},"壓力性尿失禁",3,{"term":29,"count":27},"腹內壓",{"term":31,"count":32},"骨盆底肌",2,{"term":34,"count":32},"尿失禁分類",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-fundamental-nursing-033","協助心肌梗塞急性期病人使用便盆時，下列何項措施較適當？",33,{"webId":41,"stem":42,"number":43,"year":10,"session":32},"nurse-108-2-fundamental-nursing-049","李先生因左小腿脛骨處有一 5 %TBSA 燒傷，進行分層皮膚移植（split-thickness graft, STSG），術後以短腿石膏夾板固定，有關包紮注意事項，下列敘述何者錯誤？",49,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-109-1-fundamental-nursing-063","護理人員對本身的工作負責，能參與執行重症病人的照護，至少須具備下列何種能力進階層級？",63,109,{"webId":50,"stem":51,"number":52,"year":53,"session":32},"nurse-110-2-fundamental-nursing-021","有關醫囑的敘述，下列何者正確？",21,110,{"webId":55,"stem":56,"number":57,"year":58,"session":32},"nurse-111-2-fundamental-nursing-065","護理長於年度考核時，對於平時表現不佳的護理師，刻意給予較高的成績，避免護理師對護理長有負面評價。屬於下列何種績效考核偏誤？",65,111,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-112-3-fundamental-nursing-019","預防因長期導尿管留置而引發感染，下列敘述何者正確？",19,112,"2026-09-04",1788510709043]