[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-036":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-036","nurse-108-1-fundamental-nursing-036",108,1,36,"有關灌腸的禁忌症，下列何者錯誤？",{"A":15,"B":16,"C":17,"D":18},"產科安胎者","長期導尿者","闌尾炎","疼痛性的嚴重痔瘡","B",null,[],"本題考點是灌腸的禁忌症辨識,題目要選出「不是禁忌」的選項。灌腸會增加腹壓與腸壁刺激,故凡可能因此惡化的情況都列禁忌。B長期導尿者其問題在泌尿道,與腸道灌腸並無直接衝突,不屬灌腸禁忌,故為錯誤(非禁忌)選項,選B。A產科安胎者因灌腸刺激可能誘發子宮收縮、引起早產,列為禁忌;C闌尾炎(盲腸炎)時灌腸增加腸壓,恐使發炎闌尾穿孔,為禁忌;D疼痛性嚴重痔瘡灌腸管進出會加劇出血與疼痛,亦屬禁忌。三個真禁忌都與「增加腹腸壓或刺激患處」有關,唯長期導尿與灌腸互不相干。","灌腸禁忌可歸類記憶:腸道結構危險(腸阻塞、腸穿孔、闌尾炎、近期腸道術後吻合)、出血風險(嚴重痔瘡、直腸出血)、增加腹壓有害(安胎、青光眼、顱內壓升高、心衰竭)、電解質不穩(反覆灌腸致低血鈉)。留置導尿針對膀胱排空,與腸道處置分屬不同系統。可連結灌腸目的(清潔、通便、給藥、鋇劑準備)與併發症一併複習,避免將泌尿與腸道護理混淆。",[25,28,30,33],{"term":26,"count":27},"灌腸禁忌症",3,{"term":29,"count":27},"腹內壓",{"term":31,"count":32},"安胎",2,{"term":17,"count":11},[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-108-1-fundamental-nursing-037","關於留置導尿管護理之敘述，下列何者正確？①尿袋維持在膀胱以下 ②尿袋內尿量可超過 3\u002F4 ③每日執行至少一次的導尿管護理 ④尿袋若無結晶、血塊或沉澱物不需定期更換",37,{"webId":40,"stem":41,"number":42,"year":10,"session":32},"nurse-108-2-fundamental-nursing-053","張小姐住院期間需留取常規尿液檢體，下列敘述何者正確？①最好是清晨第一次的中段尿 ②檢體收集後，最好於室溫 3 小時內送檢 ③若正值生理期，可用導尿方式取得檢體 ④檢體若 3 小時內無法送檢，應置於冰箱",53,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-109-1-fundamental-nursing-067","根據 Herzberg 的雙因子理論，下列何者屬於激勵因子？",67,109,{"webId":49,"stem":50,"number":51,"year":52,"session":32},"nurse-110-2-fundamental-nursing-025","護理師收集病人主觀資料和客觀資料，下列敘述何者正確？",25,110,{"webId":54,"stem":55,"number":56,"year":57,"session":32},"nurse-111-2-fundamental-nursing-069","A 病房甲醫師經常出現情緒性字眼，護理人員無法忍受請護理長協助。護理長找 A 病房的病房主任（醫師）溝通，屬於下列何種溝通類型？",69,111,{"webId":59,"stem":60,"number":61,"year":62,"session":27},"nurse-112-3-fundamental-nursing-023","護理人員為病人測量呼吸時的注意事項，下列敘述何者錯誤？",23,112,"2026-09-04",1788510709066]