[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-1-fundamental-nursing-037":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":65},"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-037","nurse-108-1-fundamental-nursing-037",108,1,37,"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",{"A":15,"B":16,"C":17,"D":18},"①③","①④","②③","②④","A",null,[],"本題考點是留置導尿管的照護原則,採組合題判斷。①尿袋維持在膀胱以下,依重力引流原理可防止尿液逆流回膀胱、降低泌尿道感染,正確;③每日至少執行一次導尿管護理(尿道口清潔),可減少細菌沿管上行感染,正確,故①③組合正確,選A。②尿袋內尿量若超過3\u002F4會增加重量與逆流風險,應在滿1\u002F2至2\u002F3前傾倒,故「可超過3\u002F4」錯誤;④導尿管與尿袋屬密閉系統,仍需依規定(如每7天或依廠牌與院內政策)定期更換,「無結晶血塊就不需更換」錯誤。含②或④的組合皆不成立,唯A(①③)全對。","留置導尿感染預防要點(CAUTI bundle):維持密閉引流系統、尿袋恆低於膀胱、集尿管不打折、定時傾倒勿滿、每日會陰與尿道口清潔、無必要不沖洗、儘早移除導尿管。逆流是感染主因,故「低於膀胱」與「勿過滿」都在防逆流。可連結醫院感染管制與泌尿道感染章節。記憶重點:導尿三防——防逆流、防上行、防久留。",[25,28,31,33],{"term":26,"count":27},"密閉引流系統",4,{"term":29,"count":30},"泌尿道感染預防",2,{"term":32,"count":11},"留置導尿管護理",{"term":34,"count":11},"重力引流",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-108-1-fundamental-nursing-038","下列那一因素會造成血壓下降？",38,{"webId":41,"stem":42,"number":43,"year":10,"session":30},"nurse-108-2-fundamental-nursing-054","下列何者最有助於支持剛面臨親人離世家屬的哀傷情緒？",54,{"webId":45,"stem":46,"number":47,"year":48,"session":11},"nurse-109-1-fundamental-nursing-068","護理長利用在職教育強化護理同仁之護理技能，依據 Gillies 的護理管理過程理論，護理長這個行為是屬於下列何者？",68,109,{"webId":50,"stem":51,"number":52,"year":53,"session":30},"nurse-110-2-fundamental-nursing-026","協助病人使用口頰溶片 Painkyl ○ R （fentanyl citrate）（buccal soluble films\u002F200 mcg）1 buccalfilm 控制疼痛，下列何者最適當？",26,110,{"webId":55,"stem":56,"number":57,"year":58,"session":30},"nurse-111-2-fundamental-nursing-070","為擴大護理師視野，採水平方向改變工作職務，職稱不變，屬於下列何種工作設計方式？",70,111,{"webId":60,"stem":61,"number":62,"year":63,"session":64},"nurse-112-3-fundamental-nursing-024","有關脈搏速率的敘述，下列何者錯誤？",24,112,3,"2026-09-04",1788510709077]