[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-004":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"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-108-2-基本護理學與護理行政-004","nurse-108-2-fundamental-nursing-004",108,2,4,"關於導尿管水球（氣囊）之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"一般成人注入液體量約 5~10 c.c.","注入之液體以生理食鹽水為主","注入過程中病人主述疼痛時應先將導尿管回拉兩公分後再回抽液體","病人如有漏尿情形應將注入液體量增加至 30 c.c.","A",null,[],"本題考點為留置導尿管水球（氣囊）的操作原則。依導尿技術，一般成人留置導尿管水球注入液體量約 5～10 c.c.（依產品標示，多為 10 c.c.）以固定於膀胱，故選 A。（B）水球應注入無菌蒸餾水，不宜用生理食鹽水，因鹽分結晶可能阻塞管腔導致抽不出而拔管困難，敘述錯誤。（C）注入過程病人喊痛應立即停止注入並抽出，代表氣囊仍在尿道，回拉導尿管反而危險，敘述錯誤。（D）漏尿不應盲目增加水球容量至 30 c.c.，過度充盈可壓迫膀胱頸致傷害，敘述錯誤。","水球固定原理：導尿管前端氣囊充液後卡在膀胱三角上方防止滑脫。臨床要點串記：注入量看管身標示（成人約 10 c.c.、兒童較少）；充填液用『無菌蒸餾水』（避免生理食鹽水結晶阻塞）；注入時若疼痛表示氣囊未進膀胱，須停止並回抽、重新確認導管深度；漏尿多與管徑不合或膀胱痙攣有關，非靠加大水球解決。掌握『10 c.c.＋蒸餾水＋痛就停』即可判 A 為正解。",[25,28,30,32,34],{"term":26,"count":27},"留置導尿管水球",1,{"term":29,"count":27},"注入量 5~10 c.c.",{"term":31,"count":27},"無菌蒸餾水",{"term":33,"count":27},"疼痛停止注入",{"term":35,"count":27},"膀胱三角固定",[37,41,46,50,55,60],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-108-2-fundamental-nursing-005","有關膀胱灌洗的敘述，下列何者正確？",5,{"webId":42,"stem":43,"number":44,"year":45,"session":27},"nurse-109-1-fundamental-nursing-021","有關藥物形式的敘述，下列何者錯誤？",21,109,{"webId":47,"stem":48,"number":49,"year":45,"session":11},"nurse-109-2-fundamental-nursing-035","護理師移動病人時，下列原則何者適當？①降低重心 ②利用大肌肉群 ③雙腳合併站立 ④保持脊柱彎曲",35,{"webId":51,"stem":52,"number":53,"year":54,"session":11},"nurse-110-2-fundamental-nursing-073","有關技術混合照護模式，下列敘述何者最適當？",73,110,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-112-1-fundamental-nursing-037","林先生因感染導致敗血症，一天內有時體溫達 39℃以上，有時又會突然降到正常值以下，如此交替出現，此發燒類型應為：",37,112,{"webId":61,"stem":62,"number":44,"year":63,"session":27},"nurse-113-1-fundamental-nursing-021","有關導尿管的選擇原則，下列何者錯誤？",113,"2026-09-04",1788510705532]