[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-005":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":37,"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-108-2-基本護理學與護理行政-005","nurse-108-2-fundamental-nursing-005",108,2,5,"有關膀胱灌洗的敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"連續性膀胱灌洗需使用雙腔導尿管","小量膀胱灌洗之灌洗瓶底部與病人恥骨的距離約 75~90 公分","小量膀胱灌洗是每次可以 30 c.c.溶液來回灌洗","連續性膀胱灌洗溶液的溫度宜維持在 41~42℃","C",null,[],"本題考點為膀胱灌洗（bladder irrigation）的技術原則。依灌洗操作，小量（間歇性）膀胱灌洗常以每次約 30 c.c.溶液注入後再回抽、來回沖洗，以清除凝塊或維持通暢，故 C 正確。（A）連續性膀胱灌洗需使用三腔（three-way）導尿管，一腔進液、一腔引流、一腔固定水球，非雙腔，敘述錯誤。（B）小量膀胱灌洗以空針手推注入為主，並非以固定 75～90 公分之重力高度灌注，該敘述屬概念錯置。（D）連續性膀胱灌洗溶液宜維持室溫或接近體溫，過高（41～42℃）可能刺激膀胱，敘述不當。","區分兩種灌洗：連續性膀胱灌洗（多用於攝護腺術後預防血塊阻塞）需三腔導尿管，靠重力持續滴注沖走血塊；小量／間歇性灌洗則以無菌空針抽取約 30 c.c.溶液手動來回沖洗、清除阻塞。溶液溫度以室溫至體溫為宜，過冷或過熱皆刺激膀胱引發痙攣。記憶：連續灌洗＝三腔＋室溫持續流；小量灌洗＝空針＋30 c.c.來回推抽，據此鎖定 C。",[25,28,31,33,35],{"term":26,"count":27},"膀胱灌洗",3,{"term":29,"count":30},"連續性灌洗需三腔導尿管",1,{"term":32,"count":30},"小量灌洗 30 c.c.來回",{"term":34,"count":30},"溶液溫度接近體溫",{"term":36,"count":30},"維持導尿管通暢",[38,42,47,51,56,61],{"webId":39,"stem":40,"number":41,"year":10,"session":11},"nurse-108-2-fundamental-nursing-006","有關病人接受冷敷或熱敷，下列敘述何者正確？",6,{"webId":43,"stem":44,"number":45,"year":46,"session":30},"nurse-109-1-fundamental-nursing-022","護理師給予瀉劑 Bisacodyl 塞劑前，個案主訴腹絞痛，並冒冷汗不適，下列處置何者適當？",22,109,{"webId":48,"stem":49,"number":50,"year":46,"session":11},"nurse-109-2-fundamental-nursing-036","為老年人執行床上沐浴，下列何者正確？",36,{"webId":52,"stem":53,"number":54,"year":55,"session":11},"nurse-110-2-fundamental-nursing-074","有關管理方格理論（managerial grid theory）的構面，下列何者正確？",74,110,{"webId":57,"stem":58,"number":59,"year":60,"session":30},"nurse-112-1-fundamental-nursing-038","亞翔不慎溺水被送至醫院急診室時，其體溫僅 34.5℃，最不可能出現下列那一種症狀？",38,112,{"webId":62,"stem":63,"number":45,"year":64,"session":30},"nurse-113-1-fundamental-nursing-022","病人配戴橡膠製成的活動假牙，有關假牙的清潔與使用，下列敘述何者正確？",113,"2026-09-04",1788510705537]