[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-109-1-fundamental-nursing-034":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-109-1-基本護理學與護理行政-034","nurse-109-1-fundamental-nursing-034",109,1,34,"王太太 58 歲，用力咳嗽或者大笑時就會出現滲尿，心情受影響情緒低落，下列何項護理措施不合適？",{"A":15,"B":16,"C":17,"D":18},"告訴病人這是中年婦女正常現象，不要太在意","評估是否有壓力性尿失禁相關因子，例如：停經、肥胖","教導勿提重物、突然大笑等增加腹內壓之動作","教導骨盆底肌肉運動訓練，增加尿道括約肌張力","A",null,[],"本題考點為壓力性尿失禁的護理措施與治療性溝通，題目問「不合適」者。A將滲尿輕描為中年婦女正常現象、要病人不要在意，既否定病人感受又未提供實質協助，違反以病人為中心的照護，故為不適當選項。B評估停經、肥胖等壓力性尿失禁危險因子，方向正確。C教導避免提重物、突然大笑等增加腹內壓的動作，可減少漏尿誘因。D凱格爾骨盆底肌肉運動能增強尿道括約肌張力、改善壓力性尿失禁，屬第一線非侵入性處置。故A為不合適的措施。","壓力性尿失禁因腹內壓突增（咳嗽、打噴嚏、大笑）超過尿道閉合壓所致，好發於多產、停經雌激素下降、肥胖婦女。凱格爾運動收縮提肛肌群，每日反覆訓練數週見效。其與急迫性尿失禁（逼尿肌過動、用抗膽鹼藥）機轉不同。治療性溝通首重接納病人情緒，而非否定其困擾。",[25,28,31,33],{"term":26,"count":27},"治療性溝通",22,{"term":29,"count":30},"壓力性尿失禁",3,{"term":32,"count":30},"腹內壓",{"term":34,"count":11},"骨盆底肌肉運動",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-109-1-fundamental-nursing-035","有關糞便嵌塞使用手指挖除糞石之注意事項，下列敘述何者正確？",35,{"webId":41,"stem":42,"number":43,"year":10,"session":44},"nurse-109-2-fundamental-nursing-051","關於尿液培養（urine culture）之目的，下列何者正確？①檢查是否有細菌感染 ②測量腎小管再吸收能力 ③檢驗腎臟過濾與排泄功能 ④作為抗生素使用的依據",51,2,{"webId":46,"stem":47,"number":48,"year":49,"session":11},"nurse-110-1-fundamental-nursing-065","在人力資源管理體系中，設計員工行為規範可以使組織成員導向共同行為和工作習慣。成功的行為規範設計應注意幾項原則，下列何者較不適當？",65,110,{"webId":51,"stem":52,"number":53,"year":54,"session":44},"nurse-111-2-fundamental-nursing-023","如果注射部位周圍皮膚冰冷、腫脹、有壓痛感，輸注速度變慢現象時，下列處理方法何者最適當？ ①停止輸注 ②局部濕熱敷 ③給予解熱藥物 ④重新更換注射部位 ⑤按摩注射部位",23,111,{"webId":56,"stem":57,"number":58,"year":59,"session":44},"nurse-112-2-fundamental-nursing-067","有關基層護理人員臨床專業能力進階制度，下列敘述何者正確？",67,112,{"webId":61,"stem":62,"number":63,"year":64,"session":30},"nurse-113-3-fundamental-nursing-031","有關病人飲食衛教內容，下列敘述何者最適當？",31,113,"2026-09-04",1788510711915]