[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-009":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"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-109-2-基本護理學與護理行政-009","nurse-109-2-fundamental-nursing-009",109,2,9,"有關需要更換存留導尿管情況之敘述，下列何者正確？①尿液 pH 值呈弱酸性 ②尿道分泌物有異臭味 ③出現絮狀沉澱物，致引流不暢 ④導管更換時間依材質而定 ⑤病人有尿液滲漏情形",{"A":15,"B":16,"C":17,"D":18},"①②③④","②③④⑤","①③④⑤","①②③⑤","B",null,[],"本題考點為存留導尿管需更換的臨床指標。依導尿管照護原則,需更換的情況包含②尿道分泌物有異臭(疑感染)、③出現絮狀沉澱物致引流不暢(管路阻塞)、④更換時間依導管材質而定、⑤有尿液滲漏(管路功能不良),故選含②③④⑤的 B。①尿液 pH 呈弱酸性屬正常表現,並非更換指標;真正促使結晶結痂、需注意的反而是鹼性尿。考點在於辨識更換時機以「感染徵象、阻塞、材質期限、滲漏」為依據,弱酸性尿液不構成更換理由。","鹼性尿(常因 Proteus 等產 urease 菌分解尿素)易形成磷酸銨鎂結晶、堵塞導管,故臨床反而警覺鹼性;弱酸性尿屬正常,不需處理。導管材質影響留置期限:乳膠約 2 週、矽膠可達 4 週。照護重點:密閉引流、集尿袋低於膀胱、充足水分稀釋尿液、避免不必要留置以降低 CAUTI(導管相關泌尿道感染)。",[25,28,30,32],{"term":26,"count":27},"存留導尿管更換指標",1,{"term":29,"count":27},"導管材質留置期限",{"term":31,"count":27},"鹼性尿與結晶阻塞",{"term":33,"count":27},"導管相關泌尿道感染 CAUTI",[35,39,44,48,53,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-010","孫先生昨天開始解尿不順、尿道灼熱感，臉色發紅、皮膚溫暖乾燥，生命徵象：血壓 126 \u002F 76 mmHg、體溫 39.2°C（耳溫）、脈搏 116 次／分、呼吸 26 次／分，孫先生出現發燒現象，下列護理措施何者不適當？",10,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-110-1-fundamental-nursing-026","0.33%食鹽水輸液適用於下列何種病人？",26,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-040","黃先生為糖尿病病人，血糖控制不佳住院，右足背有一傷口，外觀紅腫，有關足部護理措施，下列何者最適當？",40,{"webId":49,"stem":50,"number":51,"year":52,"session":11},"nurse-111-2-fundamental-nursing-078","藥劑部主管與護理部主管在審查年度預算時發生預算協調上的衝突，屬於下列何種衝突類型？",78,111,{"webId":54,"stem":55,"number":56,"year":57,"session":58},"nurse-112-3-fundamental-nursing-042","有關人才招募計畫第一步驟，下列敘述何者正確？",42,112,3,{"webId":60,"stem":61,"number":62,"year":63,"session":27},"nurse-114-1-fundamental-nursing-036","有關使命或任務之敘述，下列何者正確？",36,114,"2026-09-04",1788510715530]