[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-033":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-033","nurse-109-2-fundamental-nursing-033",109,2,33,"林先生因意外造成頸椎受損、大小便失禁，有關尿失禁之護理措施，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"教導排尿刺激技巧，例如：重複輕敲恥骨上方","每小時喝水 300 mL，每 3～4 小時進行排尿刺激","當餘尿量少於 250 mL，表示小便訓練成功","教導會陰部凱格式運動（Kegel’s exercise）","A",null,[],"本題考點為頸椎損傷導致上運動神經元型神經性膀胱（反射性膀胱）的護理。損傷位於薦髓以上，排尿反射弧仍完整，可藉刺激誘發反射性排尿，故教導重複輕敲恥骨上方以觸發逼尿肌收縮排尿，選A。選項D凱格爾運動用於壓力性尿失禁（強化骨盆底肌），非反射性膀胱首選；選項B每小時飲水300 mL過量、易造成膀胱過度充盈；選項C以餘尿量少於250 mL判定訓練成功標準過寬，一般餘尿應控制在較低值（約50至100 mL以下）。關鍵在辨識反射性膀胱可用扣敲誘發排尿。","神經性膀胱分兩型：上運動神經元（薦髓以上損傷，如頸或胸椎）→反射性（痙攣性）膀胱，反射弧完整，以扣敲恥骨上方、大腿內側等誘發技巧觸發排尿；下運動神經元（薦髓S2至S4或以下損傷）→鬆弛性膀胱，反射弧受損，需Crede's手法（壓迫下腹）或間歇性導尿。凱格爾運動針對壓力性尿失禁。理想餘尿量小於50 mL，大於100 mL常需處理。",[25,28,30,32],{"term":26,"count":27},"反射性膀胱",1,{"term":29,"count":27},"上運動神經元神經性膀胱",{"term":31,"count":27},"扣敲恥骨上方誘發排尿",{"term":33,"count":27},"凱格爾運動適應症",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-109-2-fundamental-nursing-034","林女士腸道手術後，靜脈留置針位於左前臂，護理師應如何協助林女士更衣？①先脫右側 ②先脫左側 ③先穿右側 ④先穿左側",34,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-110-1-fundamental-nursing-050","有關非腸道營養法，下列敘述何者錯誤？",50,110,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-110-2-fundamental-nursing-064","衝突發生時，雙方都認為自己是對的，而不聽對方或旁觀者的意見，有關緩解衝突的原則，下列何者較不適當？",64,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-112-1-fundamental-nursing-022","張小妹因術後禁食中，醫囑：D 5 W I.V.F. 50 mL\u002Fhr。現以流速 60 gtt\u002FmL 的微滴套管注射，則每分鐘滴數為多少？",22,112,{"webId":54,"stem":55,"number":56,"year":57,"session":27},"nurse-113-1-fundamental-nursing-016","病人因高燒使用低溫毯，護理師在使用低溫毯期間，下列照護事項何者正確？ ①為達到降溫效益，低溫毯應直接與病人皮膚接觸 ②剛使用時應每5分鐘測量病人的生命徵象，待穩定後則可以每15分鐘監測一次 ③使用過程中若病人出現發抖現象，為正常現象，可持續使用，但需每15分鐘監測體溫一次 ④應每30～60 分鐘協助病人翻身，以免造成壓力性損傷",16,113,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-114-2-fundamental-nursing-010","有關給藥五對的敘述，下列何者錯誤？",10,114,"2026-09-04",1788510715765]