[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-109-2-medical-surgical-061":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":64},"內外科護理學","medical-surgical",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-109-2-內外科護理學-061","nurse-109-2-medical-surgical-061",109,2,61,"有關壓力性尿失禁的治療與照護，下列何者錯誤？",{"A":14,"B":15,"C":16,"D":17},"肥胖者要接受飲食療法來適當減輕體重，以減少腹壓","透過骨盆底肌肉運動強化肌肉功能，協助關閉尿道口","限制每天水分攝取量並配合排尿計畫，執行膀胱訓練","使用 α-腎上腺致效劑，增加尿道出口阻力","C",null,[],"本題考點是壓力性尿失禁的治療與照護，須找出「錯誤」項。考點在於辨識膀胱訓練與限制水分主要適用於「急迫性」尿失禁，而非壓力性尿失禁；壓力性尿失禁的問題在腹壓上升時尿道閉合不足，過度限水反易造成脫水與尿路感染，故C錯誤。A正確，肥胖者減重可降低腹內壓、減少漏尿。B正確，凱格爾（骨盆底肌）運動能強化肌肉、協助關閉尿道以對抗腹壓。D正確，α-腎上腺素致效劑可增加尿道平滑肌張力、提高尿道出口阻力。故針對壓力性尿失禁不適當的處置為C限水加膀胱訓練。","尿失禁分型對照：壓力性（咳嗽、打噴嚏、提重物時漏尿，因尿道括約肌／骨盆底鬆弛）→凱格爾運動、減重、α致效劑、必要時吊帶手術；急迫性（膀胱過動、突發強烈尿意，逼尿肌不穩定）→膀胱訓練、定時排尿、抗膽鹼藥；滿溢性（尿滯留溢流）→解除阻塞或間歇導尿。膀胱訓練是「拉長排尿間隔、抑制急迫」的行為療法，對逼尿肌過動有效，用錯在壓力性即為誤答。記憶：「壓力性練肌肉、急迫性練膀胱」。",[24,27,29,32],{"term":25,"count":26},"壓力性尿失禁",4,{"term":28,"count":10},"骨盆底肌肉運動",{"term":30,"count":31},"膀胱訓練適用急迫性",1,{"term":33,"count":31},"α-腎上腺素致效劑",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-109-2-medical-surgical-062","有關導致腎病症候群病人全身水腫之病理機轉，下列何者正確？",62,{"webId":40,"stem":41,"number":42,"year":43,"session":31},"nurse-110-1-medical-surgical-078","有關敗血性休克引發瀰漫性血管內凝血（DIC）之敘述，下列何者正確？",78,110,{"webId":45,"stem":46,"number":47,"year":48,"session":31},"nurse-111-1-medical-surgical-012","下列何者不是食道癌常見的臨床表徵？",12,111,{"webId":50,"stem":51,"number":52,"year":53,"session":31},"nurse-112-1-medical-surgical-050","有關後天免疫缺乏症候群（AIDS）病人出現伺機性感染之敘述，下列何者正確？",50,112,{"webId":55,"stem":56,"number":57,"year":58,"session":31},"nurse-113-1-medical-surgical-044","有關雙胍類降血糖藥物metformin（Glucophage®）之敘述，下列何者錯誤？",44,113,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-114-2-medical-surgical-038","有關血液透析病人動靜脈瘻管（A-V fistula）之護理措施，下列何者正確？",38,114,"2026-09-04",1788510716844]