[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-1-fundamental-nursing-034":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":26},"nurse-110-1-基本護理學與護理行政-034","nurse-110-1-fundamental-nursing-034",110,1,34,"張女士 62 歲，懷孕 7 次，生了 5 個孩子。常常在大笑或咳嗽時排出少量尿液，屬於下列那一種尿失禁？",{"A":15,"B":16,"C":17,"D":18},"急迫性尿失禁","壓力性尿失禁","反射性尿失禁","功能性尿失禁","B",null,[],"本題考點是尿失禁的分類判別。依尿失禁定義，張女士多次生產致骨盆底肌與尿道括約肌鬆弛，於大笑或咳嗽等腹壓驟增時漏出少量尿液，正是壓力性尿失禁的典型表現，故選 B。A 急迫性尿失禁是逼尿肌過度活動導致突發強烈尿意後來不及如廁而漏尿，與腹壓無關；C 反射性尿失禁多見於脊髓損傷，膀胱在無尿意下依反射不自主排空；D 功能性尿失禁指膀胱與括約肌功能正常，但因行動不便或認知障礙無法及時如廁而失禁。考點在抓住「腹壓上升時漏尿、多產婦骨盆底鬆弛」這組線索，對應到壓力性尿失禁。","壓力性尿失禁機轉是尿道閉合壓不足以對抗突增的腹內壓，好發於多產、停經（雌激素下降）、肥胖與骨盆手術後女性。處置以凱格爾運動強化骨盆底肌為首選。與急迫性（膀胱問題、需抗膽鹼藥或膀胱訓練）對比記憶：壓力性＝出口鬆、急迫性＝膀胱急，兩者可並存為混合型。",[25,27,30,32],{"term":16,"count":26},3,{"term":28,"count":29},"尿失禁分類",2,{"term":31,"count":11},"骨盆底肌鬆弛",{"term":33,"count":11},"腹壓增加",[35,39,43,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-110-1-fundamental-nursing-035","為一位 76 歲罹患乳癌並有骨轉移之病人進行床上沐浴及背部護理時，下列方式何者較適宜？",35,{"webId":40,"stem":41,"number":42,"year":10,"session":29},"nurse-110-2-fundamental-nursing-051","有關入院病人護理措施，下列何者適當？ ①需在接病人的當班內完成所有的護理評估等病歷內容 ②自我介紹及觀察病人是最先的護理活動 ③需建立身高、體重及生命徵象的資料 ④護理人員應主動保管病人貴重物品，以免遺失",51,{"webId":44,"stem":45,"number":46,"year":47,"session":11},"nurse-111-1-fundamental-nursing-065","甲病房 50 床，占床率 75%，護理師有 20 人，每人 1 年可休假 14 天、公假 10 天參加教育訓練、國定例假日 122 天，請問甲病房每位病人每天平均可獲得多少護理時數？",65,111,{"webId":49,"stem":50,"number":51,"year":52,"session":29},"nurse-112-2-fundamental-nursing-023","有關選擇靜脈穿刺部位的原則，下列敘述何者正確？",23,112,{"webId":54,"stem":55,"number":56,"year":57,"session":29},"nurse-113-2-fundamental-nursing-047","有關 SWOT 的敘述，下列何者正確？",47,113,{"webId":59,"stem":60,"number":61,"year":62,"session":26},"nurse-114-3-fundamental-nursing-041","有關護理人力彈性運用策略，下列敘述何者最適當？",41,114,"2026-09-04",1788510720248]