[{"data":1,"prerenderedAt":66},["ShallowReactive",2],{"q-nurse-110-2-fundamental-nursing-005":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-110-2-基本護理學與護理行政-005","nurse-110-2-fundamental-nursing-005",110,2,5,"病人術後 6 小時有排尿困難，下列何者誘尿方法需有醫囑才能執行？",{"A":15,"B":16,"C":17,"D":18},"聽流水聲","手握冰塊","熱水袋熱敷膀胱","溫水會陰沖洗","C",null,[],"本題考點為誘尿措施中獨立性與依賴性（需醫囑）措施的區分。考點在於熱敷屬治療性熱療，具燙傷與影響組織的風險，須有醫囑才能執行，故熱水袋熱敷膀胱C需醫囑為答案。A聽流水聲以聲音誘發排尿反射、B手握冰塊藉冷刺激誘尿、D溫水會陰沖洗以溫熱刺激會陰誘發排尿，皆屬護理人員可自行判斷執行的獨立性措施，不需醫囑。三者利用感覺或反射誘尿而無侵入或熱傷害風險，故非本題所選。","排尿反射受副交感神經（S2至S4）調控，溫熱、水聲、會陰刺激可誘發逼尿肌收縮。熱療會使局部血管擴張並有燙傷可能，屬治療性措施故需醫囑。記憶：獨立性措施＝護理自主判斷；依賴性措施＝依醫囑執行（如熱敷、導尿、給藥）。可連結：護理功能分類、排尿生理、術後尿滯留。",[25,28,30,32],{"term":26,"count":27},"排尿反射",4,{"term":29,"count":11},"誘尿措施",{"term":31,"count":11},"依賴性護理措施",{"term":33,"count":34},"熱療",1,[36,40,45,49,54,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-110-2-fundamental-nursing-006","游奶奶接受雙側膝關節置換術，術後第一天使用自控式嗎啡疼痛控制器止痛，白班護生王同學照顧游奶奶，9:40 am 尚未備口服藥物，實習指導老師詢問下，王同學表示：「奶奶還在睡覺，剛剛測量的生命徵象 BP 為 122∕64 mmHg、TPR：36.4°C、64 次／分、8 次／分，我想奶奶昨天開刀應該讓她休息一下，我不忍心叫她起床吃藥」，針對上述情境，下列處置何者最適當？",6,{"webId":41,"stem":42,"number":43,"year":44,"session":34},"nurse-111-1-fundamental-nursing-022","周先生，醫囑：D 5 W 80 mL\u002Fhour IVF，使用精密輸液套管（60 gtts\u002FmL）滴注，早上 9 點護理師給予周先生更換一瓶新的 500 mL D 5 W 溶液，下列敘述何者正確？",22,111,{"webId":46,"stem":47,"number":48,"year":44,"session":11},"nurse-111-2-fundamental-nursing-036","使用床上護架的情況，下列何者錯誤？",36,{"webId":50,"stem":51,"number":52,"year":53,"session":11},"nurse-112-2-fundamental-nursing-074","要解決病房重要儀器設備使用的問題，可以採用下列何種工具來分析問題的因果關係？",74,112,{"webId":55,"stem":56,"number":57,"year":58,"session":59},"nurse-113-3-fundamental-nursing-048","護理長接獲同仁反應有病人家屬抱怨護理師延誤給藥，恐導致病人病情變化，下列做法何者最適宜？",48,113,3,{"webId":61,"stem":62,"number":63,"year":64,"session":34},"nurse-115-1-fundamental-nursing-042","有關臺灣病人安全通報系統的主要原則，除了保密、不究責和共同學習外，下列敘述何者正確？",42,115,"2026-09-04",1788510728065]