[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-062":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":35,"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":10},"nurse-110-2-內外科護理學-062","nurse-110-2-medical-surgical-062",110,2,62,"有關膀胱癌進行尿路改道手術後之照護，下列何者正確？",{"A":14,"B":15,"C":16,"D":17},"鼓勵多進食酸性食物，以酸化尿液可預防感染","造瘻口周圍皮膚結晶物可用稀釋碳酸氫鈉清除","需控制每日水分攝取量，以避免產生尿液滲漏","造瘻口應為暗紅色、乾燥，出現黏性分泌物需返診","A",null,[],"本題考點在膀胱癌尿路改道(如迴腸導管)術後的居家照護。鼓勵攝取酸性食物使尿液酸化,可抑制細菌繁殖並減少鹼性結晶沉積、預防泌尿道感染,敘述正確故選A。造瘻口周圍的鹼性結晶應以稀釋的醋酸(白醋)清除而非碳酸氫鈉,選項B錯;術後應鼓勵充足水分沖洗尿路而非限制飲水,選項C錯;健康造瘻口應呈粉紅至鮮紅、濕潤且微帶黏液,若呈暗紅乾燥反而是血流不良的警訊,選項D敘述亦錯誤,故均非答案。","迴腸導管(ileal conduit)以一段迴腸接輸尿管並開口於腹壁,持續排尿故需外接尿袋。照護重點:大量飲水沖洗、酸化尿液(維生素C、蔓越莓)防感染與結晶、保護造瘻口周圍皮膚。正常造瘻口為粉紅濕潤有黏液;蒼白暗紫代表缺血。記憶:尿路造口周圍鹼性結晶用醋酸溶解,勿與腸造口照護混淆。可連結尿路改道易失HCO₃⁻造成高氯性代謝性酸中毒的長期併發症。",[24,26,29,31,33],{"term":25,"count":10},"尿液酸化",{"term":27,"count":28},"尿路改道",1,{"term":30,"count":28},"迴腸導管",{"term":32,"count":28},"造瘻口評估",{"term":34,"count":28},"大量飲水",[36,40,45,50,54,59],{"webId":37,"stem":38,"number":39,"year":9,"session":10},"nurse-110-2-medical-surgical-063","下列何者於檢查後，不會出現血尿情況？",63,{"webId":41,"stem":42,"number":43,"year":44,"session":28},"nurse-111-1-medical-surgical-079","病人輸血 10 分鐘時出現蕁麻疹及哮喘之處置，下列何者錯誤？",79,111,{"webId":46,"stem":47,"number":48,"year":49,"session":28},"nurse-112-1-medical-surgical-013","有關迴腸造瘻口的護理指導，下列何者正確？",13,112,{"webId":51,"stem":52,"number":28,"year":53,"session":28},"nurse-113-1-medical-surgical-001","有關多發性硬化症之診斷檢查，下列何者錯誤？",113,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-114-2-medical-surgical-005","有關病人因頸椎脊髓損傷處於脊髓休克期的敘述，下列何者錯誤？",5,114,{"webId":60,"stem":61,"number":62,"year":63,"session":10},"nurse-115-2-medical-surgical-049","有關中心導管組合式照護之敘述，下列何者錯誤？",49,115,"2026-09-04",1788510729384]