[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-110-2-medical-surgical-065":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":36,"lastmod":63},"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-110-2-內外科護理學-065","nurse-110-2-medical-surgical-065",110,2,65,"有關急迫性尿失禁的護理措施，下列何者最不適當？",{"A":14,"B":15,"C":16,"D":17},"需減重與避免增加腹壓的活動，如提重物","避免食用刺激膀胱的食物如咖啡、茶或酒","指導凱格爾運動來訓練強化骨盆底肌肉","協助擬訂排尿計畫作膀胱訓練增加容量","A",null,[],"本題考點在區分急迫性與壓力性尿失禁的護理措施。急迫性尿失禁源自逼尿肌過度活動、膀胱不自主收縮,處置以抑制膀胱過動為主;而選項A的減重與避免增加腹壓活動(如提重物)是針對壓力性尿失禁因腹壓上升漏尿而設計,對急迫性最不適當,故選A。避免咖啡、茶、酒等膀胱刺激物可減少逼尿肌激動,選項B適當;凱格爾運動強化骨盆底肌,選項C適當;排尿計畫與膀胱訓練可延長間隔、增加容量,選項D亦適當。","尿失禁分型記憶:壓力性(腹壓上升漏尿,如咳嗽打噴嚏)重點在骨盆底肌訓練與減重、避免增加腹壓;急迫性(膀胱過動、強烈尿意漏尿)重點在膀胱訓練、避免刺激物與抗膽鹼藥物;滿溢性(餘尿多)常見於攝護腺肥大或神經性膀胱。本題陷阱在把壓力性的處置放進急迫性題幹。可連結混合型尿失禁常兩者並存需綜合處置。",[24,27,29,31,33],{"term":25,"count":26},"壓力性尿失禁",4,{"term":28,"count":10},"急迫性尿失禁",{"term":30,"count":10},"膀胱訓練",{"term":32,"count":10},"凱格爾運動",{"term":34,"count":35},"逼尿肌過動",1,[37,41,45,50,54,59],{"webId":38,"stem":39,"number":40,"year":9,"session":10},"nurse-110-2-medical-surgical-066","引起代謝性酸中毒的原因，下列何者正確？①延腦異常 ②急性腎衰竭 ③肺擴張不全 ④血糖過高",66,{"webId":42,"stem":43,"number":10,"year":44,"session":10},"nurse-111-2-medical-surgical-002","有關脊髓損傷後脊髓休克期照護的敘述，下列何者錯誤？",111,{"webId":46,"stem":47,"number":48,"year":49,"session":35},"nurse-112-1-medical-surgical-016","有關食道憩室之敘述，下列何者錯誤？",16,112,{"webId":51,"stem":52,"number":26,"year":53,"session":35},"nurse-113-1-medical-surgical-004","有關阿茲海默氏症之敘述，下列何者錯誤？",113,{"webId":55,"stem":56,"number":57,"year":58,"session":10},"nurse-114-2-medical-surgical-008","有關上腸胃道出血的照護，下列何者錯誤？",8,114,{"webId":60,"stem":61,"number":10,"year":62,"session":35},"nurse-106-1-medical-surgical-002","有關巴金森氏病的護理指導，下列何者正確？",106,"2026-09-04",1788510729421]