[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-030":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":11},"nurse-111-2-基本護理學與護理行政-030","nurse-111-2-fundamental-nursing-030",111,2,30,"楊女士接受子宮全切除手術，術後使用 Morphine PCA (patient controlled analgesia)和靜脈輸液持續滴注，術後第一天楊女士移除 foley 後 6 小時仍尚未解尿，觸診下腹部膀胱處鼓脹，下列何者不是有關其尿瀦留的原因？",{"A":15,"B":16,"C":17,"D":18},"尿道括約肌收縮過強","Morphine 藥物作用","手術導致膀胱組織受損","靜脈輸液量過少","D",null,[],"本題考點是子宮全切除術後尿瀦留(urinary retention)的原因辨識。依尿瀦留的病生理,常見原因包括Morphine抑制排尿反射(B)、手術操作導致膀胱或周邊神經受損影響排尿功能(C),以及尿道括約肌張力異常過強阻礙排尿(A),此三者皆可致尿瀦留。而靜脈輸液量過少會使尿液生成減少,造成的是尿量不足而非膀胱脹滿的尿瀦留,與題幹「膀胱處鼓脹」的滯尿情境不符,故D「靜脈輸液量過少」不是尿瀦留原因,為正解。考點在於區辨「尿液生成不足」與「膀胱有尿卻排不出」兩種截然不同的機轉。","尿瀦留指膀胱有尿卻無法排空,觸診下腹膨隆是關鍵徵象,須與少尿(oliguria,尿液生成不足)區分。術後尿瀦留成因:麻醉與鴉片類(Morphine)抑制排尿中樞與逼尿肌、手術牽扯損傷骨盆神經或膀胱、疼痛與臥位不利排尿、括約肌痙攣。靜脈輸液過少只會減少尿液生成,不會造成膀胱鼓脹。記憶:膀胱脹=排不出(retention),要找抑制或阻礙排尿的因子;輸液少=沒尿可排,方向相反。處置思路須先評估膀胱容積再導尿減壓。",[25,27,30,32],{"term":26,"count":11},"尿瀦留",{"term":28,"count":29},"Morphine排尿抑制",1,{"term":31,"count":29},"術後膀胱功能",{"term":33,"count":29},"少尿與尿瀦留區別",[35,39,44,48,54,59],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-111-2-fundamental-nursing-031","尿液中紅血球增加的可能原因，下列何者錯誤？",31,{"webId":40,"stem":41,"number":42,"year":43,"session":29},"nurse-112-1-fundamental-nursing-047","依照我國護理人員法第 24 條之規定，護理人員的業務範圍不包括下列何者？",47,112,{"webId":45,"stem":46,"number":47,"year":43,"session":11},"nurse-112-2-fundamental-nursing-061","有關醫院評鑑之醫療服務過程面指標，下列敘述何者正確？",61,{"webId":49,"stem":50,"number":51,"year":52,"session":53},"nurse-113-3-fundamental-nursing-029","有關鼻胃管餵食法，下列敘述何者錯誤？",29,113,3,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-115-1-fundamental-nursing-033","病人因上呼吸道傳染性疾病住院，出院後其病室之終期消毒方式，下列敘述何者正確？",33,115,{"webId":60,"stem":61,"number":42,"year":62,"session":11},"nurse-106-2-fundamental-nursing-047","高纖維飲食的主要應用原理，下列何者錯誤？",106,"2026-09-04",1788510737751]