[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-112-2-medical-surgical-063":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":33,"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":10},"nurse-112-2-內外科護理學-063","nurse-112-2-medical-surgical-063",112,2,63,"有關急迫性尿失禁之照護，下列敘述何者正確？①可給予副交感神經藥物 ②指導膀胱訓練法 ③指導病人使用尿失禁輔助用品如護墊或尿布 ④施行人工尿道括約肌植入術",{"A":14,"B":15,"C":16,"D":17},"①②","①④","②③","③④","C",null,[],"本題考點為急迫性尿失禁（urge incontinence）的照護措施，正解為 C（②③）。②正確，膀胱訓練（定時排尿、逐步延長間隔）可重建排尿控制，是急迫性尿失禁的首要行為療法；③正確，指導使用護墊或尿布屬維護皮膚完整與生活品質的支持性措施。①錯誤，急迫性尿失禁源於逼尿肌過度活動，應給予『抗膽鹼（抗副交感）』藥物抑制逼尿肌收縮，而非副交感神經藥物（後者反促收縮、加重症狀）；④錯誤，人工尿道括約肌植入術適用於括約肌功能不全的『壓力性』尿失禁，非急迫性，故含①或④者皆錯，選 C。","尿失禁分型與處置為高頻考點：急迫性（逼尿肌過度活動）以膀胱訓練與抗膽鹼藥（如 oxybutynin，抑制逼尿肌）為主；壓力性（骨盆底鬆弛、括約肌不全）以凱格爾運動、必要時吊帶或人工括約肌手術為主；滿溢性（尿滯留）則需解除阻塞或間歇導尿。副交感神經（膽鹼性）作用是『促進』逼尿肌收縮排尿，故用於尿滯留而非急迫性尿失禁，方向相反是本題陷阱。記憶『急迫用抗膽鹼＋膀胱訓練；壓力練凱格爾、手術修括約肌』。",[24,26,28,31],{"term":25,"count":10},"急迫性尿失禁",{"term":27,"count":10},"膀胱訓練",{"term":29,"count":30},"抗膽鹼藥抑制逼尿肌",1,{"term":32,"count":30},"與壓力性尿失禁處置鑑別",[34,38,43,48,53,58],{"webId":35,"stem":36,"number":37,"year":9,"session":10},"nurse-112-2-medical-surgical-064","下列何者會出現間歇性無痛血尿之症狀？①尿道炎 ②輸尿管結石 ③膀胱癌 ④腎臟癌",64,{"webId":39,"stem":40,"number":41,"year":42,"session":30},"nurse-113-1-medical-surgical-030","有關鞏皮症臨床表徵之敘述，下列何者錯誤？",30,113,{"webId":44,"stem":45,"number":46,"year":42,"session":47},"nurse-113-3-medical-surgical-024","林小姐，45 歲，近三個月反覆發燒入院，診斷急性骨髓性白血病（AML），為了判定化學治療或骨髓移植的治療效果，進行骨髓抽吸術，下列敘述何者正確？①術中不用麻醉 ②骨髓抽吸僅檢查白血球的數目、大小 ③可於後腸骨嵴處抽取 ④術後需使用砂袋加壓",24,3,{"webId":49,"stem":50,"number":51,"year":52,"session":30},"nurse-115-1-medical-surgical-022","王老太太背部骨骼疼痛就醫，醫生懷疑是多發性骨髓瘤，請依序回答下列3題。下列何者為確定診斷的主要標準？",22,115,{"webId":54,"stem":55,"number":56,"year":57,"session":10},"nurse-106-2-medical-surgical-046","有關 HIV 疾病進展的敘述，下列何者錯誤？",46,106,{"webId":59,"stem":60,"number":61,"year":62,"session":10},"nurse-107-2-medical-surgical-080","有關血中賀爾蒙於休克代償機轉中之變化，下列何者錯誤？",80,107,"2026-09-04",1788510747831]