[{"data":1,"prerenderedAt":63},["ShallowReactive",2],{"q-nurse-113-1-fundamental-nursing-019":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":32,"lastmod":62},"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-113-1-基本護理學與護理行政-019","nurse-113-1-fundamental-nursing-019",113,1,19,"脊髓損傷的病人，無法自行排空膀胱，下列護理措施何者最適當？",{"A":15,"B":16,"C":17,"D":18},"限制液體攝入量1,000 mL\u002F天","教導凱格爾氏（Kegel’s exercise）","教導以手向下壓迫膀胱部位","協助置入留置導尿管","C",null,[],"本題考點在於脊髓損傷所致神經性膀胱的排尿協助措施。此類病人無法自主排空膀胱，可教導 Credé 手法，即以手在恥骨上方向下壓迫膀胱，藉外力協助排空尿液，故選 C。A 限水 1,000 mL\u002F天不當，反易致尿液濃縮與感染；B 凱格爾運動用於強化骨盆底肌以改善應力性尿失禁，對神經性排空障礙無效；D 留置導尿管增加尿路感染風險，非首選、應優先促進自解與間歇導尿。故手壓膀胱協助排空最適當。","神經性膀胱依損傷位置分痙攣型與弛緩型；下運動神經元受損之弛緩型可用 Credé（下壓膀胱）或 Valsalva 憋氣增壓助排。長期首選乾淨間歇導尿以降低感染與維持膀胱張力，留置導管為次選。凱格爾針對括約肌張力，與「排空」無關，是常見混淆點。此題辨識措施目的是否對應排空需求。",[25,28,30],{"term":26,"count":27},"神經性膀胱",2,{"term":29,"count":11},"Credé 手法",{"term":31,"count":11},"脊髓損傷排尿",[33,37,42,47,52,57],{"webId":34,"stem":35,"number":36,"year":10,"session":11},"nurse-113-1-fundamental-nursing-020","有關結腸灌洗（colon irrigation）目的之相關敘述，下列何者錯誤？",20,{"webId":38,"stem":39,"number":40,"year":10,"session":41},"nurse-113-3-fundamental-nursing-016","有關輸血注意事項，下列敘述何者錯誤？",16,3,{"webId":43,"stem":44,"number":45,"year":46,"session":27},"nurse-114-2-fundamental-nursing-010","有關給藥五對的敘述，下列何者錯誤？",10,114,{"webId":48,"stem":49,"number":50,"year":51,"session":11},"nurse-106-1-fundamental-nursing-008","有關行為過程紀錄之書寫，下列敘述何者錯誤？",8,106,{"webId":53,"stem":54,"number":55,"year":56,"session":11},"nurse-107-1-fundamental-nursing-052","有關臨終病人之照護，下列敘述何者正確？",52,107,{"webId":58,"stem":59,"number":60,"year":61,"session":27},"nurse-108-2-fundamental-nursing-006","有關病人接受冷敷或熱敷，下列敘述何者正確？",6,108,"2026-09-04",1788510749952]