[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-020":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-114-3-基本護理學與護理行政-020","nurse-114-3-fundamental-nursing-020",114,3,20,"病人在快走、咳嗽或打噴嚏時常有少量尿液溢出，下列護理措施何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"指導每日做凱格爾氏運動（Kegel’s exercise）","指導外出時可使用護墊或尿布","建議建立規則間隔的解尿時間","指導增加茶或可可亞的攝取","D",null,[],"本題考點在於應力性尿失禁（stress incontinence）的護理措施辨識，屬反向題，須挑出最不適當者。快走、咳嗽、打噴嚏時因腹壓上升而少量漏尿，是骨盆底肌鬆弛的典型表現。錯誤（最不適當）敘述為 D，茶與可可亞含咖啡因，屬膀胱刺激物且具利尿作用，會增加尿量與急迫感、加重漏尿，方向完全相反。A 凱格爾氏運動可強化骨盆底肌、改善控尿，正確。B 外出使用護墊或尿布是務實的皮膚與尊嚴保護措施，正確。C 建立規則間隔的解尿時間屬膀胱訓練，能減少突發漏尿，正確。逐一比對後，只有 D 屬於會惡化症狀的措施，故為答案。","應力性尿失禁核心機轉是尿道括約肌與骨盆底支持不足，腹壓一升即超過尿道閉合壓而漏尿，好發於多產、停經、肥胖女性。凱格爾運動透過反覆收縮提肛肌重建支持，需持續數週才見效。飲食衛教重點：減少咖啡因（咖啡、茶、可可、可樂）、酒精、碳酸與辛辣等膀胱刺激物。對比記憶：應力性（腹壓誘發）以肌力訓練為主；急迫性（逼尿肌過動）以膀胱訓練與抗膽鹼藥為主；滿溢性則需找出阻塞或收縮無力原因。",[25,28,31,33],{"term":26,"count":27},"應力性尿失禁",2,{"term":29,"count":30},"凱格爾氏運動",1,{"term":32,"count":30},"膀胱刺激物",{"term":34,"count":30},"咖啡因利尿作用",[36,40,45,50,55,60],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-114-3-fundamental-nursing-021","病人術後 6 小時未自行解尿，護理人員欲協助誘尿，下列方法何者最不適當？",21,{"webId":41,"stem":42,"number":43,"year":44,"session":27},"nurse-115-2-fundamental-nursing-017","有關人體水份含量的敘述，下列何者正確？",17,115,{"webId":46,"stem":47,"number":48,"year":49,"session":30},"nurse-106-1-fundamental-nursing-061","某護理師負責照護 6 位病人，上午 9 點時測量生理指標及給藥。甲病人因疼痛要求止痛劑；乙病人血壓高，要求降壓劑；丙病人主訴胸部悶痛臉色發白，醫囑要立即做 EKG。以上情境中那一項是緊急且重要的工作？",61,106,{"webId":51,"stem":52,"number":53,"year":54,"session":27},"nurse-107-2-fundamental-nursing-019","郭小妹，6 歲，體重 18 公斤，醫囑「vancomycin 240mg IVF q6h」。vancomycin 的藥品說明書載明：「孩童的安全用量為 40mg\u002Fkg\u002Fday，須分次給藥」。針對此醫囑的執行，下列敘述何者最適當？",19,107,{"webId":56,"stem":57,"number":58,"year":59,"session":27},"nurse-108-2-fundamental-nursing-063","有關損益平衡點之敘述，下列何者正確？",63,108,{"webId":61,"stem":62,"number":43,"year":63,"session":30},"nurse-110-1-fundamental-nursing-017","給予成年病人肛門栓劑時，栓劑置入肛門內的適當深度，下列何者正確？",110,"2026-09-04",1788510761580]