[{"data":1,"prerenderedAt":67},["ShallowReactive",2],{"q-nurse-114-3-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":36,"lastmod":66},"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-021","nurse-114-3-fundamental-nursing-021",114,3,21,"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？",{"A":15,"B":16,"C":17,"D":18},"聽流水聲刺激大腦皮質產生尿意","執行溫水坐浴以放鬆尿道括約肌","依醫囑於病人的膀胱部位放置熱水袋","足部施予熱敷刺激末梢神經","D",null,[],"本題考點在於術後尿滯留時誘導自解小便的護理技巧辨識，屬反向題，須找出最不適當者。誘尿原理是透過制約反射、放鬆尿道括約肌或刺激膀胱區來觸發排尿反射。錯誤（最不適當）敘述為 D，足部熱敷刺激末梢神經與排尿反射弧無直接關聯，對誘發尿意幫助有限。A 聽流水聲藉聽覺制約刺激大腦皮質產生尿意，正確。B 溫水坐浴能放鬆尿道括約肌與會陰肌肉，正確。C 依醫囑於膀胱部位放置熱水袋，藉局部溫熱放鬆膀胱與促進循環而誘尿，正確。三個有效方法都作用在膀胱或會陰局部與制約反射，唯 D 作用部位錯置，故為答案。","排尿反射由膀胱牽張感受器經副交感（S2–S4）傳入，誘尿法即在強化此反射或降低出口阻力。常見有效手法：聽流水聲、沖溫水於會陰、溫水坐浴、膀胱區熱敷、輕壓恥骨上區（Credé 手法需謹慎）、給予隱私與坐姿。術後尿滯留常因麻醉抑制、疼痛、臥床姿勢與心理因素造成，若誘尿無效且膀胱過度膨脹，才依醫囑導尿。記憶要訣：誘尿刺激點集中在「膀胱—會陰—聽覺制約」，與遠端足部無涉。",[25,28,31,34],{"term":26,"count":27},"溫水坐浴",7,{"term":29,"count":30},"排尿反射",4,{"term":32,"count":33},"術後尿滯留",1,{"term":35,"count":33},"誘尿法",[37,41,47,52,57,62],{"webId":38,"stem":39,"number":40,"year":10,"session":11},"nurse-114-3-fundamental-nursing-022","有關一般病人腹瀉的護理措施，下列敘述何者最適當？",22,{"webId":42,"stem":43,"number":44,"year":45,"session":46},"nurse-115-2-fundamental-nursing-018","下列何者不屬於特別口腔護理的適應症？",18,115,2,{"webId":48,"stem":49,"number":50,"year":51,"session":33},"nurse-106-1-fundamental-nursing-062","護理部計畫門診半年後門診護理師將參與醫院社區醫療服務，此作業的改變過程，門診護理師屬於：",62,106,{"webId":53,"stem":54,"number":55,"year":56,"session":46},"nurse-107-2-fundamental-nursing-020","對於心肌梗塞病人於胸痛時給與 nitroglycerin（NTG）藥物前後評估之重點，下列何者正確？①瞳孔大小 ②血壓 ③疼痛部位及程度 ④體溫",20,107,{"webId":58,"stem":59,"number":60,"year":61,"session":46},"nurse-108-2-fundamental-nursing-064","採用結構化溝通模式“ISBAR”進行醫護間的溝通，下列所指的涵意何者錯誤？",64,108,{"webId":63,"stem":64,"number":44,"year":65,"session":33},"nurse-110-1-fundamental-nursing-018","有關由藥瓶（Vial）抽藥方法的敘述，下列何者正確？",110,"2026-09-04",1788510761583]