[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-108-2-fundamental-nursing-040":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":24},"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,"freq":23},"nurse-108-2-基本護理學與護理行政-040","nurse-108-2-fundamental-nursing-040",108,2,40,"雙手尺骨骨折的病人，手術後 6 小時未解尿，觸診膀胱鼓脹，下列何者是最適當的獨立性護理功能？",{"A":15,"B":16,"C":17,"D":18},"進行單次導尿","讓病人手握冰塊","按摩恥骨聯合上方","給予局部用熱代號：2106 頁次：8－5","C",null,[],"本題考點為術後尿滯留的「獨立性護理功能」與導尿的權責界線。獨立性護理功能指護理師依專業判斷可自行執行、不需醫囑者。膀胱鼓脹的誘尿措施中,按摩恥骨聯合上方(膀胱區、Credé手法)可刺激膀胱收縮、協助排尿,屬護理師可自主執行的獨立性措施,選C。A單次導尿為侵入性技術、須醫囑,屬合作性功能。B讓病人手握冰塊缺乏促進排尿的依據。D局部用熱雖有助放鬆,但相較之下按摩膀胱區為更直接的誘尿獨立措施。先採非侵入性誘尿、無效再依醫囑導尿,是尿滯留的處理順序。",1,[25,29,32,36,40,44],{"webId":26,"stem":27,"number":23,"year":28,"session":23},"nurse-106-1-fundamental-nursing-001","下列何者為預防院內感染最經濟有效的方法？",106,{"webId":30,"stem":31,"number":11,"year":28,"session":23},"nurse-106-1-fundamental-nursing-002","下列那一種健康問題會導致體溫過高？",{"webId":33,"stem":34,"number":35,"year":28,"session":23},"nurse-106-1-fundamental-nursing-003","王先生因腦血管損傷住院中，下列何種灌注溶液不適合王先生使用？",3,{"webId":37,"stem":38,"number":39,"year":28,"session":23},"nurse-106-1-fundamental-nursing-004","醫囑為 Acetaminophen 1 tab q6h p.r.n. if BT≧39℃之含義，下列敘述何者正確？",4,{"webId":41,"stem":42,"number":43,"year":28,"session":23},"nurse-106-1-fundamental-nursing-005","測量 H5N1 流感病毒感染病人生命徵象時，下列何項防護設備較不必要？",5,{"webId":45,"stem":46,"number":47,"year":28,"session":23},"nurse-106-1-fundamental-nursing-006","林小姐因中風導致右側肢體偏癱，住院期間有關病人之安全，下列敘述何者錯誤？",6,1783840758215]