[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-033":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-109-2-基本護理學與護理行政-033","nurse-109-2-fundamental-nursing-033",109,2,33,"林先生因意外造成頸椎受損、大小便失禁，有關尿失禁之護理措施，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"教導排尿刺激技巧，例如：重複輕敲恥骨上方","每小時喝水 300 mL，每 3～4 小時進行排尿刺激","當餘尿量少於 250 mL，表示小便訓練成功","教導會陰部凱格式運動（Kegel’s exercise）","A",null,[],"本題考點為頸椎損傷導致上運動神經元型神經性膀胱（反射性膀胱）的護理。損傷位於薦髓以上，排尿反射弧仍完整，可藉刺激誘發反射性排尿，故教導重複輕敲恥骨上方以觸發逼尿肌收縮排尿，選A。選項D凱格爾運動用於壓力性尿失禁（強化骨盆底肌），非反射性膀胱首選；選項B每小時飲水300 mL過量、易造成膀胱過度充盈；選項C以餘尿量少於250 mL判定訓練成功標準過寬，一般餘尿應控制在較低值（約50至100 mL以下）。關鍵在辨識反射性膀胱可用扣敲誘發排尿。",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？",6,1783840754402]