[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-109-2-fundamental-nursing-038":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-038","nurse-109-2-fundamental-nursing-038",109,2,38,"執行成人女性無菌導尿技術之敘述，下列何者正確？",{"A":15,"B":16,"C":17,"D":18},"消毒順序為中央尿道口→近側小陰唇內面→遠側小陰唇內面","存留導尿管水囊注入約 12～15 mL 的無菌生理食鹽水","單次導尿量不可超過 1,000 mL，以免腹壓快速下降","存留導尿管應固定在大腿內側代號： 2106 頁次： 6－4","D",null,[],"本題考點為成人女性存留導尿的無菌技術。女性存留導尿管應固定於大腿內側，以減少尿道壓迫與張力、防止尿道損傷與瘻管，故選D。選項A消毒順序相反，無菌原則須由外而內、由遠而近，應為遠側小陰唇內面→近側小陰唇內面→中央尿道口，最污染的尿道口最後消毒；選項B水囊應注入約10 mL無菌蒸餾水，而非12至15 mL生理食鹽水（鹽水久留恐結晶阻塞）；選項C以單次導尿不可超過1000 mL作單一準則並不精確，過量引流恐致腹壓驟降與黏膜出血，臨床採分段緩慢引流。判斷主軸為固定部位與消毒方向。",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？",6,1783840754444]