[{"data":1,"prerenderedAt":48},["ShallowReactive",2],{"q-nurse-111-2-fundamental-nursing-030":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-111-2-基本護理學與護理行政-030","nurse-111-2-fundamental-nursing-030",111,2,30,"楊女士接受子宮全切除手術，術後使用 Morphine PCA (patient controlled analgesia)和靜脈輸液持續滴注，術後第一天楊女士移除 foley 後 6 小時仍尚未解尿，觸診下腹部膀胱處鼓脹，下列何者不是有關其尿瀦留的原因？",{"A":15,"B":16,"C":17,"D":18},"尿道括約肌收縮過強","Morphine 藥物作用","手術導致膀胱組織受損","靜脈輸液量過少","D",null,[],"本題考點是子宮全切除術後尿瀦留(urinary retention)的原因辨識。依尿瀦留的病生理,常見原因包括Morphine抑制排尿反射(B)、手術操作導致膀胱或周邊神經受損影響排尿功能(C),以及尿道括約肌張力異常過強阻礙排尿(A),此三者皆可致尿瀦留。而靜脈輸液量過少會使尿液生成減少,造成的是尿量不足而非膀胱脹滿的尿瀦留,與題幹「膀胱處鼓脹」的滯尿情境不符,故D「靜脈輸液量過少」不是尿瀦留原因,為正解。考點在於區辨「尿液生成不足」與「膀胱有尿卻排不出」兩種截然不同的機轉。",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？",6,1783840774122]