[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-021":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":34,"lastmod":63},"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-115-2-基本護理學與護理行政-021","nurse-115-2-fundamental-nursing-021",115,2,21,"成年病人尿瀦留原因，下列敘述何者最不適當？",{"A":15,"B":16,"C":17,"D":18},"手術後泌尿道感染","手術麻醉藥物殘留影響","膀胱神經末梢受損","膀胱失去弛張力","A",null,[],"本題考點是成人尿液滯留的成因判斷。尿液滯留的機轉可分為出口阻塞、膀胱收縮無力與神經傳導受阻:麻醉藥物與鴉片類藥物殘留會抑制排尿反射與膀胱收縮;膀胱神經末梢受損使膀胱脹滿訊息與收縮指令中斷;長期過度膨脹導致膀胱肌肉失去張力則無法有效收縮排空,B、C、D 都是合理原因。A 的泌尿道感染主要造成黏膜受刺激而頻尿、急尿與解尿疼痛,屬排尿次數增多的表現,與滯留的機轉方向不同,故為最不適當者,選 A。","評估尿液滯留的重點在膀胱膨脹程度、殘尿量與最後一次排尿時間;術後常見組合是麻醉藥物作用、疼痛與臥床姿勢不利排尿。分類上,攝護腺肥大屬出口阻塞型,糖尿病周邊神經病變與脊髓損傷屬神經型,抗膽鹼藥物與抗組織胺則抑制膀胱收縮。需留意例外:嚴重攝護腺炎或會陰部感染合併腫脹時也可能出現滯留,因此這是相對比較而非絕對不可能,判斷時取典型機轉的方向性。",[25,28,30,32],{"term":26,"count":27},"尿液滯留機轉",1,{"term":29,"count":27},"麻醉藥物影響排尿",{"term":31,"count":27},"膀胱張力",{"term":33,"count":27},"泌尿道感染症狀",[35,39,44,48,53,58],{"webId":36,"stem":37,"number":38,"year":10,"session":11},"nurse-115-2-fundamental-nursing-022","下列何者不是足部按摩的禁忌症？",22,{"webId":40,"stem":41,"number":42,"year":43,"session":27},"nurse-106-1-fundamental-nursing-068","某病房護理師工作目標在滿足病人自我照護需求，協助生病的病人重獲正常的健康狀態。這屬那位護理理論家所提出？",68,106,{"webId":45,"stem":46,"number":11,"year":47,"session":27},"nurse-107-1-fundamental-nursing-002","醫院內所爆發的院內感染中，最常見的致病菌種為何？",107,{"webId":49,"stem":50,"number":51,"year":52,"session":27},"nurse-108-1-fundamental-nursing-040","下列何種情況，較不會出現脈搏次數增加的情形？",40,108,{"webId":54,"stem":55,"number":56,"year":57,"session":11},"nurse-109-2-fundamental-nursing-004","有關化學消毒法之敘述，下列何者錯誤？",4,109,{"webId":59,"stem":60,"number":61,"year":62,"session":11},"nurse-110-2-fundamental-nursing-038","長期臥床病人若採取伐式操作法（Valsava’s maneuver）用力解便，可能導致下列何種情況？",38,110,"2026-08-06",1787299031660]