[{"data":1,"prerenderedAt":65},["ShallowReactive",2],{"q-nurse-115-2-fundamental-nursing-035":3},{"subject":4,"subjectSlug":5,"subjectFullName":6,"question":7,"related":35,"lastmod":64},"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-035","nurse-115-2-fundamental-nursing-035",115,2,35,"陳老太太，因 12 小時未自解尿液，單導後發現尿液呈現混濁、乳靡狀，下列何者為可能的原因？",{"A":15,"B":16,"C":17,"D":18},"脂肪肝","念珠菌感染","酮酸中毒","脫水患者","B",null,[],"本題考點是尿液外觀異常的成因判讀。混濁而呈乳靡狀的尿液,通常來自尿中懸浮大量白血球、上皮細胞與微生物;念珠菌屬黴菌,感染泌尿道時會產生白色濃稠分泌物並帶有菌絲與芽孢,使尿液呈乳白混濁,是四個選項中唯一能直接造成此外觀的成因,故選 B。A 脂肪肝的病理變化是脂肪堆積在肝細胞內,不會使脂肪進入尿液。C 酮酸中毒的尿液特徵是含酮體並帶爛蘋果味,外觀仍屬清澈。D 脫水時尿量減少、尿液濃縮呈深黃色且比重上升,顏色變深但不會混濁成乳白色。","需要誠實界定用語:嚴格定義的乳靡尿(chyluria)指淋巴液經異常通道進入尿路,典型成因是絲蟲病或後腹腔淋巴阻塞、手術與外傷,靜置後上層可見脂質層;本題選項並未提供任何淋巴系統成因,故依「乳白混濁」的描述以感染作答,此為本題可推論的最佳解,但概念上並非典型的乳靡尿病例。尿液外觀的判讀可整理成對照:混濁多為感染、膿尿或結晶;深黃濃縮為脫水;紅褐為血尿或肌球蛋白尿;茶色需考慮膽紅素;泡沫持久提示蛋白尿。老年女性 12 小時未解尿的情境還須連結尿滯留與泌尿道感染互為因果,而單次導尿本身也是後續感染的風險來源。",[25,28,29,31,33],{"term":26,"count":27},"尿液外觀異常判讀",1,{"term":16,"count":27},{"term":30,"count":27},"乳靡尿定義",{"term":32,"count":27},"尿液濃縮與比重",{"term":34,"count":27},"酮體尿特徵",[36,40,44,49,54,59],{"webId":37,"stem":38,"number":39,"year":10,"session":11},"nurse-115-2-fundamental-nursing-036","因應護理人力短缺的問題，衛生福利部於民國 113 年 7 月提出護理人力政策整備 12 項策略計畫，下列敘述何者錯誤？",36,{"webId":41,"stem":42,"number":11,"year":43,"session":11},"nurse-106-2-fundamental-nursing-002","林小弟，連續三天出現腹瀉情況，糞便檢體發現有痢疾桿菌。下列何者是痢疾的傳染途徑？",106,{"webId":45,"stem":46,"number":47,"year":48,"session":27},"nurse-107-1-fundamental-nursing-016","當你進入病房預備給予病人口服藥物時，病人正在浴廁間，此時病人請你將藥物放置在床旁桌上；你的反應，何者最適合？",16,107,{"webId":50,"stem":51,"number":52,"year":53,"session":27},"nurse-108-1-fundamental-nursing-054","柯老太太，82 歲，身上多處壓瘡傷口，入院時 GCS：E4V5M5，BP：118\u002F78 mmHg，體溫 37.6℃， 24 小時後柯老太太出現下列何種情況需立即報告？",54,108,{"webId":55,"stem":56,"number":57,"year":58,"session":11},"nurse-109-2-fundamental-nursing-018","林老先生主訴晚上睡不好，白天沒精神，護理師評估林老先生有「睡眠型態紊亂」的健康問題，有關此健康問題的鑑定性特徵，下列何者錯誤？",18,109,{"webId":60,"stem":61,"number":62,"year":63,"session":11},"nurse-110-2-fundamental-nursing-052","接觸性隔離病人出院後，其病人單位與用物的處理，下列何者正確？",52,110,"2026-08-06",1787299031812]