— 基本照護與舒適 · MEDIUM · MCQ —
對於尿滯留病人，哪項護理措施最有效？
Which nursing intervention is most effective for a client with urinary retention?
- AApplying heat to the abdomen在腹部施加熱敷
- BTelling the client to wait告訴病人等待
- CRestricting fluid intake限制液體攝取
- DCatheterization per provider order✓ 正解遵照醫師指示進行導尿
— Explanation · 中文詳解 —
尿滯留（Urinary retention）是指膀胱內有尿但無法排出的狀態。若保守治療（如聽流水聲、腹部按摩）無效，導尿（Catheterization）是必須的醫療介入，目的是立即排空膀胱，防止膀胱過度擴張導致的神經受損或腎水腫。這必須依據醫師醫囑執行。限制水分攝取會導致尿液濃縮，並不能解決阻塞或神經性排尿障礙。等待會導致膀胱壓力持續升高，甚至引發逆行性腎損害，因此絕非適當選項。
Catheterization is the definitive intervention for urinary retention when conservative measures fail, as it immediately empties the bladder and prevents complications such as renal damage or bladder overdistension. This procedure must be performed according to a provider's order to ensure patient safety and proper management.