# 一位住院病人在手術後放置了留置導尿管。哪項護理措施最能降低導尿管相關泌尿道感染的風險？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394088&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

一位住院病人在手術後放置了留置導尿管。哪項護理措施最能降低導尿管相關泌尿道感染的風險？

## 選項

1. 每班斷開引流管以檢查通暢性。
2. 行走時將引流袋保持在膀胱上方。
3. 每日評估導尿管是否仍有需要。 **✔ 正確答案**
4. 在沒有醫囑的情況下，每 2 小時沖洗導尿管一次。

**正確答案: 3**

## 解析

每日評估導尿管必要性有助於及時移除，減少導尿管留置天數，是 CAUTI 預防的主要策略。引流系統應保持密閉，且引流袋應保持在膀胱水平以下。無適應症的常規沖洗會增加風險。

## 深入解析

臨床判斷
最安全的導尿管是當不再需要時，能盡快移除的那一條。

記憶提示
密閉系統，引流袋低於膀胱，及早移除。

## 臨床情境

臨床實務指引
CAUTI 預防包括適當的適應症、無菌置入、密閉引流、通暢無阻及及時移除。

注意事項
破壞密閉系統可能引入微生物。

## 重要概念

- **CAUTI** — 導尿管相關泌尿道感染。
- **密閉引流系統** — 保持密封以減少污染的導尿管引流系統。
- **導尿管留置天數** — 導尿管留置在體內的天數。

## 相同主題題目

- [A nurse on a medical-surgical unit is about to enter the private room of a client newly di…](https://mymerci.kr/pages/nclex_q.php?qn_id=361226&lang=zh-tw)
- [A 22-year-old female client presents to the emergency department with a 4-week history of …](https://mymerci.kr/pages/nclex_q.php?qn_id=361677&lang=zh-tw)
- [An 82-year-old client who is postoperative day 1 from a left hip arthroplasty calls the nu…](https://mymerci.kr/pages/nclex_q.php?qn_id=361678&lang=zh-tw)
- [A 65-year-old client admitted to the medical ICU with sepsis and acute delirium has just p…](https://mymerci.kr/pages/nclex_q.php?qn_id=361679&lang=zh-tw)
- [A new graduate registered nurse (RN) on a medical unit just hung an intravenous antibiotic…](https://mymerci.kr/pages/nclex_q.php?qn_id=361710&lang=zh-tw)
- [A nurse is preparing to initiate carbamazepine for a client of Han Chinese descent with ne…](https://mymerci.kr/pages/nclex_q.php?qn_id=391742&lang=zh-tw)
- [A client starting lamotrigine for bipolar disorder calls the clinic on day 18 reporting a …](https://mymerci.kr/pages/nclex_q.php?qn_id=391747&lang=zh-tw)
- [A nurse reviews the discharge medication list for a kidney transplant client. Which prophy…](https://mymerci.kr/pages/nclex_q.php?qn_id=391876&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=394088&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=394088&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=394088&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=394088&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=394088&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_