感控主管判定 RN 在照顧肺結核(TB)病患時，危險地違反了『空氣隔離』協議。哪一項精確行動展示了此危險違法？
An infection control supervisor determines a registered nurse clearly committed a hazardous breach of standard airborne isolation protocols when caring for a client actively diagnosed with disseminated Tuberculosis (TB). Which precise action definitively demonstrates this dangerous breach?
- AWearing a fitted N95 respirator actively before entering the infected room.進入感染病房前主動佩戴密合型 N95 呼吸器
- BLeaving the isolated negative pressure room door wide open during standard visiting hours.✓ 正解在標準探訪期間將負壓隔離病房的門大開
- CWashing hands rigorously completely after removing protective gloves.脫除防護手套後徹底洗手
- DPlacing a surgical mask purely on the infected client during hallway transport.在走廊運輸期間僅為感染病患配戴外科口罩
本題旨在評估護理師對空氣傳播隔離 (Airborne Isolation) 協議的掌握程度，特別是針對肺結核 (Tuberculosis, TB) 病患。肺結核是一種透過空氣飛沫核 (airborne droplet nuclei) 傳播的疾病，因此病患必須被安置在配備 HEPA 過濾系統的負壓隔離病房 (Negative Pressure Room) 中。負壓系統的作用是確保病房內的空氣壓力低於病房外，使空氣只能從病房外流向病房內，並經由特殊濾網排出，防止病原體逸散到公共空間。因此，維持負壓隔離病房的門始終關閉是確保隔離有效性的絕對關鍵。任何使門敞開的行為都會破壞負壓環境，造成嚴重的感染控制漏洞。
Leaving the door of a negative-pressure airborne isolation room open compromises the mechanical barrier that prevents pathogen escape into common areas. Maintaining closed doors is critical for effective isolation of highly contagious airborne diseases like disseminated tuberculosis.
TB 房門不可開。NCLEX 老牌陷阱。