— 健康促進與維護 · HARD · MCQ —
在照顧一位嗜中性白血球減少的病人時，哪項行動最合適？
Which of the following actions is the most appropriate when caring for a client with neutropenia?
- APerform rectal temperature checks for accuracy進行直腸體溫測量以確保準確性
- BAllow fresh flowers in the room允許房間內放置鮮花
- CPlace the client in a private room✓ 正解將病人安置於單人病房
- DEncourage consumption of fresh salads and fruits鼓勵食用新鮮沙拉和水果
— Explanation · 中文詳解 —
嗜中性白血球減少（Neutropenia）病人免疫低下，需嚴格採行保護性隔離（Protective isolation）。單人房可降低交叉感染。鮮花、新鮮蔬果帶有細菌黴菌，禁止進入；直腸測溫可能導致腸黏膜損傷造成菌血症。
Clients with neutropenia are immunocompromised and require strict protective isolation. A private room decreases the risk of cross-infection. Fresh flowers and fresh fruits and vegetables carry bacteria and mold and must not be brought into the room. Rectal temperature measurement may injure the intestinal mucosa and lead to bacteremia.
✦ 台美臨床差異
台灣醫院對於這類病人多會執行嚴格的「逆向隔離」，美台標準一致。