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降低風險 · EASY · SATA

護理師為一名免疫功能低下病人規劃護理計畫,應包含哪些預防感染的措施?(選所有適合的)

A nurse is planning care for a client who is immunocompromised. Which interventions should the nurse include to prevent infection? (Select all that apply.)

  • ARestrict fresh fruits and vegetables✓ 正解
    限制新鮮蔬果
  • BMaintain strict hand hygiene✓ 正解
    維持嚴格的手部衛生
  • CEncourage the use of a soft-bristled toothbrush✓ 正解
    鼓勵使用軟毛牙刷
  • DLimit visitors who have respiratory infections✓ 正解
    限制患有呼吸道感染的訪客
  • EAdminister prophylactic antibiotics as ordered✓ 正解
    依醫囑給予預防性抗生素
Explanation · 中文詳解

免疫功能低下(immunocompromised)病人感染預防的核心是「減少病原體入侵途徑與接觸機會」:A. 限制生鮮食物可避免黴菌與細菌經食物傳入;B. 嚴格手部衛生為基本措施;C. 軟毛牙刷可避免口腔黏膜與牙齦破損,預防病原體經黏膜破口入侵(這是真實的感染預防理由,不僅僅是預防出血);D. 限制有呼吸道感染的訪客減少飛沫傳播;E. 對特定族群預防性抗生素可降低伺機性感染風險。所有選項皆為標準感染預防措施。

The core of infection prevention in immunocompromised patients is to reduce both routes of pathogen entry and exposure: A) restricting fresh produce avoids fungi and bacteria transmitted through food; B) strict hand hygiene is a fundamental measure; C) using a soft-bristled toothbrush prevents trauma to the oral mucosa and gums, eliminating a portal of entry for pathogens (this is a genuine infection-prevention rationale, not just bleeding prevention); D) limiting visitors with respiratory infections reduces droplet transmission; E) prophylactic antibiotics can reduce the risk of opportunistic infections in selected populations. All options are standard infection-prevention measures.

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