— 照護管理 · MEDIUM · SATA —
護理師應針對偽膜性腸炎（C. diff）病人採取哪些護理措施？（選所有適合的）
Which of the following interventions should the nurse include in the plan of care for a client diagnosed with Clostridioides difficile? (Select all that apply.)
- AImplement contact precautions✓ 正解實施接觸隔離
- BUse alcohol-based hand sanitizer after patient contact接觸病人後使用酒精性搓手液
- CClean equipment with bleach-based solutions✓ 正解使用含漂白水溶液清潔設備
- DAssign the client to a private room✓ 正解安排病人入住單人房
- EWear a N95 respirator mask upon entry進入時佩戴 N95 呼吸防護口罩
— Explanation · 中文詳解 —
C. difficile 具高度傳染性且產生孢子。必須採取接觸隔離，將病人安置於單人房。由於酒精無法殺死孢子，接觸後必須使用肥皂與水洗手。醫療設備需使用含氯（漂白水）製劑消毒。N95 口罩用於空氣傳播疾病，非此處必需。
C. difficile is highly contagious and produces spores. Contact precautions must be implemented, and the patient should be placed in a private room. Because alcohol does not kill the spores, soap and water must be used for hand hygiene after patient contact. Medical equipment must be disinfected with chlorine-based (bleach) solutions. An N95 respirator is used for airborne precautions and is not required here.
✦ 台美臨床差異
美國感染控制標準極嚴；台灣醫院對此病原體常採用標準加接觸隔離措施。