— 降低風險 · MEDIUM · SATA —
護理師照護一位嗜中性白血球減少症的病人,照護計畫應包含哪些內容?(選所有適合的)
A nurse is caring for a client with neutropenia. Which actions should the nurse include in the plan of care? (Select all that apply.)
- ARestrict fresh flowers and potted plants in the room✓ 正解限制房間內擺放鮮花與盆栽
- BEncourage the client to eat raw fruits and vegetables鼓勵病人食用生蔬果
- CPerform meticulous hand hygiene✓ 正解執行嚴謹的手部衛生
- DMonitor temperature every 4 hours✓ 正解每4小時監測體溫
- EAssign the client to a private room✓ 正解將病人安置於單獨病房
— Explanation · 中文詳解 —
嗜中性白血球減少症(Neutropenia)病人缺乏抵抗力,任何微小的環境病菌皆可能導致致命的敗血症。照護重點在於「保護性隔離(Protective Isolation / Neutropenic Precautions)」。護理師必須主動防範外源性感染,並建立嚴格的監測計畫,以便在感染早期徵兆出現時立即處理。
Clients with neutropenia lack normal immune defense; even minor environmental pathogens can cause life-threatening sepsis. The focus of care is protective isolation (neutropenic precautions). The nurse must proactively prevent exogenous infection and establish a strict monitoring plan so that early signs of infection can be addressed immediately.