— 安全與感染控制 · MEDIUM · MCQ —
護理師教導輔助人員關於嗜中性白血球低下病人的感染控制。下列哪項指導正確？
A nurse is teaching an assistive personnel (AP) about infection control for a client with neutropenia. Which instruction is correct?
- AThe client should have fresh flowers in the room房間內應擺放鮮花
- BThe client should eat raw vegetables for vitamins病人應食用生蔬菜以補充維生素
- CHealthcare workers should perform hand hygiene only before entering the room醫療人員僅在进入房間前執行手部衛生
- DThe client must wear a mask when leaving the room✓ 正解病人離開房間時必須佩戴口罩
— Explanation · 中文詳解 —
嗜中性白血球低下病人免疫力極低，保護性隔離（Reverse Isolation）重點在於避免外界病原入侵。病人外出必須配戴口罩以防感染。鮮花與生食皆因帶有細菌或黴菌而禁止。手部衛生是所有人員進入病房前的絕對要求，而非僅限於開始。
Neutropenic patients have extremely low immunity, and the focus of protective (reverse) isolation is to prevent invasion by external pathogens. The patient must wear a mask whenever leaving the room to prevent infection. Fresh flowers and raw foods are prohibited because they carry bacteria or molds. Hand hygiene is an absolute requirement for all personnel before entering the room, not only at the start of care.
✦ 台美臨床差異
美台對保護性隔離的規範一致，皆嚴禁盆栽與生食。