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照護管理 · MEDIUM · SATA

護理師為新診斷 HIV 的病人規劃護理計畫,哪些行動是適當的?(選所有適合的)

A nurse is planning care for a client with a new diagnosis of HIV. Which actions are appropriate for the nurse to include in the plan? (Select all that apply.)

  • AEducate the client on the importance of medication adherence✓ 正解
    教育病人藥物順從性的重要性
  • BUse standard precautions for all client interactions✓ 正解
    對所有病人互動使用標準防護措施
  • CIsolate the client to prevent transmission
    將病人隔離以防止傳播
  • DAssess the client for signs of opportunistic infections✓ 正解
    評估病人是否有伺機性感染的徵象
  • EProvide information on safe sexual practices✓ 正解
    提供安全性行為的資訊
Explanation · 中文詳解

HIV 病人照護重點在於藥物穩定性、免疫狀態監測與衛教。標準防護措施即可預防傳染,無需隔離(C 選項錯誤)。藥物規律服用可維持病毒量控制,監測伺機性感染(如肺炎、念珠菌)是關鍵,且提供安全性行為諮詢能維護公衛。

The focus of care for a client with HIV is medication adherence, monitoring immune status, and teaching. Standard precautions are sufficient to prevent transmission; isolation is not required (option C is incorrect). Adherence to antiretroviral therapy maintains viral suppression, monitoring for opportunistic infections (such as pneumonia or candidiasis) is essential, and providing counseling on safer sexual practices supports public health.

✦ 台美臨床差異

台美對於 HIV 的防治與去汙名化教育皆一致,美國護理師在諮詢過程中可能更強調法律與隱私保障,台灣則強調個案管理師的角色。

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