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
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。