— 降低風險 · HARD · SATA —
一位嗜中性球減少的病人,護理師應將哪些指導納入照護計畫?(選所有適合的)
A nurse is caring for a client with neutropenia. Which instructions should the nurse include in the client's care plan? (Select all that apply.)
- AEncourage consumption of fresh salads and raw fruits鼓勵食用新鮮沙拉和生水果
- BRestrict visitors with signs of illness✓ 正解限制有生病徵兆的訪客探視
- CEnsure hand hygiene is performed frequently✓ 正解確保經常執行手部衛生
- DAdminister prophylactic antibiotics as ordered✓ 正解依醫囑給予預防性抗生素
- EAvoid the use of flowers or potted plants in the room✓ 正解避免在房間內使用鮮花或盆栽
— Explanation · 中文詳解 —
嗜中性球減少症(Neutropenia)病人因免疫防禦機制崩潰,極易發生伺機性感染。照護計畫必須落實嚴格的保護性隔離(Protective isolation)。重點在於阻絕所有可能的病原體來源,包括人際接觸(訪客)、環境(植物)與食物(生食)。此外,透過預防性抗生素與嚴格手部衛生,強化病人的防禦屏障。
Because neutropenia compromises the body's immune defenses, these clients are extremely vulnerable to opportunistic infections. The plan of care must enforce strict protective isolation. The focus is on blocking every possible source of pathogens, including human contact (visitors), environment (plants), and food (raw foods). Additional barriers are strengthened with prophylactic antibiotics and rigorous hand hygiene.