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降低風險 · HARD · SATA

一位攝護腺癌病人接受放射性植入治療,護理師應執行哪些護理措施?(選所有適合的)

A nurse is caring for a client with a radioactive implant for prostate cancer. Which nursing interventions should be implemented? (Select all that apply.)

  • AWear a lead-lined apron when providing direct care
    提供直接照護時穿著鉛襯圍裙
  • BLimit the duration of time spent in the client's room✓ 正解
    限制在客戶房間內的停留時間
  • CEncourage the client to remain in bed at all times
    鼓勵客戶隨時卧床休息
  • DMaintain a distance of at least 6 feet from the radiation source
    與放射源保持至少6英呎的距離
  • EPlace a 'Caution: Radioactive Material' sign on the door✓ 正解
    在門上張貼「注意:放射性物質」標誌
Explanation · 中文詳解

放射性植入治療(近接治療)需注意輻射防護三大原則:時間、距離、屏蔽。B 選項正確,縮短接觸時間;E 正確,警示標誌提醒訪客與員工。A 錯誤,一般護理師不需要穿鉛衣;C 錯誤,無需強迫臥床;D 錯誤,保持適當距離而非強制 6 英尺(距離遠近需視輻射強度,此數字過於絕對且非標準防護參數)。

Care of a client with a radioactive implant (brachytherapy) requires attention to the three principles of radiation protection: time, distance, and shielding. Option B is correct in minimizing time of exposure; option E is correct in using warning signage to alert visitors and staff. Option A is incorrect because routine nursing care does not require a lead apron; option C is incorrect because strict bed rest is not necessary; option D is incorrect because an appropriate distance should be maintained rather than a rigid 6-foot rule (the required distance depends on radiation intensity, and the figure given is too absolute and not a standard protection parameter).

✦ 台美臨床差異

台灣醫院對於輻射安全有嚴格的放射防護管理法規範,護理師需定期接受相關教育訓練。

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