護理師照護一位住在雙人房且確診困難梭狀芽孢桿菌(C. difficile)的病人。下列哪項護理措施的優先級最高?
A nurse is caring for a client in a semi-private room who has developed Clostridioides difficile. Which action is the highest priority for the nurse to implement?
- ATransfer the client to a private room✓ 正解將病人轉至單人房
- BInitiate strict droplet precautions實施嚴格的飛沫隔離措施
- CEnsure hand washing with soap and water確保使用肥皂和水洗手
- DPlace the client on contact precautions將病人納入接觸隔離
困難梭狀芽孢桿菌(C. difficile)具有極強的傳染性,且其孢子在環境中極為穩定,普通的酒精洗手液對其無效。在雙人房中,即使採取隔離措施,仍有交叉感染的極高風險。因此,優先將病人轉移至私人病房(Private room)以實施嚴格接觸隔離(Contact precautions)是阻斷傳播鏈的最關鍵步驟。
Clostridioides difficile is highly contagious, and its spores are extremely stable in the environment; ordinary alcohol-based hand sanitizers are ineffective against them. In a semi-private room, even with isolation precautions, the risk of cross-infection remains very high. Therefore, the most critical step in breaking the chain of transmission is to transfer the client to a private room as a priority and implement strict contact precautions.
美國醫院對於 C. diff 的隔離政策極其嚴格,通常需放置於專屬病房並由專人照護(Cohort nursing),且必須執行接觸隔離直到症狀消失。