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生理適應 · MEDIUM · MCQ

照顧一位中性球減少症(Neutropenia)的病患,護理師應採取哪項措施?

Which action should the nurse take when caring for a client with neutropenia?

  • APerform rectal temperature checks
    執行直腸體溫測量
  • BAvoid invasive procedures✓ 正解
    避免侵入性程序
  • CLimit hand hygiene practices
    限制手部衛生措施
  • DEncourage fresh fruit intake
    鼓勵攝取新鮮水果
Explanation · 中文詳解

中性球減少的病患免疫力極低,極易發生感染。避免侵入性操作(如導尿、灌腸、直腸測溫)可減少損傷黏膜導致細菌入侵的機會。D 選項錯誤,應給予全熟飲食;A 選項錯誤,嚴禁直腸侵入;C 選項完全錯誤,勤洗手是保護病患的首要防線。

Clients with neutropenia have extremely low immunity and are highly prone to infection. Avoiding invasive procedures (such as urinary catheterization, enemas, and rectal temperature measurement) reduces opportunities for bacterial entry through damaged mucosa. Option D is incorrect, as a low-microbial diet of well-cooked foods should be provided; option A is incorrect, as rectal procedures are strictly avoided; option C is completely incorrect, since meticulous hand hygiene is the foremost defense in protecting the client.

✦ 台美臨床差異

美國癌症護理病房實施中性球減少防護措施極為嚴格,台灣亦相當重視,但設備與隔離資源可能略有差異。

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