— 安全與感染控制 · MEDIUM · MCQ —
在忙碌的內外科病房中，護理師應優先預防哪位病人的感染？
Which client should the nurse prioritize to prevent infection in a busy medical-surgical unit?
- AA client with a recent diagnosis of hypertension近期診斷為高血壓的病人
- BA client with a closed fracture of the femur股骨閉鎖性骨折的病人
- CA client with a well-healed surgical incision手術切口癒合良好的病人
- DA client with an absolute neutrophil count (ANC) of 500/mm³✓ 正解絕對中性白血球計數 (ANC) 為 500/mm³ 的病人
— Explanation · 中文詳解 —
ANC 低於 500/mm³ 的病人屬於嚴重嗜中性白血球減少症（Severe Neutropenia），極易發生致死性感染，必須採取保護性隔離（Protective Isolation/Reverse Isolation），優先預防外界病原入侵。
A client with an absolute neutrophil count (ANC) less than 500/mm³ has severe neutropenia and is extremely susceptible to life-threatening infections. Protective (reverse) isolation must be implemented and prevention of pathogen exposure from the environment is the top priority.
✦ 台美臨床差異
兩地醫院對於化療或造血幹細胞移植病人的保護性隔離規範一致，皆包含嚴格的訪客管制與環境消毒。