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安全與感染控制 · EASY · MCQ

護理師向病人解釋標準防護措施,病人的哪項陳述表示理解?

A nurse is providing education to a client about standard precautions. Which statement by the client indicates an understanding of the teaching?

  • AI should wear gloves only when I see visible blood.
    我只在看到可見血液時才戴手套
  • BI don't need to wear a mask if I'm not coughing.
    如果我不咳嗽,就不需要戴口罩
  • CI will wash my hands after removing gloves.✓ 正解
    我會在脫下手套後洗手
  • DI can use hand sanitizer instead of washing my hands for all situations.
    在所有情況下,我都可用手部消毒液替代洗手
Explanation · 中文詳解

標準防護措施(Standard Precautions)是所有醫療照護人員在接觸任何病人時都應採取的感染控制措施,不論病人是否已知感染。其核心原則是將所有病人的血液、體液、分泌物、排泄物、黏膜和非完整皮膚視為具有潛在傳染性。手部衛生是標準防護措施中最重要的一環。在接觸病人後、脫下手套後、進行侵入性操作前,都必須執行手部清潔。脫下手套後立即洗手,是因為手套可能已被污染,洗手能清除可能殘留的病原體,防止將其傳播給下一個接觸對象或環境。 臨床思路:此題考量感染控制(Infection Control)的基本原則。標準防護措施的目的是預防醫療照護相關感染(Healthcare-Associated Infections, HAIs)。手部衛生是預防傳播最關鍵的步驟,尤其是在移除可能受污染的防護裝備後。

Standard precautions are the infection control measures that all health care personnel should apply when caring for any client, regardless of whether the client is known to be infected. The core principle is to treat all clients' blood, body fluids, secretions, excretions, mucous membranes, and non-intact skin as potentially infectious. Hand hygiene is the single most important element of standard precautions. Hand hygiene must be performed after client contact, after glove removal, and before invasive procedures. Hand hygiene immediately after removing gloves is essential because the gloves may have been contaminated; hand hygiene removes any residual pathogens and prevents transmission to the next contact or to the environment. Clinical reasoning: This question addresses the basic principles of infection control. The purpose of standard precautions is to prevent healthcare-associated infections (HAIs). Hand hygiene is the most critical step in preventing transmission, especially after removing potentially contaminated personal protective equipment.

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