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照護管理 · HARD · MCQ

護理師監督一位新進護理師進行中央靜脈導管(CVC)換藥。哪項行動需立即介入?

A nurse is supervising a newly licensed nurse who is performing a central venous catheter (CVC) dressing change. Which action by the new nurse requires immediate intervention?

  • AUsing a sterile technique while touching the insertion site✓ 正解
    在觸碰插入口時使用無菌技術
  • BCleaning the site with chlorhexidine in a circular motion
    以環形動作使用氯己定清潔患部
  • CWearing clean gloves to remove the old dressing
    戴清潔手套移除舊敷料
  • DAllowing the site to air dry before applying the new dressing
    在貼上新敷料前讓患部自然風乾
Explanation · 中文詳解

中央靜脈導管(CVC)是直接通往心臟大血管的通道,發生導管相關血流感染(CRBSI)的風險極高。操作過程必須嚴格遵守無菌技術(Aseptic Technique)。選項 A 中直接觸碰插入口(Insertion Site)是嚴重的無菌操作缺失,即便戴著無菌手套,手的表面仍可能在操作過程中觸碰非無菌區而污染,此舉必須立即介入以防止醫源性感染。

A central venous catheter (CVC) provides direct access to the great vessels near the heart, carrying a high risk of catheter-related bloodstream infection (CRBSI). The procedure must strictly follow aseptic technique. In option A, directly touching the insertion site represents a serious breach of aseptic technique; even while wearing sterile gloves, the surface of the hand may inadvertently contact non-sterile areas during the procedure and become contaminated. Immediate intervention is required to prevent iatrogenic infection.

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