感控主管判定一名 RN 在照顧麻疹（measles）病人時明顯違反了「空氣隔離（Airborne isolation）」協議。哪項行動明確展現了這項違規？
An infection control supervisor determines a registered nurse committed a clear breach of standard airborne isolation protocols when caring for a client diagnosed with measles. Which action definitively demonstrates this breach?
- AThe nurse places a surgical face mask on the client during transport through the hallway.護理師在病人穿過走廊時為其戴上外科口罩。
- BThe nurse wears protective eyewear while suctioning the infected client's airway.護理師在抽吸感染病人氣道時佩戴防護眼鏡。
- CThe nurse performs hand hygiene immediately after removing contaminated gloves.護理師在移除受污染的手套後立即進行手部衛生。
- DThe nurse leaves the client's negative-pressure isolation room door open during care.✓ 正解護理師在提供照護期間將病人的負壓隔離室門敞開。
麻疹（measles）屬於空氣傳播（airborne transmission），須在負壓隔離病房（airborne isolation room）內照護，**門必須保持關閉**以維持負壓並防止病原體擴散至走廊。若護理師將門打開（D），會破壞負壓系統，使病毒可能擴散至病房外，是空氣隔離的明確違規。其他選項：C. 脫手套後立即洗手是正確操作；C. 病人轉送時戴外科口罩可阻擋飛沫排出，是正確做法；D. 抽吸氣道時可能噴濺，戴護目鏡屬於合理 PPE 保護。
Measles is transmitted by the airborne route and must be cared for in an airborne (negative-pressure) isolation room. **The door must remain closed** in order to maintain the negative pressure and prevent the pathogen from spreading into the corridor. If the nurse leaves the door open (D), the negative-pressure system is broken and the virus may spread out of the room — a clear breach of airborne isolation. The other options: B. Performing hand hygiene immediately after glove removal is correct practice; C. Placing a surgical mask on the client during transport blocks droplet dispersion and is correct practice; D. Wearing protective eyewear during suctioning protects against splashes and is appropriate PPE.
Airborne(空氣傳染：TB, 麻疹)的房門永遠關閉；Droplet(飛沫傳染：流感, 百日咳)的房門可以打開！