在繁忙的內科病房中,護理師應優先將哪位病人安置於特定房間(如單人房/隔離室)?
Which client should the nurse prioritize for room placement in a busy medical unit?
- AA client with a stable wound infection傷口感染穩定的病人
- BA client with a fungal skin infection皮膚黴菌感染的病人
- CA client with a urinary tract infection泌尿道感染的病人
- DA client with active pulmonary tuberculosis✓ 正解活動性肺結核的病人
在病房安置(Room placement)時,感控優先級取決於病原體的傳播途徑。肺結核(Tuberculosis)透過空氣傳播,結核菌核能長時間懸浮於空氣中,若未安置於負壓隔離室,將嚴重威脅病房內其他免疫力低下的病人。相較之下,泌尿道感染或一般傷口感染主要透過接觸傳播,只需採取標準防護措施即可,優先級遠低於空氣傳播疾病。
In room placement, infection-control priority depends on the pathogen's transmission route. Tuberculosis is transmitted through air, and tuberculous droplet nuclei can remain suspended in the air for long periods; without placement in a negative-pressure isolation room, it poses a serious threat to other immunocompromised patients on the unit. By comparison, urinary tract infections and stable wound infections are mainly transmitted through contact and only require standard precautions, making them far lower priority than airborne diseases.