— 降低風險 · MEDIUM · SATA —
下列哪些護理措施適合用於嗜中性白血球減少症(Neutropenia)的病人?(選所有適合的)
Which of the following nursing interventions are appropriate for a client with neutropenia? (Select all that apply.)
- APlace the client on protective isolation (neutropenic precautions)✓ 正解將病人安置於保護性隔離(嗜中性白血球減少症 precautions)
- BAvoid giving fresh fruits or vegetables✓ 正解避免給予新鮮水果或蔬菜
- CMonitor temperature every 4 hours✓ 正解每 4 小時監測體溫
- DAllow visitors with minor upper respiratory infections允許患有輕微上呼吸道感染的探視者進入
- EEncourage frequent hand hygiene for staff and visitors✓ 正解鼓勵醫護人員和探視者頻繁進行手部衛生
— Explanation · 中文詳解 —
嗜中性白血球減少代表免疫功能低下,重點在於感染控制。執行保護性隔離、禁止生食(避免沙門氏菌等微生物)、規律監測體溫(及早發現發燒)、洗手是黃金法則。感冒訪客禁止探視,即使症狀輕微對該類病人仍具高度感染風險。
Neutropenia represents a compromised immune system, and the focus of care is infection control. Implementing protective isolation, avoiding raw foods (to prevent organisms such as Salmonella), monitoring temperature regularly (for early detection of fever), and hand hygiene are the gold standard measures. Visitors with cold-like symptoms must be prohibited because, even if symptoms are mild, they pose a high infection risk to these clients.
✦ 台美臨床差異
美國醫院的隔離標準(如 HEPA 過濾室)通常比台灣一般健保病房更嚴格,但護理概念一致。