— 安全與感染控制 · EASY · MCQ —
護理師照護一位活動性結核病病人，應採取何種防護措施以確保安全？
A nurse is caring for a client with active tuberculosis (TB). Which precaution should the nurse implement to ensure safety?
- AMaintain a distance of 6 feet from the client at all times始終與病人保持6英尺的距離
- BPlace the client in a private room with negative air pressure✓ 正解將病人安置在具有負壓的私人病房
- CWear a surgical mask when entering the client's room進入病人房間時佩戴外科口罩
- DPerform hand hygiene only after leaving the room僅在離開房間後執行手部衛生
— Explanation · 中文詳解 —
結核病屬於空氣傳播疾病，需將病人安置於負壓隔離病房，並確保空氣過濾系統正常運作。醫護人員進入時必須佩戴 N95 口罩，而非一般外科口罩。手部衛生必須在進入及離開房間前後皆執行，嚴格遵守飛沫與接觸防護。
Tuberculosis is transmitted via the airborne route, and clients require placement in a negative-pressure isolation room with a properly functioning air filtration system. Health care workers must wear an N95 respirator on entry, not a regular surgical mask. Hand hygiene must be performed both before entering and after leaving the room, and droplet and contact precautions must be strictly observed.
✦ 台美臨床差異
美台對於結核病負壓隔離要求一致，但在台灣結核病多由 CDC 專案管控，隔離流程更為嚴謹。