NurslixJournal
降低風險 · MEDIUM · SATA

護理師為中性球減少症病人制訂照護計畫,應包含哪些內容?(選所有適合的)

A nurse is planning care for a client with neutropenia. Which of the following actions should the nurse include in the plan? (Select all that apply.)

  • AInstruct the client to avoid raw fruits and vegetables✓ 正解
    指示病人避免食用生水果和蔬菜
  • BEncourage the client to perform frequent hand hygiene✓ 正解
    鼓勵病人頻繁進行手部衛生
  • CAdminister prophylactic antibiotics as prescribed
    依醫囑給予預防性抗生素
  • DRestrict visitors with signs of infection✓ 正解
    限制帶有感染徵兆的探視者
  • ERecommend the use of a soft-bristled toothbrush✓ 正解
    建議使用軟毛牙刷
Explanation · 中文詳解

中性球減少症(Neutropenia)病人因白血球數量不足,免疫防禦機制崩潰,極易發生伺機性感染。護理目標在於採取「反向隔離」(Protective isolation),減少外源性細菌接觸。護理師需指導病人與家屬嚴格執行手部衛生,並避免攝取可能含有細菌的未煮熟食物,同時保護皮膚黏膜完整性,以防細菌入侵。

In clients with neutropenia, an inadequate white blood cell count causes a breakdown of immune defenses, leaving the patient highly vulnerable to opportunistic infections. The nursing goal is to implement protective (reverse) isolation to minimize exposure to exogenous bacteria. The nurse must instruct the client and family to perform strict hand hygiene, avoid potentially contaminated undercooked foods, and preserve the integrity of skin and mucous membranes in order to prevent bacterial invasion.

Related · 同分類的其他題目

More from Reduction of Risk Potential

瀏覽全部 1,953 題 降低風險 →
Jump to another chapter