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照護管理 · MEDIUM · MCQ

護理師正在指導一位新進護理師進行無菌敷料更換。新進護理師哪項行動需要被介入修正?

A nurse is supervising a newly licensed nurse who is preparing to perform a sterile dressing change. Which action by the new nurse indicates a need for intervention?

  • AKeeping the sterile field within their line of vision
    保持無菌區在視線範圍內
  • BPlacing the sterile drape with the edges touching their uniform✓ 正解
    將無菌單邊緣接觸到制服上
  • CCleaning the wound from the center outward
    由傷口中心向外清潔
  • DOpening the sterile package away from the body
    在遠離身體的方向開啟無菌包裝
Explanation · 中文詳解

無菌技術(Surgical Asepsis)的核心是確保無菌區(Sterile Field)僅能接觸無菌物品。衣物屬於非無菌區域,若無菌布單接觸到護理師的制服,則該布單立即視為污染。在臨床操作中,護理師必須時刻保持對無菌區的監控,並確保所有物品均在視線範圍內,任何跨越或觸碰非無菌區域的行為都違反了無菌準則,必須立即中止並重新操作以確保病人安全。

The core of surgical asepsis is to ensure that the sterile field only comes into contact with sterile items. Clothing is considered a nonsterile area, so if a sterile drape contacts the nurse's uniform, the drape is immediately considered contaminated. In clinical practice the nurse must constantly monitor the sterile field and keep all items within line of sight; any action that crosses or touches a nonsterile area violates aseptic principles and must be stopped immediately, with the procedure restarted to ensure patient safety.

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