— 生理適應 · EASY · MCQ —
護理師照護一位中性白血球缺乏的病人，應採取下列哪項措施？
Which of the following actions should the nurse take when caring for a client with neutropenia?
- AMonitor temperature every 24 hours每 24 小時監測體溫
- BAllow visitors with minor colds to visit允許患有輕微感冒的探視者探視
- CInstruct the client to avoid raw fruits and vegetables✓ 正解指示病人避免食用生鮮水果和蔬菜
- DUse clean technique for dressing changes換藥時使用清潔技術
— Explanation · 中文詳解 —
中性白血球缺乏病人免疫力極低，應採取保護性隔離。C 正確，生食易帶有細菌，應避免食用。B 錯誤，病原體會嚴重威脅病人；C 需用無菌技術；D 應更頻繁監測體溫（至少每 4-8 小時），因為發燒可能是唯一感染徵兆。
Clients with neutropenia have severely compromised immunity and require protective isolation. C is correct: raw foods may harbor bacteria and should be avoided. B is incorrect: pathogens pose serious risk to the client; C requires the use of aseptic technique; D should reflect more frequent temperature monitoring (at least every 4 to 8 hours), because fever may be the only sign of infection.
✦ 台美臨床差異
台美皆實行保護性隔離（Protective Isolation），但美國護理單位對飲食限制的規範通常有標準化的衛教單張。