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降低風險 · HARD · SATA

護理師照護一位嗜中性白血球低下並發燒的病人,哪些護理措施適當?(選所有適合的)

A nurse is caring for a client with a neutropenic fever. Which interventions are appropriate? (Select all that apply.)

  • AImplement strict hand hygiene for all staff and visitors✓ 正解
    實施嚴格的手部衛生,所有人員和訪客皆適用
  • BRestrict fresh fruits and vegetables✓ 正解
    限制新鮮水果和蔬菜的攝取
  • CAdminister antibiotics immediately after cultures✓ 正解
    在採集培養物後立即給予抗生素
  • DAllow the client to use a shared bathroom
    允許病人使用共用浴室
  • EEncourage the client to avoid crowds✓ 正解
    鼓勵病人避免前往人群聚集處
Explanation · 中文詳解

嗜中性白血球低下者免疫力極弱,預防感染是關鍵。嚴格手部衛生、禁止生食(水果蔬菜恐帶菌)、在培養採樣後立即使用廣效抗生素以搶黃金時間。共用浴室極易接觸他人病原,禁止共用。避開人潮則是減少環境接觸風險的正確指導。

Patients with neutropenia have severely weakened immunity, so infection prevention is critical. Strict hand hygiene, restricting raw foods (fruits and vegetables that may carry pathogens), and administering broad-spectrum antibiotics immediately after cultures are obtained to seize the golden window are essential. Sharing bathrooms greatly increases exposure to others' pathogens and must be prohibited. Advising the patient to avoid crowds is correct guidance to reduce environmental exposure risk.

✦ 台美臨床差異

美國癌症病房多有嚴格的保護隔離室(Positive pressure rooms),台灣因病房設備限制,多採嚴格執行接觸隔離措施。

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