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安全與感染控制 · MEDIUM · MCQ

下列哪項護理介入可預防病人發生院內感染?

Which of the following interventions prevents a client from acquiring an infection while in the hospital?

  • AChanging IV tubing according to facility policy✓ 正解
    依照機構政策更換靜脈輸注管路
  • BSharing equipment between clients
    在病人之間共用設備
  • CUsing only tap water for wound care
    僅使用自來水進行傷口護理
  • DEncouraging visitors to sit on the patient's bed
    鼓勵訪客坐在病人床上
Explanation · 中文詳解

預防院內感染(Healthcare-associated infections, HAIs)應遵循無菌技術(Aseptic technique)與標準防護措施。IV 管路是細菌進入血液循環的直接途徑,定期更換管路能有效降低導管相關血流感染(CRBSI)的風險。其他選項均違反感控原則: tap water 可能含有微生物,不能用於傷口;共用設備會造成交叉感染;訪客坐於床上會將環境細菌帶至病人床單,增加感染機會。

Prevention of healthcare-associated infections (HAIs) should follow aseptic technique and standard precautions. IV lines are a direct route for bacteria to enter the bloodstream, so routine tubing changes effectively reduce the risk of catheter-related bloodstream infection (CRBSI). The other options violate infection control principles: tap water may contain microorganisms and cannot be used on wounds; sharing equipment causes cross-contamination; and visitors sitting on the bed bring environmental bacteria onto the patient's linens and increase infection risk.

✦ 台美臨床差異

美國醫院對於 IV 管路的更換頻率通常嚴格遵循 CDC 或各院臨床實證指引(例如每 96 小時更換),護理師需精確執行以符合品質指標。

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