— 安全與感染控制 · EASY · MCQ —
護理師照顧一位困難梭狀桿菌感染的病人。採取下列哪項措施對維持感染控制至關重要？
A nurse is caring for a client with Clostridioides difficile infection. Which action is essential to maintain infection control?
- APlace the client on droplet precautions將病人實施飛沫隔離
- BWash hands with soap and water after client contact✓ 正解接觸病人後以肥皂和水洗手
- CPerform hand hygiene using an alcohol-based hand rub使用酒精性搓手液進行手部衛生
- DWear a N95 respirator when entering the room進入病房時佩戴 N95 呼吸防護具
— Explanation · 中文詳解 —
艱難梭狀桿菌（Clostridioides difficile, C. diff）具有抗酒精的芽孢，因此酒精乾洗手液無法有效殺滅它。照顧此類病人時，接觸性防護措施（Contact precautions）是必要的，且手部清潔必須使用肥皂與流水進行機械式移除（Mechanical removal）。護理師應穿戴隔離衣與手套，並針對醫療器材採取專用制度。這是預防院內感染擴散的關鍵護理手段。
Clostridioides difficile (C. diff) has alcohol-resistant spores, so alcohol-based hand rubs cannot effectively kill it. When caring for these clients, Contact Precautions are required, and hand hygiene must be performed by mechanical removal using soap and running water. The nurse should wear a gown and gloves and use dedicated equipment. This is the key nursing intervention to prevent the spread of nosocomial infection.