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安全與感染控制 · MEDIUM · SATA

對於採取中性球低下隔離的病人,哪些措施是合適的?(選所有適合的)

Which of the following interventions are appropriate for a client on neutropenic precautions? (Select all that apply.)

  • ARestrict fresh flowers and potted plants in the room✓ 正解
    限制病房內放置鮮花與盆栽
  • BEnsure the client wears a mask during transport✓ 正解
    確保病患在轉運期間佩戴口罩
  • CPerform strict hand hygiene before entering the room✓ 正解
    進入病房前執行嚴格的手部衛生
  • DAllow visitors with minor respiratory symptoms
    允許有輕微呼吸道症狀的訪客探視
  • EProvide a low-bacteria diet (avoiding raw fruits/vegetables)✓ 正解
    提供低菌飲食(避免生食水果和蔬菜)
Explanation · 中文詳解

核心概念:中性球低下隔離(Neutropenic Precautions)的保護性措施。 為何正確答案對: A. 新鮮花卉和盆栽(Fresh flowers and potted plants)可能攜帶土壤中的黴菌(Fungi)和細菌,對免疫力低下的病人構成感染風險,因此應禁止放入病室。 B. 病人在轉運(Transport)過程中,應佩戴口罩(Wear a mask),以防止其自身可能攜帶的病原體(即使無症狀)傳播給他人。 C. 嚴格執行手部衛生(Perform strict hand hygiene)是所有感染控制措施的基礎,進入病室前必須徹底洗手,以防止將外界病原體帶入。 E. 低菌飲食(Provide a low-bacteria diet),特別是避免生食(如生魚片、生菜沙拉),能減少從食物中攝取病原體的機會,降低腸道感染風險。 為何其他選項錯: D. 允許有輕微呼吸道症狀的訪客(Allow visitors with minor respiratory symptoms)進入病室是危險的。即使症狀輕微,訪客仍可能傳播病原體,對免疫力低下的病人造成嚴重感染,應嚴格限制有任何呼吸道症狀的訪客。

Core concept: protective measures of neutropenic precautions. Why the correct answer is right: A. Fresh flowers and potted plants may carry fungi and bacteria from the soil, posing an infection risk to immunocompromised clients, and should be prohibited in the room. B. The client should wear a mask during transport to prevent transmission of any pathogens they may carry (even if asymptomatic) to others. C. Strict hand hygiene is the foundation of all infection-control measures; hands must be thoroughly washed before entering the room to prevent introduction of pathogens. E. Providing a low-bacteria diet—particularly avoiding raw foods such as sashimi and fresh salad—reduces opportunities for pathogen ingestion and lowers the risk of gastrointestinal infection. Why the other options are wrong: D. Allowing visitors with mild respiratory symptoms is dangerous. Even mild symptoms may transmit pathogens that cause severe infection in immunocompromised clients; visitors with any respiratory symptoms must be strictly restricted.

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