— 健康促進與維護 · MEDIUM · MCQ —
護理師為嗜中性白血球減少症（Neutropenia）病人進行安全指導。哪項說明至關重要？
A nurse is reviewing safety protocols for a client with neutropenia. Which instruction is essential?
- AAvoid crowds and anyone showing signs of illness✓ 正解避免人群和任何有生病跡象的人
- BUse a soft-bristled toothbrush to prevent bleeding使用軟毛牙刷以防止出血
- CIncrease intake of fresh fruits and raw vegetables增加新鮮水果和生蔬菜的攝取
- DReceive all childhood immunizations on time按時接種所有兒童疫苗
— Explanation · 中文詳解 —
嗜中性白血球過低（Neutropenia）病人缺乏抵抗感染的防線。病人應採取「保護性隔離」概念，避開群聚、避免接觸感染者。新鮮蔬果若未煮熟可能帶菌，通常建議採低菌飲食。其他選項則需視情況，但防感染是第一優先。
Clients with neutropenia lack the defenses needed to resist infection. They should follow a 'protective isolation' approach, avoiding crowds and contact with anyone who is sick. Fresh fruits and vegetables, if uncooked, may carry bacteria, so a low-microbial diet is generally recommended. Other options depend on the situation, but infection prevention is the top priority.
✦ 台美臨床差異
台灣臨床護理對於 Neutropenia 的低菌飲食指導非常嚴謹，常直接由營養師介入衛教。