護理師需安置疑似傳染病病人，下列哪組組合適合安置於同一間雙人病房？
A nurse is managing the care of a client with a suspected infectious disease. Which clients are appropriate to room together in a semi-private room?
- AA client with varicella and a client with shingles一位患有水痘的病人和一位患有帶狀皰疹的病人
- BA client with influenza and a client with gastroenteritis✓ 正解一位患有流行性感冒的病人和一位患有腸胃炎的病人
- CA client with bacterial pneumonia and a client with viral pneumonia一位患有細菌性肺炎的病人和一位患有病毒性肺炎的病人
- DA client with RSV and a client with wound infection一位患有呼吸道融合病毒（RSV）的病人和一位患有傷口感染的病人
感控原則最佳做法為「相同病原體 cohort」，不同病原體合住需嚴格遵守個別預防措施。本題所有選項均非理想配對，但 D（流感 + 腸胃炎）為「相對最可接受」的選項：兩者皆為較常見、非危及生命的疾病，且皆採用接觸+飛沫的混合預防即可，不需要負壓房或特殊空氣處理。其他選項問題：A. RSV 為呼吸道高傳染性病毒，與開放性傷口病人同房會增加交叉感染；B. 帶狀皰疹病人對沒有水痘免疫力者具傳染性，不可同住；C. 不同病原（細菌 vs 病毒）會增加二次感染風險。NCLEX 答題此題以「強迫選擇最不糟」邏輯選 B。
The best infection-control practice is to cohort clients with the same pathogen; cohorting clients with different pathogens requires strict adherence to individualized precautions. None of the options in this item is an ideal pairing, but D (influenza + gastroenteritis) is the 'relatively most acceptable' choice: both are common, non-life-threatening illnesses that can be managed with combined contact and droplet precautions, without requiring a negative-pressure room or special air handling. Problems with the other options: A. RSV is a highly contagious respiratory virus, and cohorting with a client who has an open wound increases cross-contamination; B. a client with shingles can transmit VZV to non-immune contacts, so varicella and shingles should not be paired; C. different pathogens (bacterial vs. viral pneumonia) increase the risk of secondary infection. The NCLEX answer logic here is to select the 'least bad' option, which is D.
美國醫院有嚴格的 Infection Control 專員控管，台灣醫院受限於床位數，Cohort 實行難度較高。