— 降低風險 · MEDIUM · SATA —
護理師照護一位中性白血球減少症的病人，照護計畫應包含哪些內容？（選所有適合的）
A nurse is caring for a client with neutropenia. Which of the following should the nurse include in the care plan? (Select all that apply.)
- ARestrict fresh fruits and vegetables✓ 正解限制新鮮水果和蔬菜
- BScreen all visitors for respiratory symptoms✓ 正解篩檢所有訪客是否有呼吸道症狀
- CEncourage the client to use a soft-bristled toothbrush鼓勵病人使用軟毛牙刷
- DPerform thorough hand hygiene before touching the client✓ 正解接觸病人前徹底執行手部衛生
- EAdminister prophylactic antibiotics as prescribed✓ 正解依處方給予預防性抗生素
— Explanation · 中文詳解 —
中性白血球減少症（中性球減少症）病人易受感染，故需採取防護措施。禁吃生食（含果皮蔬果）、限制訪客感染源、嚴格洗手以防交叉感染及服用預防性抗生素皆為核心。選項 C 為血小板減少症的護理重點，非中性球減少症首要。
Clients with neutropenia are highly susceptible to infection and therefore require protective measures. Avoiding raw foods (including unpeeled fruits and vegetables), screening visitors for sources of infection, strict hand hygiene to prevent cross-contamination, and administering prophylactic antibiotics are all core interventions. Option C is a nursing priority for thrombocytopenia, not for neutropenia.
✦ 台美臨床差異
美國醫院的隔離措施（Neutropenic precaution）規範非常嚴謹，台灣則視醫院級別與科別有所差異。