護理師照護一位中性白血球減少症(neutropenia)的病人,下列哪些護理措施是適當的?(選所有適合的)
A nurse is caring for a client with neutropenia. Which nursing interventions are appropriate for this client? (Select all that apply.)
- AMaintain a strict hand-washing protocol✓ 正解維持嚴格的手部清潔協議
- BAllow fresh flowers and potted plants in the room允許鮮花與盆栽進入房間
- CScreen all visitors for signs of infection✓ 正解篩檢所有訪客是否有感染跡象
- DAdminister prophylactic antibiotics as prescribed✓ 正解依醫囑給予預防性抗生素
- EEncourage consumption of fresh raw fruits and vegetables鼓勵食用新鮮生水果與蔬菜
中性白血球減少症(Neutropenia)病人因免疫力低下,極易發生伺機性感染。護理措施核心為「保護性隔離(Protective Isolation)」。嚴格的手部衛生、篩檢訪客健康狀況以阻斷外源性感染、遵醫囑給予預防性抗生素以防止內生性感染,均是標準護理介入。鮮花與生食因易附著黴菌與細菌,應絕對禁止。
Clients with neutropenia have impaired immunity and are extremely susceptible to opportunistic infections. The core of nursing care is protective isolation. Strict hand hygiene, screening visitors for signs of infection to block exogenous infection, and prophylactic antibiotics as prescribed to prevent endogenous infection are all standard nursing interventions. Fresh flowers and raw foods should be strictly prohibited because they readily harbor mold and bacteria.