腫瘤診所檢傷護士接到化療病患電話。病患回報關節痛、疲勞，且居家體溫達 38.4°C (101.1°F)。運用檢傷原則，護理師的迫切指示為何？
An oncology clinic triage nurse answers a phone call from an adult client receiving induction chemotherapy. The client reports generalized joint pain, fatigue, and a home temperature reading 38.4°C (101.1°F). Utilizing strict triage principles, what is the nurse's imperative instruction?
- ASchedule an outpatient clinic visit tomorrow securely.安全地安排明天門診就診。
- BPresent directly to the emergency department immediately.✓ 正解立即直接前往急診室。
- CRemain securely at home resting quietly.安靜地待在家中休息。
- DTake acetaminophen to reduce the fever.服用乙醯胺酚以降低發燒。
本題與第 10 題情境相似，再次強調化療病患中性白血球低下發燒 (Febrile Neutropenia, FN) 的緊急性。接受誘導化療的病患，免疫系統受到嚴重抑制，中性白血球數量極低，無法有效抵抗感染。當這類病患出現發燒（通常定義為體溫 ≥ 38.0°C 或 100.4°F）時，即使沒有其他明顯感染症狀，也必須立即視為醫療急症處理。這是因為輕微的感染也可能迅速惡化為致命的敗血症。護理師的當務之急是指示病患立即前往急診室，以便迅速獲得診斷、血液培養和廣效性抗生素治療，以挽救生命。
A client undergoing induction chemotherapy with a fever of 38.4°C (101.1°F) likely has febrile neutropenia, which is a medical emergency due to severe immunosuppression. The nurse must instruct the client to present directly to the emergency department immediately for prompt evaluation and administration of broad-spectrum antibiotics to prevent sepsis.
化療發燒=ER。