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照護管理 · MEDIUM · SATA

護理師照護一位需採取飛沫隔離措施的傳染病病人,應穿戴哪些個人防護裝備?(選所有適合的)

A nurse is caring for a client with a contagious disease that requires droplet precautions. Which personal protective equipment (PPE) should the nurse wear? (Select all that apply.)

  • AN95 respirator
    N95 呼吸器
  • BSurgical mask✓ 正解
    外科口罩
  • CFace shield
    面罩
  • DGown
    隔離衣
  • EGloves
    手套
Explanation · 中文詳解

依 CDC 飛沫隔離(droplet precautions)標準 PPE:進入病房須佩戴外科口罩(B),是核心必備。其他選項:A. N95 是空氣隔離(airborne,如 TB、麻疹)所需,不是飛沫隔離;C. Face shield/護目鏡僅在預期分泌物噴濺時加用(如氣道處置、抽吸),非常規必備;D. Gown 隔離衣僅在預期接觸體液時加用;E. Gloves 視接觸風險使用。題目未描述噴濺情境,故僅 B 為標準必備。

According to CDC standard PPE for droplet precautions: a surgical mask (B) must be worn upon entering the room and is the core required item. The other options: A. N95 is required for airborne precautions (such as TB or measles), not droplet precautions; C. Face shield/goggles are added only when splash exposure to secretions is anticipated (e.g., during airway procedures or suctioning), not routinely required; D. Gown is added only when contact with body fluids is anticipated; E. Gloves are used based on contact risk. The question does not describe a splash scenario, so only B is the standard requirement.

✦ 台美臨床差異

台灣醫院感染控制規範與 CDC 準則高度同步,但在隔離病房的耗材管理上可能有機構間的差異。

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