— 照護管理 · MEDIUM · SATA —
護理師照護一位需採取飛沫隔離的傳染病病人，下列哪些介入措施是正確的？（選所有適合的）
A nurse is managing a client with an infectious disease requiring droplet precautions. Which interventions are appropriate? (Select all that apply.)
- APlace the client in a private room or with a roommate with the same infection✓ 正解將客戶安置於單獨病房或與患有相同感染的室友同住
- BWear a surgical mask when within 3 feet of the client✓ 正解在距離客戶3英尺內時佩戴外科口罩
- CEnsure the room has negative air pressure確保房間具有負壓
- DUse an N95 respirator during all patient interactions在所有病人互動期間使用N95呼吸器
- ELimit patient transport outside the room; require the patient to wear a mask if transport is necessary✓ 正解限制病人離開病房；若需轉運，要求病人佩戴口罩
— Explanation · 中文詳解 —
飛沫隔離（Droplet Precautions）適用於流感、百日咳等，需配戴一般口罩（3 呎內）、單人房或同症狀共室。負壓隔離與 N95 口罩是針對空氣隔離（Airborne，如結核病），不可混淆。
Droplet precautions are used for diseases such as influenza and pertussis. They require a private room (or cohorting with a roommate with the same infection), a surgical mask within 3 feet of the client, and limiting patient transport with the client masked if transport is necessary. Negative-pressure rooms and N95 respirators are required for airborne precautions (e.g., tuberculosis), not droplet.
✦ 台美臨床差異
台灣因 COVID-19 經驗，對隔離規範要求極高，N95 與一般口罩的使用時機區分在臨床上非常明確。