護理師照顧一位嗜中性球低下(neutropenic)的病人,下列哪項護理措施對預防感染至關重要?
A nurse is caring for a client who is neutropenic. Which nursing action is essential to prevent infection?
- AEncourage the client to ambulate in the hallway.鼓勵病人在走廊散步
- BServe raw or undercooked foods.提供生食或未煮熟的食物
- CImplement strict hand hygiene for all individuals entering the room.✓ 正解要求所有進入房間的人嚴格執行手部衛生
- DAllow visitors to bring fresh flowers into the room.允許探視者帶鮮花進入房間
嗜中性球低下(neutropenic)的病人由於其體內中性球數量嚴重不足,對抗細菌和真菌感染的能力極弱,因此極易發生嚴重的伺機性感染。預防感染是照護這類病人的重中之重。嚴格執行手部衛生是阻止病原體進入病人體內最基本、最有效的方法。所有進入病房的人員,包括醫護人員、訪客,甚至病人自己(在接觸病人前後),都必須徹底清潔雙手。鼓勵病人活動、允許探訪(需謹慎)和提供食物都是照護的一部分,但若未嚴格執行手部衛生,這些措施都可能成為感染的途徑。
A neutropenic client has a severely reduced neutrophil count and therefore extremely limited ability to fight bacterial and fungal infections, making opportunistic infections highly likely. Infection prevention is the top priority in caring for these clients. Strict hand hygiene is the most basic and effective means of preventing pathogens from reaching the client. Everyone who enters the room, including healthcare personnel, visitors, and the client (before and after self-contact), must thoroughly clean their hands. Encouraging activity, allowing visitation (with caution), and providing nutrition are all parts of care, but without strict hand hygiene, these measures may instead become routes of infection.