對於患有結核病(TB)的病人,下列哪些行動是必要的?(選所有適合的)
Which of the following actions are necessary for a client with tuberculosis (TB)? (Select all that apply.)
- APlace the client in a negative pressure room✓ 正解將病人安置於負壓隔離室
- BEnsure the client wears a surgical mask during transport✓ 正解確保病人在轉運期間佩戴外科口罩
- CHealthcare workers should wear N95 respirators✓ 正解醫護人員應佩戴 N95 呼吸器
- DRoutine cleaning with hospital-grade disinfectant✓ 正解使用醫院級消毒劑常規清潔
- ELimit visitors to family members only僅限家屬探視
核心概念:結核病(Tuberculosis, TB)的傳播預防與隔離措施。 為何正確答案對: A. 負壓隔離室(Negative pressure room)是空氣傳播隔離(Airborne Precautions)的標準配置,能防止結核桿菌等空氣傳播的病原體擴散至病房外。 B. 病人在接受轉運(Transport)時,應佩戴外科口罩(Surgical mask),以減少咳嗽或說話時產生飛沫的傳播。 C. 醫護人員進入病室時,必須穿戴 N95 呼吸器(N95 respirator),以有效過濾空氣中的結核桿菌微粒。 D. 環境清潔(Routine cleaning with hospital-grade disinfectant)雖然是標準感染控制措施,但對於結核病,重點在於空氣傳播的預防。然而,定期清潔消毒環境仍有助於減少病原體在環境中的存活時間,間接有益。 為何其他選項錯: E. 限制訪客(Limit visitors)雖然是考量,但對於預防結核病的空氣傳播,其核心措施是負壓隔離、N95 防護與病人戴口罩,這些生物安全措施的優先級更高。訪客限制是輔助性措施。
Core concept: TB transmission prevention and isolation. A — negative-pressure room is standard for airborne precautions, preventing TB bacilli from spreading. B — clients wear surgical masks during transport to reduce droplet dispersion. C — healthcare workers wear N95 respirators to filter airborne particles. D — routine hospital-grade disinfectant cleaning is standard infection control and indirectly helps. E — visitor restriction is a supportive measure; the core measures are airborne isolation, N95, and patient masking, which take priority over visitor limitations.