— 安全與感染控制 · MEDIUM · MCQ —
哪位病人需要飛沫隔離(Droplet Precautions)?
Which client needs droplet precautions?
- ABacterial meningitis✓ 正解細菌性腦膜炎
- BTuberculosis結核病
- CC. difficile艰难梭菌
- DShingles帶狀皰疹
— Explanation · 中文詳解 —
隔離預防措施(Isolation Precautions)是感染控制的核心。飛沫隔離(Droplet Precautions)適用於經由咳嗽、噴嚏或說話產生的較大顆粒飛沫傳播的疾病。細菌性腦膜炎(Bacterial meningitis)是由腦膜炎雙球菌等引起,需採取飛沫隔離措施,護理師進入病房需配戴外科口罩。
Isolation precautions are central to infection control. Droplet precautions apply to diseases transmitted by larger particles via coughing, sneezing, or talking. Bacterial meningitis (e.g., meningococcal) requires droplet precautions — the nurse wears a surgical mask on room entry.
✦ 台美臨床差異
美國醫院對於 C. difficile 感染者,極度強調必須使用肥皂洗手(Soap and water),因為酒精性乾洗手液無法有效殺死孢子,此點在 NCLEX 考試中極常被考到。