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照護管理 · MEDIUM · MCQ

護理師監督一位新進護理師執行傷口沖洗,下列哪項行為顯示需要進一步教學無菌技術?

A nurse is supervising a newly licensed nurse who is performing a wound irrigation. Which action by the new nurse indicates a need for further teaching regarding sterile technique?

  • AThe new nurse places the sterile drape on the bedside table without touching the center
    新進護理師將無菌單放置在床邊桌上,未觸碰中心區域
  • BThe new nurse keeps the sterile field within their line of vision at all times
    新進護理師始終將無菌區保持在視線範圍內
  • CThe new nurse pours the sterile solution from a height of 10 inches above the sterile field✓ 正解
    新進護理師從高於無菌區 10 吋處倒入無菌溶液
  • DThe new nurse holds the irrigation solution bottle with the label against the palm of their hand
    新進護理師手持沖洗液瓶,將標籤朝向掌心
Explanation · 中文詳解

無菌技術(Sterile Technique)的操作細節決定了無菌屏障的完整性。倒入無菌液體時,瓶口應保持在無菌區上方約 1-6 吋處,若過高則液體噴濺可能導致污染,且液體落下的水滴可能穿透無菌布造成毛細現象污染。開啟無菌包裝時,最外層 flaps 應向遠離身體的方向開啟,以避免手部越過無菌區域。這些細節皆為維護無菌原則的必要步驟。

Details of sterile technique determine the integrity of the sterile barrier. When pouring sterile solution, the bottle should be held about 1-6 inches above the sterile field; pouring from too high may cause splashing and contamination, and droplets may penetrate the sterile drape and cause contamination through capillary action. When opening a sterile package, the outermost flap should be opened away from the body to avoid the hands crossing over the sterile field. These details are all necessary steps to maintain sterility.

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