— 安全與感染控制 · EASY · MCQ —
護理師照顧一位患有困難梭狀芽孢桿菌感染的病人。離開房間時採取哪項措施最為重要？
A nurse is caring for a client with Clostridioides difficile infection. Which action is essential when exiting the room?
- ARemove the gown before the gloves先脫下隔離衣再脫手套
- BUse an alcohol-based hand sanitizer使用酒精性乾洗手
- CWash hands with soap and water✓ 正解用肥皂和清水洗手
- DPerform surgical hand scrub進行外科洗手
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（Clostridioides difficile, C. diff）具有抗酒精的芽孢結構。酒精性乾洗手無法殺死這些芽孢，甚至可能將芽孢散播開來。因此，照護這類病人後，務必使用肥皂與流動水洗手，利用物理沖洗作用（Mechanical friction）將芽孢移除。這是感染控制的核心原則。
Clostridioides difficile (C. diff) produces an alcohol-resistant spore structure. Alcohol-based hand sanitizer cannot kill these spores and may even disperse them. Therefore, after caring for such clients, the nurse must wash hands with soap and running water, using mechanical friction to physically remove the spores. This is a core principle of infection control.