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照護管理 · HARD · SATA

護理師照護一位接受前列腺癌放射線植入治療的病患,下列哪些措施是正確的?(選所有適合的)

A nurse is caring for a client with a radioactive implant for prostate cancer. Which of the following actions are appropriate for the nurse to implement? (Select all that apply.)

  • AWear a lead-lined apron while providing care
    提供照護時穿著鉛襯圍裙
  • BPlace a 'Caution: Radioactive Material' sign on the door✓ 正解
    在門上放置『注意:放射性物質』標示
  • CLimit visitors to 30 minutes per day and keep a 6-foot distance✓ 正解
    限制訪客每日探視時間為30分鐘,並保持6英尺距離
  • DAssign the client to a private room✓ 正解
    將病患安置於單人房
  • EInstruct the client to avoid using a microwave to prevent radiation leak
    指示病患避免使用微波爐以防止輻射洩漏
Explanation · 中文詳解

內照射治療需嚴格控管輻射暴露:B 是安全告知必要標示;C 透過限制時間與保持距離,遵循「距離、時間、屏蔽」三原則;D 為了保護其他病患與人員,必須安排單人房。A 選項錯誤,鉛裙無法阻擋植入源的輻射;E 為錯誤迷思,微波爐與醫療輻射無關。

Internal radiation therapy requires strict control of radiation exposure: B is a necessary safety notification sign; C follows the "distance, time, shielding" principle by limiting time and maintaining distance; D requires a private room to protect other patients and staff. Option A is incorrect because a lead apron cannot block radiation from an implanted source; option E is a misconception, since microwave ovens are unrelated to medical radiation.

✦ 台美臨床差異

在美國輻射安全官(RSO)權限極大,病患病房管控極嚴;台灣醫院雖有同樣規範,但因病房空間配置關係,有時執行細節較為簡化。

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