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降低風險 · MEDIUM · SATA

護理師正在照顧一位因嗜中性球低下而有感染風險的化療病人。下列哪些是適當的預防措施?(選所有適合的)

A nurse is caring for a client who is receiving chemotherapy and is at risk for infection due to neutropenia. Which of the following are appropriate precautions? (Select all that apply.)

  • AAdminister colony-stimulating factors (CSFs) as ordered✓ 正解
    依醫囑給予集落刺激因子(CSFs)
  • BAvoid giving fresh fruits and vegetables✓ 正解
    避免給予新鮮水果和蔬菜
  • CEnsure frequent hand hygiene for all visitors and staff✓ 正解
    確保所有訪客和員工頻繁進行手部衛生
  • DLimit visitors to immediate family only✓ 正解
    將訪客限制為僅限直系親屬
  • EMonitor temperature every 12 hours
    每 12 小時監測體溫
Explanation · 中文詳解

化療病人常因骨髓抑制導致嗜中性球低下(Neutropenia),免疫力極度脆弱。預防感染的重點在於阻斷病原體傳播與提升免疫功能。護理策略包括使用生長因子(如 G-CSF)刺激白血球生長、嚴格執行無菌技術與手部衛生、限制訪客以減少暴露,以及採取低菌飲食(避免生食)。體溫監測應至少每 4 小時一次,因為嗜中性球低下病人的感染症狀可能僅表現為低燒。

Clients receiving chemotherapy frequently develop bone marrow suppression with neutropenia, leaving the immune system severely compromised. Infection prevention focuses on interrupting pathogen transmission and supporting immune function. Nursing strategies include administering growth factors such as G-CSF to stimulate white blood cell production, enforcing strict aseptic technique and hand hygiene, limiting visitors to reduce exposure, and providing a low-microbial diet that avoids raw foods. Temperature should be monitored at least every 4 hours, since infections in neutropenic clients may present only as a low-grade fever.

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