— 照護管理 · HARD · SATA —
護理師照顧一位帶有多重抗藥性病原體(MDRO)的病人,應執行哪些管理策略?(選所有適合的)
A nurse is caring for a client with a multi-drug resistant organism (MDRO). Which management strategies should be implemented? (Select all that apply.)
- AInitiating contact precautions immediately✓ 正解立即實施接觸隔離
- BAssigning the client to a private room or cohorting✓ 正解將病人安置於單人房或同病原體照護
- CRequiring staff to wear N95 masks regardless of procedure無論進行何種程序,均要求員工佩戴 N95 口罩
- DEnsuring dedicated equipment remains in the room✓ 正解確保專用器材留在病房內
- ELimiting transport and movement of the client✓ 正解限制病人的轉運與移動
— Explanation · 中文詳解 —
MDRO 需採取接觸隔離(Contact Precautions)。措施包括:執行接觸防護、入住單人房或採取同類病原體床位安排、使用專用器材避免交叉感染、限制非必要移動。C 錯誤:接觸隔離主要需手套與隔離衣,MDRO 通常不經空氣傳播,無需 N95 口罩。
MDROs require contact precautions. Measures include implementing contact precautions, placing the client in a private room or cohorting, using dedicated equipment to prevent cross-contamination, and limiting unnecessary movement. C is incorrect: contact precautions require mainly gloves and gowns; MDROs are not typically airborne and do not require N95 respirators.
✦ 台美臨床差異
台美皆遵循 CDC 指導原則,但美國醫院對於 MDRO 的隔離查核通常更為嚴格且自動化。