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安全與感染控制 · MEDIUM · SATA

護理師照護一位乳膠過敏病人。護理師應確保哪些設備不含乳膠?(選所有適合的)

The nurse is caring for a client with a latex allergy. Which equipment should the nurse ensure is latex-free? (Select all that apply.)

  • AUrinary catheter✓ 正解
    導尿管
  • BBlood pressure cuff tubing✓ 正解
    血壓計袖帶軟管
  • CStethoscope tubing✓ 正解
    聽診器軟管
  • DGlass medication vials
    玻璃藥瓶
  • EAdhesive tape✓ 正解
    黏性膠帶
Explanation · 中文詳解

核心概念是識別醫院環境中常見的乳膠(Latex)來源以預防過敏反應。乳膠過敏可從輕微皮膚紅疹發展到致命的過敏性休克(Anaphylaxis)。護理師必須確保所有直接或間接接觸病人的物品均不含乳膠。許多傳統的橡膠製品(如導尿管、血壓計軟管、聽診器管路)都含有乳膠成分。隨著醫療技術進步,許多醫院已改用 Latex-free 替代品(如矽膠或合成橡膠),但在 NCLEX 考試中,考生必須具備識別這些傳統高風險物品的能力。

The core concept is identifying common hospital sources of latex to prevent allergic reactions, which can range from mild skin rashes to life-threatening anaphylaxis. The nurse must ensure that any item that may contact the client is latex-free. Traditional rubber products such as urinary catheters, blood pressure cuff tubing, and stethoscope tubing often contain latex. Many hospitals now use latex-free alternatives (silicone or synthetic rubber), but for NCLEX the candidate must recognize these traditional high-risk items.

✦ 台美臨床差異

美國許多醫院現在已全面推行「Latex-safe environment」,甚至手套都全面改用丁腈(Nitrile)。台灣雖然也在進步,但部分醫療耗材仍可能含有乳膠。在 NCLEX 考試中,對乳膠過敏的警覺性(如詢問對香蕉、奇異果過敏史)是常見考點。

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