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照護管理 · EASY · MCQ

一名 19 歲男性因疑似細菌性腦膜炎被安排飛沫隔離。當他走下走廊去使用公共電話時,頻繁扯下面罩。哪項處置符合感染控制又維持了病患權益?

A newly admitted 19-year-old male is placed on droplet precautions for suspected bacterial meningitis. He frequently removes his prescribed mask when attempting to walk down the public hospital corridor to use a public phone. Which initial intervention aligns with infection control while maintaining client rights?

  • AProvide the client with a sanitized cordless phone directly inside his private isolation room.✓ 正解
    直接在私人隔離室內提供一支消毒過的無線電話給病人。
  • BLock the client’s private room door entirely from the outer hallway quarantine him inside.
    從外部走廊完全鎖上病人的私人房門,將其隔離在房內。
  • CApply soft bilateral wrist restraints promptly to physically prevent the client from removing his mask.
    立即施加雙側手腕軟式約束帶,以物理方式防止病人摘下口罩。
  • DInstruct the attending physician to briefly chemically sedate the client utilizing continuous sedatives.
    指示主治醫師利用連續鎮靜劑對病人進行短暫化學鎮靜。
Explanation · 中文詳解

本題測驗病人的約束極限與通融處理 (Least Restrictive Environment)。因為病患走出來的唯一動機是講電話,護理師提供電話送入隔離房能完美滿足需求而免於衝突,同時達到感控與最少拘束的人權標準。其他選項皆為非法暴力剝奪人身自由。

This item tests the principle of the least restrictive environment. Because the client's motive for leaving isolation is to use the phone, providing a phone inside the isolation room satisfies his need without conflict and meets both infection control and the human-rights standard of least restraint. The other options involve unlawful deprivation of liberty.

✦ 台美臨床差異

最低限制原則 (Least Restrictive) 是 NCLEX 高頻題,不可輕易鎖門或綁人。

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