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降低風險 · HARD · SATA

護理師為嗜中性白血球減少症(neutropenia)病人擬定照護計畫,應包含哪些措施?(選所有適合的)

A nurse is developing a plan of care for a client with neutropenia. Which actions should the nurse include? (Select all that apply.)

  • ARestrict fresh flowers and potted plants✓ 正解
    限制鮮花與盆栽植物
  • BEnsure the client performs daily perineal hygiene✓ 正解
    確保個案每日進行會陰清潔
  • CEncourage a diet high in fresh fruits and raw vegetables
    鼓勵攝取富含新鮮水果和生蔬菜的饮食
  • DPerform meticulous hand hygiene before entering the room✓ 正解
    進入房間前仔細執行手部衛生
  • EInstruct the client to avoid crowds and individuals with infections✓ 正解
    指示個案避免前往人群聚集處及避免接觸感染者
Explanation · 中文詳解

嗜中性白血球減少症(Neutropenia)病人因免疫力極度低下,對任何病原體皆高度敏感。照護目標是執行「保護性隔離(Protective isolation)」。這包括禁止攜帶可能帶有黴菌的鮮花植物、強化病人的個人衛生(特別是會陰部)、嚴格執行洗手以防交叉感染,並限制探訪者,避免接觸呼吸道感染者。

Clients with neutropenia are highly susceptible to any pathogen due to their severely compromised immune system. The goal of care is to implement protective isolation. This includes prohibiting fresh flowers or plants that may carry fungi, reinforcing personal hygiene (especially perineal care), strictly enforcing hand hygiene to prevent cross-infection, and limiting visitors to avoid contact with people who have respiratory infections.

✦ 台美臨床差異

美國臨床對於 Neutropenic precautions 執行非常嚴格,通常會要求病人配戴口罩(若需離開病室),且訪客篩檢極為嚴格。

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