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照護管理 · MEDIUM · SATA

護理師為結核病病人規劃照護計畫,應包含下列哪些措施?(複選)

A nurse is planning care for a client who is diagnosed with tuberculosis. Which interventions should the nurse include? (Select all that apply.)

  • APlace the client in a private room with negative airflow✓ 正解
    將病人安置於具有負壓氣流的私人病房
  • BRequire all visitors to wear an N95 respirator✓ 正解
    要求所有訪客佩戴 N95 呼吸器
  • CEnsure the client wears a surgical mask during transport✓ 正解
    確保病人在運送期間佩戴外科口罩
  • DPerform hand hygiene after leaving the room✓ 正解
    離開病房後執行手部衛生
  • EAssign the client to a shared room with another TB patient
    將病人分派至與其他結核病病人共用的病房
Explanation · 中文詳解

結核病(Tuberculosis, TB)透過空氣微粒傳播,護理重點在於阻斷空氣傳播途徑。必須採取空氣傳播預防措施(Airborne Precautions),包括單人負壓病房、醫療人員配戴 N95 口罩、病人運送過程配戴外科口罩,以及落實手部衛生。臨床思路應優先考量感染控制,以保護其他病人與醫療人員的安全。

Tuberculosis (TB) is transmitted by airborne particles; the focus of nursing care is to interrupt airborne transmission. Airborne precautions must be implemented, including a single-room negative-pressure environment, N95 respirators for healthcare workers, a surgical mask on the patient during transport, and strict hand hygiene. Clinical reasoning should give priority to infection control to protect other patients and staff.

✦ 台美臨床差異

台灣與美國在結核病隔離政策上大致相同。皆嚴格要求負壓隔離(Negative Pressure Room)與 N95 呼吸防護。但美國醫院對結核病人的出院標準(Discharge Criteria)通常較為嚴格,需符合連續痰液抹片陰性或藥物治療達一定時程,且需與地方衛生部門(Public Health Department)密切配合進行接觸者追蹤。

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