— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭菌（C. difficile）陽性病人，應採取何種措施以預防傳播？
A nurse is caring for a client who has a positive result for Clostridium difficile. Which action should the nurse take to prevent transmission?
- AWash hands with soap and water after providing care✓ 正解提供照護後以肥皂和水洗手
- BWear a N95 respirator when entering the room進入房間時佩戴 N95 呼吸器
- CPerform hand hygiene using alcohol-based hand rub使用酒精性搓手液進行手部衛生
- DPlace the client in a negative-pressure airflow room將病人安置於負壓氣流病房
— Explanation · 中文詳解 —
困難梭菌（C. difficile）會產生芽孢（spores），而酒精乾洗手液（alcohol-based rub）無法有效殺死芽孢，甚至可能將芽孢散佈至環境中。根據 CDC 規範，照護 C. difficile 病人時，必須使用肥皂與流水進行濕洗手（Soap and water），以達到物理性移除芽孢的目的。
Clostridioides difficile (C. difficile) produces spores, and alcohol-based hand rubs cannot effectively kill the spores and may actually disperse them into the environment. According to CDC guidelines, when caring for a C. difficile-positive client, the nurse must perform handwashing with soap and running water to achieve physical removal of the spores.