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安全與感染控制 · HARD · SATA

病人接受內照射治療(近接治療),哪些護理措施是正確的?(選所有適合的)

A client is receiving internal radiation therapy (brachytherapy). Which nursing interventions are appropriate? (Select all that apply.)

  • ALimit time spent in the client's room✓ 正解
    限制在病人房間內的停留時間
  • BWear a lead apron at all times while in the room
    在房間內時始終穿著鉛衣
  • CKeep the door closed to prevent radiation leakage
    保持房門關閉以防止輻射洩漏
  • DMaintain a distance of at least 6 feet from the source✓ 正解
    與放射源保持至少 6 英尺的距離
  • EAllow pregnant staff to care for the client
    允許懷孕的工作人員照護病人
Explanation · 中文詳解

近接治療(Brachytherapy)涉及放射性物質直接置入體內。護理防護的核心原則為「時間(Time)、距離(Distance)、屏蔽(Shielding)」。減少近距離接觸時間、與輻射源保持適當距離(至少 6 英尺)能有效降低護理人員受輻射劑量。不應使用鉛裙,因為鉛裙僅能阻擋 X 光,對近接治療產生的加馬射線(Gamma rays)防護效果有限,且會給護理師錯誤的安全感。

Brachytherapy involves the direct placement of a radioactive source within the body. The core principles of nursing protection are "time, distance, and shielding." Minimizing close contact time and maintaining an adequate distance from the radiation source (at least 6 feet) effectively reduce the dose received by the nurse. Lead aprons should not be used, because they primarily attenuate X-rays and provide limited protection against the gamma rays produced by brachytherapy, and they may give the nurse a false sense of safety.

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