護理師照護一位白血球減少症(Neutropenia)的病人,應給予家屬哪些指導?(選所有適合的)
A nurse is caring for a client with neutropenia. Which of the following instructions should the nurse provide to the family? (Select all that apply.)
- AEnsure the client receives only cooked vegetables✓ 正解確保個案僅食用煮熟的蔬菜
- BAvoid bringing fresh flowers into the room✓ 正解避免將鮮花帶入病房
- CPerform frequent hand hygiene when entering the room✓ 正解進入病房時頻繁執行手部衛生
- DUse a humidifier to keep the air moist使用加濕器以保持空氣濕潤
- ELimit visitors who have respiratory symptoms✓ 正解限制有呼吸道症狀的探視者
中性球減少症(Neutropenia)病人因免疫力極低,極易發生伺機性感染,因此需採取「保護性隔離」(Protective isolation / Reverse isolation)。護理重點是移除環境中的病原體。生食、花瓶水、呼吸道感染者皆是潛在感染源。手部衛生是預防交叉感染最有效的措施。此外,加濕器若未嚴格清潔,容易滋生黴菌,故不建議使用。
Clients with neutropenia have severely compromised immunity and are highly susceptible to opportunistic infections, so protective (reverse) isolation must be implemented. The focus of nursing is removing pathogens from the environment. Raw foods, vase water, and visitors with respiratory infections are all potential sources of infection. Hand hygiene is the most effective measure to prevent cross-infection. In addition, humidifiers easily harbor mold if not strictly maintained and are therefore not recommended.