一位患有肺結核（TB）的病人需要傳送到放射科。為確保傳送過程的安全，護理師應採取哪項措施？
A client with tuberculosis (TB) requires transport to the radiology department. Which action should the nurse take to ensure safety during transport?
- AEnsure the nurse wears an N95 respirator during transport確保護理師在傳送過程中佩戴 N95 呼吸器
- BAsk the radiology technician to wear an N95 respirator要求放射科技師佩戴 N95 呼吸器
- CCancel the transport until the client's sputum is negative直到病人的痰液檢查呈陰性前，取消傳送
- DPlace a surgical mask on the client during transport✓ 正解在傳送期間給病人戴上外科口罩
肺結核屬於空氣傳播疾病。當病人需要離開負壓病房進行必要檢查時，控制傳染源（Source Control）是首要任務。讓病人配戴外科口罩即可有效濾除其呼出的大部分帶菌飛沫核。為什麼 A 是答案？因為病人戴外科口罩能保護走廊與放射科環境不被汙染。B（護理師戴 N95）雖然能保護護理師，但無法防止病菌散播到環境中；C 同理；D（取消傳送）不切實際，因為診斷性檢查往往是必要的。記住：病人戴外科口罩，人員進入病房才戴 N95。
TB is airborne. When a client must leave the negative-pressure room for a necessary procedure, source control is the priority. A surgical mask on the client effectively filters the droplet nuclei they exhale. This is why D is correct: the client's mask protects the environment from contamination. Option A (nurse wearing N95) protects the nurse but does not prevent environmental spread; option B is the same. Option C (canceling) is unrealistic because diagnostic testing is often essential. Remember: the client wears a surgical mask; staff wear N95 inside the room.
美國醫院對於結核病人傳送路徑有嚴格規劃（如專用電梯）；台灣多數醫院雖有規範，但因空間侷促，常需與一般民眾共用電梯，故『病人戴好口罩』的落實度更顯重要。