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安全與感染控制 · HARD · SATA

護理師預備照護疑似活動性肺結核病人,護理計畫應包含下列哪些內容?(選所有適合的)

A nurse is preparing to care for a client with suspected active tuberculosis. Which of the following should be included in the care plan? (Select all that apply.)

  • APlace the client in a negative-pressure room✓ 正解
    將病人安置於負壓隔離病房
  • BWear an N95 respirator mask✓ 正解
    佩戴N95呼吸防護口罩
  • CImplement contact precautions
    實施接觸隔離措施
  • DEnsure the client wears a surgical mask during transport✓ 正解
    確保病人在轉送期間佩戴外科口罩
  • ELimit visitors to those wearing eye protection
    限制僅允許佩戴護目鏡的訪客進入
Explanation · 中文詳解

肺結核經空氣傳播,需執行空氣隔離。重點包括:負壓隔離室(Airborne IIR)、人員配戴 N95 口罩、病人離開病室需戴外科口罩。接觸隔離(C)不適用於結核病;護眼防護(E)並非預防空氣微粒的必要裝備,除非有噴濺風險。

Tuberculosis is transmitted by the airborne route and requires airborne isolation. Key measures include: placement in a negative-pressure isolation room (airborne infection isolation room), staff wearing an N95 respirator, and having the client wear a surgical mask when leaving the room. Contact precautions (C) are not indicated for TB; eye protection (E) is not required for airborne particle prevention unless there is a risk of splashes.

✦ 台美臨床差異

台灣針對肺結核隔離有嚴格的通報與空氣交換率規定,美國則強調護理師的密合度測試紀錄。

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