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
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。