— 安全與感染控制 · MEDIUM · SATA —
為防止交叉感染，護理師應如何分配病房？（選所有適合的）
Which of the following clients should the nurse prioritize for room placement to prevent cross-contamination? (Select all that apply.)
- APlace a client with varicella in a negative pressure room✓ 正解將水痘患者安置於負壓病房
- BCohort two clients with the same strain of MRSA✓ 正解將兩名患有相同菌株MRSA的患者集中安置
- CPlace a client with neutropenia in a private room✓ 正解將中性球低下患者安置於單人病房
- DKeep a client with active tuberculosis in a shared room with a non-infectious client將活動性結核病患者與非感染性患者安置於同一病房
- EPlace a client with RSV in the same room as a client with viral pneumonia將RSV患者與病毒性肺炎患者安置於同一病房
— Explanation · 中文詳解 —
感染控制原則要求針對傳染途徑進行分流。水痘需空氣隔離（負壓房）；MRSA 可同種病原體病房（Cohort）；免疫功能低下者（Neutropenia）需保護性隔離；結核病與 RSV 均不可與不同病原體者同住。
Room placement is dictated by transmission route. Varicella requires airborne precautions (negative-pressure room). Clients with the same pathogen and strain (e.g., same MRSA strain) can be cohorted. Neutropenic clients require protective isolation in a private room. Active TB must never share a room with a non-infectious client; RSV cases should not be roomed with other respiratory illnesses.
✦ 台美臨床差異
美國醫院單人房比例較高；台灣因病床緊缺，cohorting 策略更常被運用於健保房。