— 照護管理 · MEDIUM · SATA —
護理師準備收治一名疑似肺結核（TB）的病人，應執行哪些預防措施？（選所有適合的）
A nurse is preparing to admit a client who has a suspected diagnosis of tuberculosis (TB). Which precautions should the nurse implement? (Select all that apply.)
- APlace the client in a private room with negative air pressure✓ 正解將病人安置於負壓隔離的私人病房
- BEnsure the nurse wears a surgical mask when entering the room確保護理師進入病房時佩戴外科口罩
- CRequire the client to wear a surgical mask during transport✓ 正解要求病人在轉運期間佩戴外科口罩
- DKeep the door closed at all times✓ 正解保持門關閉
- EEnsure the nurse wears an N95 respirator when entering the room✓ 正解確保護理師進入病房時佩戴 N95 呼吸器
— Explanation · 中文詳解 —
肺結核屬於空氣傳染（Airborne Precautions），需使用負壓隔離室。照護人員進入室內時必須佩戴 N95 口罩，以過濾微小飛沫核，而非一般外科口罩。病人在轉運時必須佩戴外科口罩防止散播。房門須隨時關閉維持負壓。
Tuberculosis requires airborne precautions. The client is placed in a private room with negative air pressure, the door kept closed at all times to maintain the pressure gradient. Staff must wear a fit-tested N95 respirator (not a standard surgical mask, which cannot filter droplet nuclei) when entering. During transport the client wears a surgical mask to contain respiratory secretions.
✦ 台美臨床差異
美台對於 TB 隔離的標準一致，但在硬體設施與防護具落實度上，台灣醫院常因空間限制而有額外防疫動線規劃。