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安全與感染控制 · MEDIUM · SATA

病房滿載時,護理師應優先將下列哪些病人安排在單人隔離病房?(選所有適合的)

Which of the following clients should the nurse prioritize for room placement in a high-occupancy ward? (Select all that apply.)

  • AClient with active pulmonary tuberculosis✓ 正解
    活動性肺結核病人
  • BClient with a diagnosed influenza infection
    確診流感感染的病人
  • CClient with a draining wound infected with MRSA✓ 正解
    有 MRSA 感染引流傷口的病人
  • DClient with acute diarrhea and suspected C. difficile✓ 正解
    急性腹瀉且懷疑有 C. difficile 感染的病人
  • EClient with a recent surgical wound with no infection
    近期無感染的手術傷口病人
Explanation · 中文詳解

在高佔床率的病房中,護理師必須根據感染控制傳播途徑進行病室安排(Room Placement)。空氣傳播(Airborne)的肺結核需要負壓隔離病房;接觸傳播(Contact)的 MRSA 傷口感染與 C. difficile 腸道感染,若無法做到同類隔離(Cohorting),則應優先安排單人房以阻斷傳播。流感(Influenza)主要經由飛沫傳播,標準做法是同類隔離,非單人房之絕對首選。

On a unit with high occupancy, the nurse must assign rooms based on routes of infection transmission. Airborne pathogens such as those causing pulmonary tuberculosis require a negative-pressure isolation room; contact-transmissible MRSA wound infections and C. difficile intestinal infections, if cohorting is not possible, should be placed preferentially in single rooms to interrupt transmission. Influenza is primarily droplet-transmitted, for which cohorting is the standard practice; a single room is not the absolute first choice.

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