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安全與感染控制 · MEDIUM · MCQ

護理師照顧一位有發燒和咳嗽的病人,該病人 COVID-19 檢測呈陽性。護理師進入病房時應穿戴何種個人防護裝備(PPE)?

A nurse is caring for a client with a fever and cough. The client has tested positive for COVID-19. What type of personal protective equipment (PPE) should the nurse wear when entering the client's room?

  • ASurgical mask, gown, and gloves
    外科口罩、隔離衣和手套
  • BSurgical mask only
    僅外科口罩
  • CN95 respirator, gown, gloves, and eye protection✓ 正解
    N95呼吸器、隔離衣、手套和護目鏡
  • DGown and gloves only
    僅隔離衣和手套
Explanation · 中文詳解

COVID-19 是一種由 SARS-CoV-2 病毒引起的高度傳染性疾病,主要透過呼吸道飛沫和氣溶膠(aerosols)傳播,也可透過接觸傳播。因此,當護理師進入確診 COVID-19 病人的隔離病房時,必須採取最高等級的個人防護措施,以保護自己和防止病毒擴散。正確答案 C 包含了 N95 呼吸器(N95 respirator)、隔離衣(gown)、手套(gloves)和眼部防護(eye protection,如護目鏡或面罩)。N95 呼吸器提供針對空氣傳播微粒的最高防護;隔離衣和手套可防止接觸傳播;眼部防護則可防止飛沫或氣溶膠濺入眼睛。其他選項防護等級不足以應對 COVID-19 的傳播風險。

COVID-19 is a highly contagious disease caused by the SARS-CoV-2 virus that is transmitted primarily through respiratory droplets and aerosols, and can also spread via contact. Therefore, when a nurse enters the isolation room of a patient with confirmed COVID-19, the highest level of personal protective equipment must be used to protect oneself and to prevent the spread of the virus. The correct answer C includes an N95 respirator, a gown, gloves, and eye protection (such as goggles or a face shield). The N95 respirator provides the highest level of protection against airborne particles; the gown and gloves prevent contact transmission; and eye protection prevents droplets or aerosols from entering the eyes. The other options do not provide a level of protection adequate to the transmission risks of COVID-19.

✦ 台美臨床差異

無顯著差異。COVID-19 的個人防護裝備(PPE)使用指引,包括 N95 呼吸器的必要性,在全球醫療機構間是一致的,均遵循世界衛生組織(WHO)及各國疾管中心的建議。台灣的醫療體系也同樣要求在照顧 COVID-19 病人時,使用最高等級的防護措施。

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