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降低風險 · MEDIUM · SATA

一位接受內部放射治療(近接治療)的病人,哪些安全預防措施是適當的?(選所有適合的)

A nurse is caring for a client with internal radiation therapy (brachytherapy). Which safety precautions are appropriate? (Select all that apply.)

  • ALimit time spent with the client✓ 正解
    限制與病人相處的時間
  • BMaintain a distance of at least 6 feet from the source✓ 正解
    與放射源保持至少 6 英尺的距離
  • CWear a dosimeter badge when in the client's room✓ 正解
    進入病人房間時佩戴劑量計徽章
  • DAllow pregnant staff to provide direct care
    允許懷孕員工提供直接照護
  • EKeep the lead-lined container in the room for emergencies✓ 正解
    在房間內備置鉛襯容器以應急
Explanation · 中文詳解

近接治療(Brachytherapy)的安全護理需嚴格遵循放射防護三大原則:限制時間(Time)、保持距離(Distance)、增加屏蔽(Shielding)。護理師應縮短停留時間,距離放射源越遠輻射強度越弱,並配戴監測劑量的胸章(Dosimeter badge)以確保自身安全。若放射源意外脫落,需使用長鑷子夾取並放入鉛罐中。

Safe care for clients receiving brachytherapy requires strict adherence to the three principles of radiation protection: limiting time, maintaining distance, and increasing shielding. The nurse should shorten the time spent with the client; the greater the distance from the radiation source, the lower the radiation intensity. A dosimeter badge should be worn to ensure personal safety. If the radiation source accidentally becomes dislodged, it must be retrieved using long forceps and placed in a lead-lined container.

✦ 台美臨床差異

美國醫療機構會為接觸放射線的護理師配戴個人劑量監測儀(Dosimeter),並有專門的 Radiation Safety Officer(RSO)負責監管。

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