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降低風險 · MEDIUM · SATA

護理師照顧一位嗜中性白血球減少症(neutropenia)的病人,下列哪些護理措施是必要的?(選所有適合的)

A nurse is caring for a client with neutropenia. Which nursing interventions should be implemented? (Select all that apply.)

  • AEncourage intake of fresh fruits and vegetables
    鼓勵攝取新鮮水果和蔬菜
  • BRestrict visitors with signs of infection✓ 正解
    限制帶有感染徵兆的探視者
  • CPlace the client in a private room✓ 正解
    將病人安置於單人病房
  • DPerform frequent hand hygiene✓ 正解
    頻繁執行手部衛生
  • EAvoid invasive procedures such as rectal temperatures✓ 正解
    避免侵入性程序,如測量肛溫
Explanation · 中文詳解

嗜中性白血球減少症病人免疫力極低,保護性隔離至關重要。應嚴格執行手部衛生、提供單人房、限制訪客帶入病菌、禁止侵入性測溫(避免黏膜損傷引起感染)。A 選項錯誤:新鮮蔬果含有細菌黴菌,應改為高溫烹煮過的食物。

Patients with neutropenia have severely compromised immunity, making protective isolation crucial. Strict hand hygiene must be enforced, a private room should be provided, visitors with signs of infection should be restricted, and invasive temperature measurements should be avoided (to prevent infection from mucosal injury). Option A is incorrect: fresh fruits and vegetables harbor bacteria and molds and should be replaced with foods that have been thoroughly cooked at high temperatures.

✦ 台美臨床差異

美國醫院針對 Neutropenic Precautions 的 Protocol 較為嚴格,常備有特殊過濾 air-flow 病房;台灣則視醫院等級與資源而定。

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