— 降低風險 · MEDIUM · MCQ —
護理師為一位嗜中性白血球減少並發燒的病人擬定護理計畫，下列何者為首要行動？
A nurse is planning care for a client with a neutropenic fever. Which action is the priority?
- ARestrict fresh flowers and fruit限制鮮花與水果
- BInitiate broad-spectrum antibiotics開始給予廣效型抗生素
- CPlace the client in a private room將病人安置於單人病房
- DObtain blood cultures✓ 正解採集血液培養
— Explanation · 中文詳解 —
嗜中性白血球減少症（Neutropenia）併發發燒是腫瘤科急症（Oncologic Emergency）。在施打抗生素前，必須先留取血液培養（Blood culture），以確認致病菌種，確保後續抗生素治療精確有效。若先施打抗生素，會導致培養結果陰性，延誤治療。隨後再進行抗生素給予、隔離與感染源阻斷。
Neutropenia with fever is an oncologic emergency. Before administering antibiotics, blood cultures must be obtained in order to identify the causative pathogen and ensure that subsequent antibiotic therapy is accurate and effective. If antibiotics are given first, cultures may yield false-negative results and delay appropriate treatment. After cultures are obtained, antibiotic therapy, isolation, and source control can follow.