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安全與感染控制 · HARD · SATA

護理師照護一位中性白血球減少症(Neutropenia)的病人,應執行哪些預防措施?(選所有適合的)

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

  • ARestrict fresh fruits and vegetables✓ 正解
    限制新鮮水果與蔬菜
  • BEnsure staff perform strict hand hygiene✓ 正解
    確保工作人員執行嚴格手部衛生
  • CAllow fresh flowers in the room
    允許房間內擺放鮮花
  • DEncourage the client to use a soft-bristle toothbrush✓ 正解
    鼓勵病人使用軟毛牙刷
  • EPlace the client in a positive pressure room✓ 正解
    將病人安置於正壓病房
Explanation · 中文詳解

中性白血球低下者需採取保護性隔離(Reverse Isolation)。A、E 正確:限制生食避免細菌感染,使用正壓病房防止外界細菌進入。B 正確:手部衛生是最有效的保護。D 正確:軟毛牙刷防止牙齦出血造成感染入口。C 錯誤:花瓶水與土壤是綠膿桿菌等病原體的溫床,禁止放入房內。

Clients with neutropenia require protective (reverse) isolation. A and E are correct: restricting raw foods limits bacterial exposure, and a positive-pressure room keeps outside pathogens out. B is correct: hand hygiene is the most effective protection. D is correct: a soft-bristle toothbrush prevents gingival bleeding that could serve as a portal of entry. C is incorrect: vase water and soil are breeding grounds for pathogens such as Pseudomonas, and fresh flowers must not be allowed in the room.

✦ 台美臨床差異

美台對於癌症病房的保護性隔離標準一致,但美國對於 HEPA 過濾系統的使用要求更為廣泛。

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