— 安全與感染控制 · MEDIUM · MCQ —
護理師教導確診困難梭菌（C. diff）感染的病人應採取預防措施，病人的哪項陳述表示理解？
A nurse is educating a client diagnosed with Clostridium difficile (C. diff) infection about necessary precautions. Which statement by the client indicates understanding?
- AMy visitors should wear gloves and gowns upon entering my room.✓ 正解我的訪客進入我的房間時應戴手套和穿隔離衣
- BI will use separate eating utensils and not share them with others.我會使用單獨的餐具，不與他人共用
- CI should wash my hands with hand sanitizer after using the restroom.我應該在使用廁所後使用手部消毒劑洗手
- DI can continue my usual activities outside the room as long as I feel well.只要我覺得好，我可以繼續在房間外進行日常活動
— Explanation · 中文詳解 —
困難梭菌（Clostridium difficile, C. diff）是一種易透過接觸傳播的細菌，常引起嚴重的腹瀉和結腸炎。其傳播主要依賴於糞便-手-口途徑。因此，對 C. diff 病人的隔離措施至關重要，包括標準防護措施加上接觸隔離（contact precautions）。接觸隔離要求所有進入病房的人員（包括訪客和醫護人員）必須穿戴手套和隔離衣，並在離開病房時徹底清潔雙手（用肥皂和水，酒精無法有效殺滅 C. diff 孢子）。病人應盡量待在隔離病房，並避免共用個人物品。病人感覺良好不代表已無傳染力，仍需遵循隔離措施。
Understanding contact precautions for Clostridium difficile includes recognizing that visitors must wear gloves and gowns to prevent spore transmission. Additionally, clients must wash hands with soap and water, as alcohol-based sanitizers are ineffective against C. diff spores.