— 生理適應 · HARD · SATA —
針對接受體內放射治療的病患，下列哪些護理措施是正確的？（選所有適合的）
Which of the following nursing interventions is appropriate for a client with internal radiation therapy? (Select all that apply.)
- AMaintain a distance of at least 6 feet from the client與病人保持至少 6 呎的距離
- BAssign the client to a private room✓ 正解將病人安置於單人病房
- CLimit visitors to 30 minutes per day✓ 正解將訪客時間限制為每天 30 分鐘
- DWear a lead apron while providing direct care提供直接照護時穿著鉛衣
- EPlace a sign on the door regarding radiation precautions✓ 正解在門上張貼輻射防護標誌
— Explanation · 中文詳解 —
體內放療（密封源）需執行輻射防護原則：空間隔離（單人房）、距離與時間控制。訪客時間限制在 30 分鐘內且需保持距離。選項 A 錯誤，在護理過程中完全保持 6 英呎不切實際；選項 D 錯誤，鉛裙無法阻擋體內放射線，護理師應使用劑量計並限制暴露時間而非穿鉛裙。
Clients receiving internal radiation therapy should be assigned to a private room to limit radiation exposure to others. Visitor time should be restricted to minimize cumulative exposure, and signage must be posted to alert staff of precautions. Lead aprons are generally ineffective for internal sources, and maintaining a six-foot distance during direct care is impractical.
✦ 台美臨床差異
台美皆嚴格執行輻射防護，台灣對於陪病者規範可能較為寬鬆，需特別加強衛教。