— 安全與感染控制 · MEDIUM · MCQ —
護理師準備照護一位活動性帶狀皰疹（Shingles）病人，應考慮什麼？
A nurse is preparing to care for a client with active shingles. What must the nurse consider?
- AThe client needs airborne precautions病人需要空氣隔離
- BStaff with a history of chickenpox are safe to care for the client✓ 正解曾有水痘病史的工作人員可安全照護病人
- CThe client needs contact precautions病人需要接觸隔離
- DOnly N95 respirators are effective僅 N95 呼吸器有效
— Explanation · 中文詳解 —
帶狀皰疹（水痘病毒復活）對於有水痘免疫力（接種過疫苗或得過水痘）的人員來說風險較低。但對於免疫低下者或未受過免疫者，需採取空氣加接觸隔離。C 是關鍵：若人員有免疫力，則可降低感染風險。A、C 應同時執行。
Clients with active shingles require contact and airborne precautions if lesions are disseminated or if the patient is immunocompromised. However, healthcare staff with immunity to varicella-zoster virus from prior infection or vaccination are at low risk and can safely provide care.
✦ 台美臨床差異
美台對於帶狀皰疹的照護規範一致，重點均放在隔離病房的空氣與接觸防護。