— 安全與感染控制 · HARD · SATA —
為預防醫源性感染，護理師應優先考量哪位病人的安置？（選所有適合的）
Which of the following clients should the nurse prioritize for room placement to prevent healthcare-associated infections? (Select all that apply.)
- AA client with MRSA in a wound傷口有耐甲氧西林金黃色葡萄球菌（MRSA）的病人
- BA client with Clostridioides difficile infection✓ 正解患有艰难梭菌感染的病人
- CA client with a new diagnosis of neutropenia✓ 正解新診斷為中性白血球低下症的病人
- DA client recovering from a simple appendectomy單純闌尾切除術後恢復期的病人
- EA client with suspected influenza疑似罹患流行性感冒的病人
— Explanation · 中文詳解 —
C. difficile 需要接觸隔離，且具傳染性，建議單人房。中性白血球減少症（Neutropenia）病人免疫力極低，屬於保護性隔離（Protective environment），需優先保護其不被環境病原體感染。MRSA 和流感雖需隔離，但在病床資源有限時，優先級低於免疫低下者。
Clients with Clostridioides difficile require specialized contact precautions due to spore transmission, while those with neutropenia need protective isolation to prevent acquiring infections from the environment. Although MRSA and influenza require isolation, prioritizing these vulnerable populations helps prevent healthcare-associated infections when resources are limited.
✦ 台美臨床差異
美國醫院對於 C. diff 的環境消毒與單人房比例要求極嚴；台灣醫院因病房空間限制，常需依賴護理站分區管理。