— 降低風險 · MEDIUM · SATA —
護理師照護一位嗜中性白血球減少症的病人，應採取哪些措施？（選所有適合的）
A nurse is caring for a client with neutropenia. Which of the following actions should the nurse implement? (Select all that apply.)
- ARestrict fresh flowers and potted plants✓ 正解限制鮮花和盆栽
- BEncourage consumption of fresh salads鼓勵食用新鮮沙拉
- CImplement strict hand hygiene protocols✓ 正解實施嚴格的手部衛生協議
- DPlace the client in a private room✓ 正解將病人安置於單人病房
- EScreen all visitors for infectious symptoms✓ 正解篩檢所有訪客是否有傳染症狀
— Explanation · 中文詳解 —
嗜中性白血球減少症病人免疫力極低，需採取保護性隔離。禁止鮮花與植栽是為了防範黴菌與細菌孢子。新鮮生菜沙拉因易夾帶病菌，應避免攝取。嚴格的手部衛生、單人房隔離以及訪客篩檢，均是防止外部感染源進入的重要措施。
To prevent infection in clients with neutropenia, the nurse should restrict fresh flowers and plants due to fungal spores, implement strict hand hygiene, place the client in a private room, and screen visitors for illness. Fresh salads should also be avoided as raw produce poses a high risk for bacterial contamination.
✦ 台美臨床差異
台灣癌症病房對嗜中性白血球減少症的保護性隔離標準化程度高，美國則視醫療機構政策，部分會要求佩戴特殊過濾口罩。