— 照護管理 · MEDIUM · SATA —
護理師為嗜中性白血球減少症(neutropenia)病人提供衛教,下列哪些正確?(選所有適合的)
A nurse is caring for a client with neutropenia. Which of the following instructions should the nurse provide to the client and family? (Select all that apply.)
- AAvoid fresh flowers and potted plants✓ 正解避免鮮花和盆栽植物
- BPerform thorough hand hygiene frequently✓ 正解經常徹底執行手部衛生
- CEat only well-cooked meats and vegetables✓ 正解只食用完全煮熟的肉類和蔬菜
- DWear a mask when leaving the room✓ 正解離開房間時佩戴口罩
- EUse an electric razor instead of a manual one使用電動刮鬍刀代替手動刮鬍刀
— Explanation · 中文詳解 —
嗜中性白血球減少症病人極易受到伺機性感染。花卉與盆栽土壤含細菌黴菌應避免,需落實洗手與防護;進食需高溫滅菌(全熟);外出需佩戴口罩(保護隔離)。E 選項針對血小板低下(預防出血),非嗜中性白血球低下的主要預防內容。
Clients with neutropenia are at high risk for opportunistic infections, so avoiding sources like fresh flowers and potted plants is essential. Strict hand hygiene, consuming only well-cooked foods, and wearing masks help minimize exposure to pathogens. Using an electric razor is primarily indicated for thrombocytopenia to prevent bleeding, not neutropenia.
✦ 台美臨床差異
兩地感染控制指引趨勢一致,美國對生食限制(Neutropenic diet)近期有放寬趨勢,但住院期間仍建議謹慎。