— 安全與感染控制 · MEDIUM · SATA —
護理師照護一位艱難梭菌（C. difficile）感染的病人，應執行哪些護理措施？（選所有適合的）
A nurse is caring for a client with Clostridium difficile. Which practices should the nurse implement? (Select all that apply.)
- APerform hand hygiene using alcohol-based hand sanitizer使用含酒精的免沖洗洗手液進行手部衛生
- BUse soap and water for hand hygiene✓ 正解使用肥皂和水進行手部衛生
- CWear a gown and gloves when entering the room✓ 正解進入房間時穿戴隔離衣和手套
- DPlace the client in a negative pressure room將病人安置於負壓隔離病房
- EUse dedicated medical equipment for the client✓ 正解為該病人使用專屬醫療器材
— Explanation · 中文詳解 —
艱難梭菌會產生孢子，酒精無法殺死，故手部衛生必須使用肥皂及清水洗手。此菌需採取接觸隔離（Contact Precautions），進入房間需穿戴隔離衣與手套，並使用專屬儀器（如血壓計、聽診器），以防傳播。
Clostridium difficile spores are resistant to alcohol-based sanitizers, so hand hygiene must be performed with soap and water to physically remove them. Contact precautions are required, necessitating the use of a gown and gloves upon room entry and dedicated patient-care equipment to prevent cross-contamination.
✦ 台美臨床差異
台灣醫院在接觸隔離時執行更嚴格的訪客管制，美國則較依賴 PPE 的落實。