— 安全與感染控制 · HARD · SATA —
病人白血球計數過低(白血球減少症),護理師的照護計畫應包含哪些?(選所有適合的)
A client has a low white blood cell count. What should the nurse include in the care plan? (Select all that apply.)
- AAvoid fresh flowers in the room✓ 正解避免房間內擺放鮮花
- BMonitor temperature every 4 hours✓ 正解每4小時監測體溫
- CRestrict visitors with signs of infection✓ 正解限制有感染症狀的探視者
- DPerform frequent mouth care✓ 正解經常進行口腔護理
- EAdvise against raw fruits and vegetables✓ 正解建議避免食用生水果和蔬菜
— Explanation · 中文詳解 —
白血球低下(Neutropenia)病人處於高度免疫抑制狀態,屬於「防護性隔離(Protective Isolation/Reverse Isolation)」。照護重點在於阻絕外來病原,包括避免接觸帶有黴菌的物品、篩檢來訪者健康狀況、嚴格執行手部衛生以及監測感染指標(發燒)。口腔護理則是為了減少口腔內菌叢,預防黏膜破損導致的系統性感染。
Clients with low white blood cell counts are immunocompromised and require protective isolation measures to prevent infection, including avoiding fresh flowers, monitoring for fever, restricting sick visitors, performing frequent mouth care, and avoiding raw fruits and vegetables. These interventions minimize exposure to pathogens and reduce the risk of systemic infection from compromised mucosal barriers.