— 安全與感染控制 · MEDIUM · SATA —
下列哪些病人應優先安排入住隔離病房？（選所有適合的）
Which of the following clients should the nurse prioritize for placement in an isolation room? (Select all that apply.)
- AClient with active Tuberculosis✓ 正解活動性結核病病人
- BClient with Clostridium difficile diarrhea✓ 正解具梭狀芽孢桿菌腹瀉的病人
- CClient with Influenza symptoms具流感症狀的病人
- DClient with Varicella (chickenpox)✓ 正解水痘（Chickenpox）病人
- EClient with MRSA wound colonizationMRSA傷口帶菌者
— Explanation · 中文詳解 —
需隔離病房的指標通常針對空氣或嚴重接觸傳播疾病。A（結核病）需負壓隔離；D（水痘）需空氣加接觸隔離；B（偽膜性腸炎）需嚴格接觸隔離。C（流感）通常採飛沫防護，非必要時可分流；E（MRSA）在單位內可執行接觸防護，不一定要獨立隔離房。
Clients with active tuberculosis, varicella, and Clostridium difficile require strict isolation precautions due to their high transmission risks. Tuberculosis and varicella necessitate airborne precautions, while C. difficile requires contact precautions, often warranting a private room. Influenza typically allows for cohorting under droplet precautions, and MRSA colonization may be managed with standard contact precautions without a private room.
✦ 台美臨床差異
美國醫院隔離病房比例較高；台灣醫院常因床位緊繃，常以病室內分區隔離代替。