— 安全與感染控制 · MEDIUM · MCQ —
護理師照顧一位需執行中性白血球減少症隔離的病人。下列哪項敘述顯示病人需要進一步衛教？
A nurse is caring for a patient requiring neutropenic precautions. Which client statement indicates a need for further education?
- AI will keep a vase of fresh flowers on my nightstand.✓ 正解我會把一瓶鮮花放在我的床頭櫃上。
- BI will make sure to peel all the fresh fruits I eat.我會確保把我吃的所有新鮮水果都削皮。
- CI will avoid being around people who have colds.我會避免靠近患有感冒的人。
- DI will make sure to wash my hands before eating.我會確保在進食前洗手。
— Explanation · 中文詳解 —
中性白血球減少症（Neutropenic precautions）病人免疫力極度低下，極易發生伺機性感染。鮮花的水中含有大量細菌與黴菌（如綠膿桿菌、麴菌），植物土壤也含有病原體。因此，這類病人嚴禁在病室內放置鮮花或盆栽。此外，必須禁止食用生食（如未去皮水果），避免接觸生病的人員。護理師需衛教病人與家屬，以維持嚴格的保護性隔離環境。
Fresh flowers and standing water can harbor pathogens such as Pseudomonas and mold, posing a severe infection risk to clients with neutropenia. Keeping fresh flowers in the room indicates a misunderstanding of neutropenic precautions, which require avoiding potential sources of infection.