— 安全與感染控制 · HARD · SATA —
一位結核病病人入院,下列哪些護理措施是適當的?(選所有適合的)
A client with tuberculosis is admitted. Which nursing interventions are appropriate for this client? (Select all that apply.)
- APlace the client in a negative-pressure airflow room✓ 正解將病人安置於負壓氣流病房
- BEnsure the client wears a surgical mask during transport✓ 正解確保病人運送期間佩戴外科口罩
- CThe nurse should wear an N95 respirator when entering the room✓ 正解護理師進入病房時應佩戴 N95 呼吸器
- DMaintain contact precautions at all times始終維持接觸隔離措施
- ELimit visitors to those wearing medical-grade masks限制探視者須佩戴醫療級口罩
— Explanation · 中文詳解 —
結核病(TB)透過空氣傳播,必須採取空氣防護(Airborne precautions)。需要負壓隔離室、醫護人員進入需佩戴 N95 口罩、病人離開房間檢查時需佩戴外科口罩。接觸防護並非 TB 的主要措施。
Tuberculosis is transmitted via airborne precautions, requiring placement in a negative-pressure isolation room to prevent pathogen spread. Healthcare providers must wear N95 respirators when entering the room, and the client should wear a surgical mask during transport to contain droplets.
✦ 台美臨床差異
美國醫院對於空氣隔離室(AIIR)的監控非常嚴格,台灣亦遵循相同感控原則,但病室資源分配與管理細節略有不同。