一位單位護理長正在繁忙的內外科病房中管理病患的病房分配。下列哪兩名病患可以安全地被分配到同一間雙人半隱私病房中，而不會違反感染控制或照護管理原則？（多選題）
A charge nurse is managing client room assignments on a busy medical-surgical unit. Which two clients can safely share a semi-private room without violating infection control or care management principles? (Select all that apply.)
- AA client with an active Clostridium difficile (C. diff) infection.患有活動性艰难梭菌（C. diff）感染的病人
- BA client with full-thickness burns covering 30% of body surface area.體表面積30%全層燒傷的病人
- CA client with deep vein thrombosis (DVT) receiving a continuous Heparin infusion.✓ 正解接受持續肝素輸注治療深層靜脈血栓（DVT）的病人
- DA client diagnosed with bacterial meningitis.診斷為細菌性腦膜炎的病人
- EA client recovering from an uncomplicated appendectomy with no isolation precautions.✓ 正解無併發症且無需隔離措施的闌尾切除術後恢復期病人
本題測驗病房分配原則 (Room Assignments)。在分配雙人房時,核心考量是「避免交叉感染」與「保護免疫力低下的病患」。選項 C (深層靜脈血栓 DVT) 屬於凝血系統問題,不具傳染性。選項 E (闌尾切除術後穩定) 為乾淨外科傷口,無活動性感染。這兩位病患可同住一間半隱私病房。其他選項皆需單人房:選項 A (C. diff) 經糞口傳播,需接觸隔離與專屬衛浴;選項 B (30% 全層燒傷) 皮膚屏障已受損,免疫力低下,應安置於正壓單人房保護;選項 D (細菌性腦膜炎) 經飛沫傳播,需單人房並執行飛沫隔離至少 24 小時。
Clients with deep vein thrombosis and those recovering from an uncomplicated appendectomy can safely share a room because neither condition involves a communicable pathogen or requires isolation. In contrast, clients with C. difficile, extensive burns, or bacterial meningitis require private rooms due to contact, protective, or droplet precautions needed to prevent cross-contamination or protect vulnerable immune states.
病房分配 (Room Cohorting) 是管理學經典：把最乾淨的「非感染內科 (如高血壓、血栓)」跟「乾淨外科 (如骨折、無併發症切除)」放在一起。任何拉肚子、肺結核、化療燒傷病患一律禁止共房，台美完全一致。