— 基本照護與舒適 · EASY · MCQ —
護理師照護一位 MRSA 病人，下列哪項措施符合接觸隔離（Contact Precautions）原則？
Which action demonstrates the nurse is correctly following contact precautions for a client with MRSA?
- APlacing the client in a room with negative air pressure將個案安置於負壓病房
- BWearing a gown and gloves when entering the client's room✓ 正解進入個案房間時穿著隔離衣與手套
- CUsing a N95 respirator mask before entering the room進入房間前使用 N95 呼吸防護面具
- DRestricting all visitors from entering the room禁止所有訪客進入房間
— Explanation · 中文詳解 —
接觸隔離（Contact Precautions）適用於多重抗藥性細菌（如 MRSA）。主要措施包括穿戴隔離衣與手套，以防止透過直接或間接接觸傳播。N95 與負壓病房是用於空氣傳播（如結核病）；限制訪客並非隔離的絕對標準，隔離目的在於阻斷接觸路徑。
Correctly following contact precautions for a client with MRSA involves wearing a gown and gloves upon entering the room to prevent transmission via direct or indirect contact. Negative pressure rooms and N95 respirators are reserved for airborne precautions, such as tuberculosis. Visitors may enter the room if they adhere to proper hand hygiene and use appropriate personal protective equipment.
✦ 台美臨床差異
台灣醫院對 MRSA 的隔離層級通常較為嚴謹，美國部分醫院對於無感染症狀的帶原者，隔離強度較為彈性。