— 安全與感染控制 · HARD · SATA —
護理師照護中性球減少症病人,哪些行動是合適的?(選所有適合的)
A nurse is caring for a client with neutropenia. Which actions are appropriate? (Select all that apply.)
- AEncourage fresh flowers in the room鼓勵在房間內放置鮮花
- BPractice strict hand hygiene✓ 正解嚴格執行手部衛生
- CAvoid rectal thermometers✓ 正解避免使用直腸體溫計
- DLimit visitors who have respiratory symptoms✓ 正解限制患有呼吸道症狀的探視者
- EProvide a low-bacteria diet✓ 正解提供低菌飲食
— Explanation · 中文詳解 —
中性球減少症(Neutropenia)病人因白血球過低,免疫防禦能力喪失,極易發生伺機性感染。照護重點在於「保護性隔離」(Protective/Reverse Isolation)。護理師應嚴格執行手部衛生、提供低微生物飲食(避免生食)、避免侵入性檢查(如直腸測溫、灌腸、導尿管)以減少皮膚黏膜破損,並限制訪客以避免帶入病原體。
Clients with neutropenia require protective isolation to prevent opportunistic infections due to compromised immunity. Appropriate interventions include strict hand hygiene, limiting visitors with respiratory symptoms, providing a low-bacteria diet, and avoiding invasive procedures like rectal thermometry that could cause mucosal injury.