— 照護管理 · HARD · SATA —
護理師照護需採取空氣傳播隔離的傳染病病人,應執行哪些項目?(選所有適合的)
A nurse is managing a client with an infectious disease requiring airborne precautions. Which actions are required? (Select all that apply.)
- APlacement in a negative pressure airflow room✓ 正解安置於負壓氣流房間
- BWearing an N95 respirator mask upon entry✓ 正解進入時佩戴 N95 呼吸器口罩
- CPlacing a surgical mask on the client during transport✓ 正解病人轉運期間戴上外科口罩
- DRequiring visitors to wear goggles要求訪客佩戴護目鏡
- EUsing a dedicated stethoscope and blood pressure cuff使用專屬聽診器和血壓計袖帶
— Explanation · 中文詳解 —
空氣隔離(Airborne precautions)適用於結核病、麻疹、水痘。核心規範包括:負壓病室、N95 口罩、限制病人移動(若必須移動則需佩戴外科口罩)。護目鏡適用於飛沫傳染,非空氣傳染必備。專屬儀器適用於接觸隔離,非空氣隔離重點。
Airborne precautions require placing the client in a negative-pressure room to contain pathogens, wearing an N95 respirator upon entry, and masking the client during transport for source control. These measures specifically address the transmission of small particles found in diseases like tuberculosis or measles.
✦ 台美臨床差異
台灣與美國對於傳染病隔離標準(CDC Guidelines)幾乎完全接軌。