— 降低風險 · HARD · SATA —
護理師在照護接受近接放射治療（腔內放療）的病人時，應採取哪些措施？（選所有適合的）
Which actions should the nurse perform when caring for a client receiving internal radiation therapy (brachytherapy)? (Select all that apply.)
- AKeep a lead container in the room✓ 正解在房間內放置鉛容器
- BLimit staff time in the room to 30 minutes per shift將每班次人員在房間內的時間限制為 30 分鐘
- CWear a dosimeter film badge at all times✓ 正解隨時佩戴個人輻射偵測胸章
- DAssign the client to a private room✓ 正解將病人安置於單人病房
- EAllow family members to visit for 2 hours daily允許家屬每日探視 2 小時
— Explanation · 中文詳解 —
腔內放療涉及放射性物質置入體內，護理原則為時間、距離、屏蔽。應備有鉛盒以便發生脫落時處置，護理師需穿戴劑量偵測胸章紀錄曝露量，且必須安排單人病房保護他人。限制探視時間是正確的，但 B 選項對於人員時間限制設定過於僵化，通常遵循 ALARA 原則，且 E 選項 2 小時太長，不符合輻射防護原則。
The nurse must assign the client to a private room to limit radiation exposure to others and wear a dosimeter badge to monitor cumulative radiation safety. A lead container and forceps must remain in the room to safely handle any dislodged radioactive sources. Staff time is managed through rotation rather than a fixed 30-minute limit, and family visits are strictly limited to minimize exposure.
✦ 台美臨床差異
台灣醫院對輻射安全要求極嚴，通常設有放射專科護理師協助監控，美國則多由病房護理師負責。