— 安全與感染控制 · HARD · MCQ —
一位病人懷疑罹患腦膜炎。護理師的優先處置為何？
A client is diagnosed with suspected meningitis. What is the priority nursing action?
- AAdminister pain medication給予止痛藥物
- BInitiate droplet precautions✓ 正解實施飛沫隔離措施
- CPrepare for a lumbar puncture準備進行腰椎穿刺
- DObtain a neurological assessment進行神經學評估
— Explanation · 中文詳解 —
腦膜炎（尤其是細菌性）具有高傳染性與高致死率。在診斷確認前，基於病原體透過呼吸道飛沫傳播的特性，優先執行飛沫隔離是為了保護周遭環境與工作人員，屬於安全防護的第一優先級（Infection Control）。
Droplet precautions must be initiated immediately for suspected bacterial meningitis because it is highly contagious via respiratory droplets and poses a significant public health risk. While diagnostic procedures and symptom management are important, preventing the spread of infection to staff and other clients takes priority until the causative agent is identified.
✦ 台美臨床差異
兩地皆遵循感染管制規範，但美國急診室對於疑似個案的隔離反應時間有嚴格的品質指標追蹤。