— 降低風險 · MEDIUM · SATA —
護理師為一名有嗜中性白血球減少症病史的病人規劃護理計畫，應包含哪些內容？（選所有適合的）
A nurse is planning care for a client with a history of neutropenia. Which of the following should be included in the care plan? (Select all that apply.)
- APerform hand hygiene before entering the room✓ 正解進入房間前執行手部衛生
- BEnsure the client consumes only cooked vegetables✓ 正解確保病人僅食用煮熟蔬菜
- CRestrict visitors who have signs of illness✓ 正解限制有生病徵兆的探視者進入
- DAdminister aspirin for temperatures above 38°C體溫超過 38°C 時給予阿斯匹靈
- EPlace a sign on the door reminding staff of neutropenic precautions✓ 正解在門上張貼標示提醒人員注意嗜中性白血球減少症防護措施
— Explanation · 中文詳解 —
嗜中性白血球減少症（Neutropenia）病人抵抗力極低，護理目標在於杜絕外源性感染。重點包含嚴格洗手、避免生食（可能帶細菌）、過濾訪客，並透過告示提醒醫護人員執行預防措施。注意不可給予阿斯匹靈，以免增加出血風險或掩蓋發燒跡象。
Clients with neutropenia have severely compromised immunity, making infection prevention the primary nursing goal. Care plans should include strict hand hygiene, restricting visitors with signs of illness, and ensuring the consumption of only cooked foods to avoid bacterial exposure. Signage helps reinforce these precautions for all staff.
✦ 台美臨床差異
美國常使用「保護性隔離（Protective Isolation）」，台灣臨床則較常稱呼為「逆向隔離」。