— 照護管理 · MEDIUM · MCQ —
護理師監督新手護理師執行傷口護理，哪項動作需要立即介入？
A nurse is supervising a newly licensed nurse performing wound care. Which action by the new nurse requires intervention?
- AWashing hands before putting on clean gloves戴乾淨手套前洗手
- BCleaning the wound from the center outward由傷口中心向外側清潔
- CRemoving the old dressing with sterile gloves✓ 正解使用無菌手套移除舊敷料
- DApplying the new dressing using sterile technique使用無菌技術貼上新敷料
— Explanation · 中文詳解 —
傷口護理必須嚴格遵守無菌技術（Sterile technique）。移除舊敷料屬於「髒」的步驟，因為敷料上沾染了滲出液與細菌，應使用乾淨手套（Clean gloves）進行。若使用無菌手套處理髒敷料，會造成無菌手套污染，無法再進行後續的無菌清潔傷口或重新包紮。新手護理師若此步驟錯誤，需立即進行糾正以確保傷口不被交叉感染。
Removing a soiled dressing is a clean procedure, not a sterile one, because the old dressing is considered contaminated. Using sterile gloves to remove a dirty dressing contaminates the gloves, rendering them unusable for subsequent sterile wound cleaning and dressing application. The nurse must intervene to ensure the new nurse uses clean gloves for this step to maintain proper infection control protocols.