— 安全與感染控制 · MEDIUM · MCQ —
護理師照顧一位困難梭狀桿菌（C. difficile）感染病人。為了預防傳播，下列哪項護理措施是強制性的？
A nurse is caring for a client with Clostridioides difficile. Which nursing intervention is mandatory to prevent transmission?
- APerform hand hygiene using soap and water✓ 正解使用肥皂和水執行手部衛生
- BWear a gown only during invasive procedures僅在執行侵入性程序時穿著隔離衣
- CUse an alcohol-based hand sanitizer after patient care病患照護後使用酒精性乾洗手
- DMaintain the client on droplet precautions讓病人接受飛沫隔離措施
— Explanation · 中文詳解 —
困難梭狀桿菌（C. difficile）會產生芽孢（Spores），此種芽孢對酒精具有高度抗性，且酒精無法透過物理方式將其從皮膚表面去除。針對此類感染，必須執行接觸傳播預防措施（Contact Precautions），其中最關鍵的步驟是使用肥皂與清水洗手，利用流水與機械摩擦將芽孢沖洗掉，以避免交叉感染。
Because Clostridioides difficile spores are resistant to alcohol-based sanitizers, hand hygiene with soap and water is mandatory to physically remove the spores and prevent transmission.