— 照護管理 · MEDIUM · MCQ —
當照顧疑似需要接觸隔離（contact precautions）的感染性疾病病人時，護理師應優先採取下列哪項措施？
Which of the following interventions should the nurse prioritize when managing a client with a suspected infectious disease requiring contact precautions?
- AEnsuring the client is placed in a private room or cohorts with similar infections✓ 正解確保病人安置於單人房或與類似感染之病人群組隔離
- BWearing an N95 respirator before entering the room進入房間前佩戴 N95 呼吸器
- CLimiting the client's fluid intake to prevent spread限制病人水分攝取以防止傳播
- DPlacing the client in a negative-pressure room將病人安置於負壓隔離室
— Explanation · 中文詳解 —
接觸隔離旨在防止透過直接或間接接觸傳播的病原體。隔離措施的首要步驟是確保隔離環境，即將病人安置於單人房或與同樣感染源的病人同住（Cohorting）。負壓隔離室為空氣傳播隔離需求，N95 為飛沫或空氣隔離需求。
Contact precautions aim to prevent transmission via direct or indirect contact, making placement in a private room or cohorting with similarly infected patients the primary intervention. Negative-pressure rooms and N95 respirators are reserved for airborne precautions, while fluid restriction does not impact infection transmission. Ensuring appropriate isolation environment is the first priority in managing contact precautions.
✦ 台美臨床差異
美台醫院對於隔離標誌與 PPE 使用規範基本一致，均依據 CDC 標準執行。