— 安全與感染控制 · EASY · MCQ —
護理師處理病人傷口敷料時，哪項動作符合標準防護措施？
Which of the following actions by the nurse correctly follows standard precautions when handling a client's wound dressing?
- AWearing a gown only if the wound is infected僅在傷口感染時穿著隔離衣
- BDouble-gloving during the procedure在操作期間雙層戴手套
- CWearing clean gloves during the dressing change✓ 正解在更換敷料時戴乾淨手套
- DUsing a mask for all wound assessments在所有傷口評估中使用口罩
— Explanation · 中文詳解 —
標準防護措施（Standard Precautions）適用於所有病患，旨在透過阻斷血液、體液、分泌物（汗液除外）、非完整皮膚及黏膜的接觸，預防感染擴散。處理傷口時，戴上乾淨手套即可提供足夠的屏障。若傷口敷料有大量滲出液風險，才需額外使用防護衣（Gown）或面罩，而非強制執行。臨床決策應基於風險評估（Risk Assessment），而非預設所有傷口皆需高階防護。
Standard precautions require the use of clean gloves during wound care to protect against exposure to blood and body fluids, as these barriers are sufficient for routine handling. Additional personal protective equipment, such as gowns or masks, is only indicated if there is a specific risk of splashing or excessive drainage, rather than being mandatory for all wound assessments.