— 降低風險 · MEDIUM · MCQ —
護理師照護嗜中性白血球減少的病人。哪個發現需要立即通知醫師？
A nurse is caring for a client with neutropenia. Which assessment finding requires immediate notification to the physician?
- ADry skin on hands手部皮膚乾燥
- BWhite blood cell count of 3,000/mm³白血球計數為 3,000/mm³
- CTemperature of 100.8°F (38.2°C)✓ 正解體溫 100.8°F (38.2°C)
- DMild fatigue輕度疲倦
— Explanation · 中文詳解 —
嗜中性白血球減少（Neutropenia）的病人因缺乏足夠的白血球來抵禦感染，一旦出現發炎反應（如發燒），病情進展極為迅速，可能在數小時內惡化為敗血症（Sepsis）。在腫瘤護理中，發燒被視為「腫瘤急症（Oncologic emergency）」，需立即採取行動，即便體溫僅 38.0°C 或 38.2°C。
Fever is considered a medical emergency in clients with neutropenia because the lack of white blood cells prevents typical signs of infection, allowing sepsis to develop rapidly. Even a mild temperature elevation above 38.0°C requires immediate intervention to prevent life-threatening complications.