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降低風險 · MEDIUM · SATA

護理師檢視中性白血球低下病人的照護計畫,應包含哪些護理措施?(選所有適合的)

A nurse is reviewing the plan of care for a client with neutropenia. Which nursing interventions should be included? (Select all that apply.)

  • AImplement strict handwashing protocols✓ 正解
    實施嚴格的手部衛生協議
  • BAdvise the client to avoid gardening✓ 正解
    建議病人避免園藝活動
  • CMonitor temperature every 4 hours✓ 正解
    每4小時監測體溫
  • DAllow the client to visit the hospital cafeteria
    允許病人探視醫院餐廳
  • EEnsure all staff wear masks when entering the room✓ 正解
    確保所有人員進入病房時佩戴口罩
Explanation · 中文詳解

中性白血球低下(Neutropenia)病人缺乏足夠的免疫防禦,任何輕微的感染都可能迅速惡化為敗血症。護理照護重點包括嚴格的手部衛生、每日監控體溫(發燒是感染的首要臨床跡象)、避免接觸病原體(如園藝土壤中的黴菌與細菌)、以及執行保護性隔離(如要求訪客與醫護人員戴口罩),以最大程度降低環境微生物對病人的威脅。

Clients with neutropenia require strict infection control measures, including handwashing, temperature monitoring every 4 hours, and avoidance of high-risk activities like gardening. Staff and visitors should wear masks to reduce pathogen exposure, whereas allowing visits to high-traffic areas like cafeterias increases infection risk.

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