— 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.