— 降低風險 · EASY · MCQ —
護理師照護一位中性白血球缺乏的病人，下列哪一項評估發現應立即回報醫師？
A nurse is caring for a client with neutropenia. Which assessment finding should be reported to the provider immediately?
- AComplaints of mild fatigue主訴輕微疲倦
- BWhite blood cell count of 3,500/mm³白血球計數為 3,500/mm³
- CHeart rate of 82 beats per minute心率为每分钟 82 次
- DOral temperature of 38.2°C (100.8°F)✓ 正解口腔溫度為 38.2°C (100.8°F)
— Explanation · 中文詳解 —
中性白血球缺乏（Neutropenia）病人抵抗力極差，輕微的發燒即可能代表敗血症。任何體溫大於 38°C 或醫師指定之標準，都需視為醫療緊急狀況，需立即給予抗生素治療。B 選項數值尚在正常範圍，A、C 為非特異性症狀。
Fever in a neutropenic client is a medical emergency because even a slight elevation in temperature (≥38°C or 100.4°F) may indicate a rapidly progressing infection or sepsis due to the lack of immune defense. Immediate reporting and administration of antibiotics are critical to prevent life-threatening complications.
✦ 台美臨床差異
兩地對 Neutropenic fever 的處置趨於一致，皆採行「黃金一小時」給予抗生素之標準作業程序。