— 照護管理 · MEDIUM · MCQ —
護理師督導護佐(AP),下列哪種情況顯示需要介入指導?
A nurse is supervising an assistive personnel (AP). Which action by the AP indicates a need for intervention?
- AThe AP uses the same set of gloves for two different clients✓ 正解護佐對兩位不同的病人使用同一副手套
- BThe AP reports a client's blood pressure is 140/90 mmHg護佐回報某病人的血壓為 140/90 mmHg
- CThe AP assists a client with ambulation using a gait belt護佐協助病人使用行走帶進行步行
- DThe AP provides mouth care to a client with a nasogastric tube護佐為帶有鼻胃管的病人提供口腔護理
— Explanation · 中文詳解 —
護理師指派任務時,必須確保感染控制原則被徹底執行。共用手套會導致病原體在不同病人之間傳播(Cross-contamination),這是嚴重的違反標準防護措施(Standard Precautions)。護理師發現此類違規行為必須立即介入,因為這直接威脅到病人的生命安全,並需重新教育護佐(AP)手部衛生與防護裝備的正確使用。
Using the same gloves for multiple clients violates standard precautions and significantly increases the risk of cross-contamination. This unsafe practice requires immediate intervention by the supervising nurse to protect client safety.