病人疑似罹患肺結核。針對採取空氣隔離措施的病人,下列哪些護理措施適當?(選所有適合的)
A client is diagnosed with suspected Tuberculosis (TB). Which interventions are appropriate for a client on airborne precautions? (Select all that apply.)
- APlace the client in a negative-pressure room✓ 正解將病人安置於負壓病房
- BWear an N95 respirator when entering the room✓ 正解進入病房時佩戴 N95 呼吸防護器
- CInstruct the client to wear a surgical mask during transport✓ 正解指示病人在移動期間佩戴外科口罩
- DKeep the door to the client's room open for observation為方便觀察而將病人病房的門保持開啟
- EUse standard contact precautions only僅使用標準接觸隔離措施
肺結核(TB)經由空氣傳播,護理重點在於阻斷飛沫核(droplet nuclei)的散佈。空氣隔離措施(Airborne Precautions)要求負壓病室以維持氣流方向,並要求進入者配戴 N95 等級呼吸防護器以過濾微小顆粒。對於病人運輸,外科口罩能有效阻擋病人的呼吸飛沫釋出。臨床思路應優先考慮隔離傳播路徑,保護醫護人員與其他病人的安全。
Airborne precautions for tuberculosis require placing the client in a negative-pressure room to contain infectious droplet nuclei and wearing an N95 respirator for staff protection. Additionally, instructing the client to wear a surgical mask during transport helps minimize the spread of pathogens to others.
在美國,負壓病室(Negative pressure room / AIIR)是標準配備,且 OSHA 強制要求進入 AIIR 的人員必須完成 N95 Fit Testing(密合度測試)。台灣醫療機構同樣落實此流程,但美國對 N95 使用規範與 Fit Testing 紀錄的要求極為嚴格。