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照護管理 · MEDIUM · MCQ

護理師督導照服員(AP)照顧嗜中性白血球低下病人,下列哪項舉動需護理師立即介入?

A nurse is supervising an assistive personnel (AP) who is caring for a client on neutropenic precautions. Which action by the AP requires immediate intervention by the nurse?

  • AThe AP ensures the client wears a mask when leaving the room for testing
    照服員確保病人在外出檢查時佩戴口罩
  • BThe AP places the client's lunch tray on the bedside table
    照服員將病人的午餐托盤放在床邊桌上
  • CThe AP offers the client a bouquet of fresh flowers from the hallway✓ 正解
    照服員提供病人一束來自走廊的新鮮花朵
  • DThe AP performs meticulous hand hygiene before entering the room
    照服員在進入房間前仔細執行手部衛生
Explanation · 中文詳解

嗜中性白血球低下(Neutropenia)病人因免疫力極度低下,對環境中的微生物極度敏感。鮮花與新鮮盆栽是黴菌(如 Aspergillus)與革蘭氏陰性菌的溫床,禁止進入病房是感染控制的基本原則。護理師需確保護理輔助人員(AP)理解「保護性隔離(Protective Isolation)」的核心要求,並立即介入任何可能威脅病人免疫安全的行為。

Clients on neutropenic precautions have severely compromised immunity and are highly susceptible to environmental pathogens. Fresh flowers and plants can harbor mold and bacteria, posing a significant infection risk, so their introduction requires immediate nurse intervention. Standard protective measures include wearing masks during transport, maintaining strict hand hygiene, and assisting with meal delivery within the AP's scope.

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