— 生理適應 · HARD · MCQ —
一位病人因疑似急性腦膜炎入院。哪項護理行動為最高優先級？
A client is admitted with suspected acute meningitis. Which nursing action is the highest priority?
- APerform a neurological assessment進行神經學評估
- BPlace the client in droplet precautions✓ 正解將病人置於飛沫隔離措施
- CMonitor for seizures監測是否出現癲癇發作
- DAdminister pain medication給予止痛藥物
— Explanation · 中文詳解 —
腦膜炎（Meningitis）是腦膜的發炎，細菌性腦膜炎具有高度傳染性，可透過飛沫傳播。在 NCLEX 考試中，感染控制（Infection Control）屬於 Safety 的範疇，優先於藥物給予與神經評估。因此，對疑似病人採取飛沫隔離（Droplet precautions）是保護醫療環境與他人的首要行動。
Because bacterial meningitis is highly contagious via droplets, initiating droplet precautions is the highest priority to protect healthcare workers and other patients. While neurological assessments and seizure monitoring are important, infection control takes precedence in this scenario.