— 安全與感染控制 · MEDIUM · MCQ —
護理師照護傷口感染病人。下列何種臨床表徵符合全身性感染？
A nurse is caring for a client with a wound infection. Which clinical manifestation is consistent with a systemic infection?
- AFever, tachycardia, and tachypnea✓ 正解發燒、心跳過速和呼吸急促
- BLocalized pain at the wound edges傷口邊緣的局部疼痛
- CSerosanguineous drainage漿液血性引流液
- DRedness and swelling at the wound site傷口部位的紅腫
— Explanation · 中文詳解 —
局部感染（Local infection）與全身性感染（Systemic infection）的區別在於臨床表徵的廣泛程度。全身性感染代表病原體已進入血液循環或引發全身發炎反應症候群（SIRS）。發燒、心跳過速與呼吸急促屬於生理代償反應，顯示身體正在對抗廣泛性感染，需高度警覺敗血症（Sepsis）的可能。
Fever, tachycardia, and tachypnea are indicators of a systemic inflammatory response, suggesting the infection may have spread beyond the local wound site. These vital sign changes require heightened vigilance for potential sepsis.