經驗豐富的 RN 正在監督一位新進 RN。新 RN 準備將一位有活動性肺結核、處於空氣傳播隔離（Airborne Precaution）的病人運送至放射科。新 RN 為病人牢固戴上 N95 呼吸器。督導 RN 最恰當的處置為何？
An experienced registered nurse (RN) is supervising a newly licensed RN on a busy surgical unit. The new RN is preparing to transport a client with active pulmonary tuberculosis on airborne precautions to radiology. The new RN places a standard N95 respirator firmly onto the client. What is the most appropriate action by the supervising RN?
- APraise the newly licensed RN for strictly upholding rigorous airborne infection transmission boundaries.讚揚新進護理師嚴格遵守嚴格的空氣傳播感染隔離標準。
- BState that all hospital transport team staff must wear a double-layered N95.指出所有醫院運送團隊人員必須佩戴雙層 N95 呼吸器。
- CIntervene immediately because the client must be transported in a sealed plastic isolation pod.立即介入，因為病人必須在密封的塑膠隔離艙中運送。
- DRemove the N95 respirator from the client explicitly and appropriately replace it securely with a standard simple surgical mask.✓ 正解明確且適切地移除病人身上的 N95 呼吸器，並替換為標準的外科口罩。
本題測驗空氣隔離 (Airborne Precaution) 運送病患的基礎原則。對於結核病 (TB) 等空氣微粒傳染病患，如果他必須離開負壓隔離病房前去檢查，『病患本人只需戴普通的醫用外科口罩 (surgical mask)』即可。外科口罩足以攔下他咳出的飛沫使其無法飄散到空氣中。而護理人員則必須戴 N95。病患戴 N95 反而會因為呼吸阻力過大而導致缺氧不適。選項 D 正確。病患不戴 N95 是感控制度的一致規定。
Restraint safety requires hourly assessment of the site, neurovascular checks distal to the restraint, and range-of-motion exercises every two hours to prevent tissue injury and stiffness. Additionally, restraints should be released periodically to meet toileting and nutritional needs, and must never be attached to movable side rails.
TB 病人推出病房只要戴「外科口罩 (surgical mask)」。護士進病房才要帶 N95。常考病房觀念。