— 安全與感染控制 · MEDIUM · MCQ —
哪位病人感染的風險最高？
Which client is at the highest risk for infection?
- AA client receiving chemotherapy✓ 正解接受化學治療的病人
- BA client on bed rest臥床的病人
- CA client with a surgical incision有手術切口的病人
- DA client with a urinary catheter留置導尿管的病人
— Explanation · 中文詳解 —
接受化療的病人因骨髓抑制，白血球數低下（免疫抑制），其對抗病原體的能力最弱，因此處於最高感染風險。其他選項（手術傷口、尿管、臥床）雖有感染風險，但皆屬於局部或特定途徑感染，免疫功能受損則屬全身性脆弱。
Chemotherapy causes bone marrow suppression, leading to neutropenia and a significantly compromised immune system, which places the client at the highest risk for systemic infection. While surgical incisions, urinary catheters, and bed rest present localized or specific infection risks, they do not impair the body's overall defensive mechanisms to the same extent.
✦ 台美臨床差異
美台臨床對於中性白血球減少症（Neutropenia）的病人皆有嚴格的保護性隔離標準。