— 照護管理 · MEDIUM · MCQ —
護理師正在督導一位新手護理師進行無菌換藥。新手護理師的哪項行為顯示需要進一步教學？
A nurse is supervising a newly licensed nurse who is preparing to perform a sterile dressing change. Which action by the new nurse indicates a need for further teaching?
- AOpening the sterile package flap away from the body first首先將無菌包裝蓋子朝遠離身體的方向打開
- BTouching the inner border of the sterile field with sterile gloves✓ 正解用無菌手套觸碰無菌區域的內緣
- CPlacing the sterile drape with the moisture-proof side down將無菌鋪巾以防潮面朝下的方式放置
- DAdding a sterile item by dropping it into the field from 6 inches above從距離無菌區域上方6英寸處掉落無菌物品
— Explanation · 中文詳解 —
無菌技術（Aseptic Technique）的核心在於維持無菌區（Sterile Field）的完整性。無菌手套戴上後，手部已處於無菌狀態，但必須嚴格遵守無菌邊緣原則。鋪巾的外圍 1 英寸（約 2.5 公分）被視為污染區。新手護理師若觸碰此區域，即視為無菌技術破壞，必須立即撤除並重新執行。安全與無菌原則在 NCLEX 中是最高優先級。
Touching the inner border of a sterile field with sterile gloves indicates a need for further teaching, as the one-inch border around the edge of a sterile drape is considered contaminated. Maintaining the integrity of the sterile field is critical to prevent infection. Proper technique involves opening flaps away from the body and avoiding contact with non-sterile areas.