— 照護管理 · MEDIUM · SATA —
護理師照顧免疫功能低下的病人，應採取哪些措施？（選所有適合的）
A nurse is preparing to care for a client who is immunocompromised. Which interventions should the nurse include? (Select all that apply.)
- AImplement strict hand hygiene protocols✓ 正解實施嚴格的手部衛生協議
- BEnsure visitors with infections are restricted✓ 正解限制帶有感染的訪客探視
- CMaintain a room with negative air pressure維持負壓病房
- DProvide only cooked foods✓ 正解僅提供熟食
- EMonitor for fever as a primary sign of infection✓ 正解將發燒作為感染的主要徵象進行監測
— Explanation · 中文詳解 —
免疫功能低下病人的保護重點為預防外源性感染。嚴格洗手、限制感染風險者探視、提供煮熟食物（避免生食中的細菌）及監測體溫（發燒是感染的首要警訊）均為關鍵。負壓隔離室（Negative pressure）通常用於呼吸道傳染病（如結核），保護免疫低下病人通常使用正壓隔離（Positive pressure）或標準隔離室即可。
Care for an immunocompromised client focuses on preventing exogenous infections through strict hand hygiene, restricting visitors with infections, providing only cooked foods, and monitoring for fever as a primary sign of infection. Negative air pressure is used for airborne precautions to protect others, not specifically for protecting the client.
✦ 台美臨床差異
美台對免疫低下病人的防護原則一致，皆包含飲食與隔離要求。