— 安全與感染控制 · EASY · MCQ —
下列何者最能表現護理師對於手部衛生的理解？
Which of the following actions best demonstrates the nurse's understanding of hand hygiene?
- AAllowing the hands to dry completely after using an alcohol-based rub✓ 正解讓手在使用酒精性搓揉劑後完全乾燥
- BWearing artificial nails if they are short若指甲短則佩戴人造指甲
- CUsing alcohol-based sanitizer immediately after touching a C. difficile patient接觸難辨梭狀芽孢桿菌（C. difficile）患者後立即使用酒精性搓揉劑
- DWashing hands with soap and water after providing care to a client with intact skin照顧皮膚完整的客戶後用肥皂和水洗手
— Explanation · 中文詳解 —
手部衛生是預防醫療照護相關感染（HAI）最重要的手段。酒精乾洗手液（Alcohol-based sanitizer）適用於大部分臨床情況，但必須確保雙手完全乾燥，藥效才能發揮。需特別注意的是，若接觸到困難梭狀桿菌（C. difficile）病人，必須使用肥皂與水洗手，因為酒精無法殺滅該菌的芽孢。此外，人工指甲在臨床環境中是嚴格禁止的，因為其縫隙極易藏匿病原體。
Hand hygiene is critical for preventing healthcare-associated infections, and alcohol-based hand rubs are effective when hands are allowed to dry completely. However, soap and water must be used after caring for patients with Clostridioides difficile because alcohol does not kill its spores. Additionally, artificial nails are prohibited as they harbor microorganisms.