— 安全與感染控制 · HARD · MCQ —
護理師照顧一位置入放射性植入物的病人。哪項安全預防措施最重要？
A nurse is caring for a client with a radiation implant. What is the most important safety precaution?
- ACollect all waste from the room in a special lead container將房間內的所有廢棄物收集在特殊的鉛容器中
- BWear a gown and gloves when entering the room進入房間時穿著隔離衣和戴手套
- CLimit time spent with the client to minimize exposure✓ 正解限制與病患相處的時間以減少輻射暴露
- DEnsure the client stays in a private room with a lead-lined door確保病患待在配有鉛襯門的私人病房內
— Explanation · 中文詳解 —
放射線防護的三大原則：時間、距離、屏蔽。限制接觸時間（C）是降低護理人員暴露劑量最有效的方法。A 是環境屏蔽，重要但不如個人防護行為（時間控制）彈性靈活。C 是接觸傳播，與輻射防護無關。D 廢棄物處理有專門規範，非最重要的個人防護行為。
The three principles of radiation protection are time, distance, and shielding. Limiting contact time (C) is the most effective way to reduce nursing staff exposure dose. D is environmental shielding – important, but less flexible than personal protective behaviors (time control). C addresses contact transmission and is unrelated to radiation protection. A involves waste disposal with specific regulations, but it is not the most important personal protective action.
✦ 台美臨床差異
美國醫院設有專門輻射安全官（RSO）監控；台灣護理師在輻射病房工作時需佩戴個人輻射劑量卡（佩章）。