— 安全與感染控制 · MEDIUM · MCQ —
護理師照顧一位有開放性滲液傷口的病人，下列何種操作展現了正確的接觸隔離（Contact Precautions）應用？
A nurse is caring for a client with an open draining wound. Which action demonstrates proper application of Contact Precautions?
- AKeeping the client in a negative pressure room.將病人安置於負壓隔離病房
- BWearing a surgical mask when entering the room.進入病房時佩戴外科口罩
- CImplementing hand hygiene before and after patient contact.✓ 正解在接觸病人前後執行手部衛生
- DEnsuring the client wears a gown and gloves at all times.確保病人隨時穿著隔離衣和手套
— Explanation · 中文詳解 —
接觸隔離的核心是防止病原體透過直接或間接接觸傳播。嚴格的手部衛生是所有隔離措施的基礎，無論何時接觸病人或其環境，都應在接觸前後執行。雖然其他選項可能與特定隔離措施相關，但手部衛生是接觸隔離最基本的要求。
Contact precautions aim to prevent transmission via direct or indirect contact, making strict hand hygiene the most critical nursing action. Healthcare providers must perform hand hygiene before and after patient contact, while gowns and gloves are worn by the staff, not the client.
✦ 台美臨床差異
美國 CDC 對接觸隔離有詳細指引；台灣亦然，但臨床執行上，病人和訪客的配合度可能影響效果。