— 安全與感染控制 · MEDIUM · SATA —
護理師照顧一位困難梭狀桿菌（C. difficile）感染的病人，應採取哪些措施以防止傳播？（選所有適合的）
A nurse is caring for a client with a C. difficile infection. Which actions should the nurse take to prevent transmission to other clients? (Select all that apply.)
- APerform hand hygiene using alcohol-based hand rub使用含酒精的乾洗手液進行手部衛生
- BWear gown and gloves upon entry to the room✓ 正解進入病室時穿戴隔離衣和手套
- CImplement contact precautions✓ 正解實施接觸隔離措施
- DUse soap and water for hand hygiene✓ 正解使用肥皂和水進行手部衛生
- EPlace the client in a private room✓ 正解將病人安置於單獨病房
— Explanation · 中文詳解 —
困難梭狀桿菌（C. difficile）的孢子對酒精具有高度抗性，因此一般的酒精乾洗手無法殺滅病原體，必須使用「肥皂與水（Soap and water）」進行機械式沖洗以移除孢子。此外，該菌具有高度傳染性，必須執行接觸隔離（Contact precautions），包含專用設備、隔離衣與手套，以阻斷在醫療環境中的交叉感染。
To prevent transmission of C. difficile, the nurse must implement contact precautions, including wearing a gown and gloves and placing the client in a private room. Hand hygiene must be performed with soap and water because alcohol-based rubs do not effectively kill C. difficile spores.