— 安全與感染控制 · HARD · MCQ —
護理師正在照護一位使用外固定器的病人。下列哪項護理行動對於感染控制最重要？
A nurse is caring for a client with an external fixation device. Which nursing action is most important for infection control?
- APerform pin site care as ordered using sterile technique✓ 正解遵照指示使用無菌技術進行鋼釘處置護理
- BEncourage the client to touch the pin sites鼓勵病人觸碰鋼釘處
- CApply antibiotic ointment to the pins every shift每次換藥時在鋼釘上塗抹抗生素軟膏
- DCover the pins with a thick, occlusive dressing用厚實的封閉性敷料覆蓋鋼釘
— Explanation · 中文詳解 —
使用外固定器（External Fixation）的病人，鋼釘穿刺部位（Pin sites）直接與骨骼相連，是細菌進入體內導致骨髓炎（Osteomyelitis）的高風險途徑。因此，嚴格執行無菌技術進行鋼釘處護理（Pin site care）是感染控制的重中之重，必須依據醫囑使用無菌生理食鹽水或特定溶液清潔。
Strict sterile technique during pin site care is critical to prevent bacteria from entering the bone and causing osteomyelitis. Since pin sites bypass normal skin barriers, aseptic handling is the most important action for infection control.