— 降低風險 · MEDIUM · MCQ —
護理師照護一位嗜中性白血球減少症（neutropenia）的病人，護理計畫中應包含哪項措施？
A nurse is caring for a client with neutropenia. Which action should the nurse include in the plan of care?
- AEncourage the client to eat fresh salads鼓勵病人食用新鮮沙拉
- BPlace the client in a private room✓ 正解將病人安置於單人病房
- CAdvise the client to use a soft toothbrush建議病人使用軟毛牙刷
- DLimit visitors to family members only僅限家人探視
— Explanation · 中文詳解 —
中性球減少症病人免疫力極低，需採取保護性隔離（反向隔離）。單人病房可減少來自其他病患的微生物交叉感染。A 選項錯誤，生食富含細菌；D 選項雖有意義但非最有效；C 選項通常針對血小板減少症（出血風險）而非中性球減少症（感染風險）。
Neutropenia places clients at high risk for infection due to a compromised immune system, necessitating protective isolation. Placing the client in a private room minimizes exposure to pathogens from other patients, which is the most effective strategy among the options. While hand hygiene is important, limiting visitors is less critical than ensuring a pathogen-free environment.
✦ 台美臨床差異
美台醫院對於 neutropenic precaution 的要求極度一致，皆強調手部衛生與禁食生冷食物。