— 降低風險 · HARD · MCQ —
護理師照護一位白血球減少（Neutropenia）的病人，哪項評估發現需要立即介入？
A nurse is caring for a client with neutropenia. Which assessment finding requires immediate intervention?
- AA slightly sore throat輕微喉嚨痛
- BFatigue and weakness疲倦和無力
- CA temperature of 38.1°C (100.6°F)✓ 正解體溫 38.1°C (100.6°F)
- DA WBC count of 3,500/mm³白血球計數 3,500/mm³
— Explanation · 中文詳解 —
中性白血球減少病人發生發燒（≥38.0°C）視為醫學緊急事件（Febrile Neutropenia），極易進展為敗血症，必須立即通知醫師並執行相關血液培養與抗生素治療。白血球 3,500 雖低但非極度危險。疲憊為常見非急性徵象。
A temperature of 38.1°C (100.6°F) in a client with neutropenia constitutes febrile neutropenia, which is a medical emergency requiring immediate intervention to prevent sepsis. While other symptoms like fatigue or mild soreness may occur, fever indicates a potentially life-threatening infection that must be addressed urgently.
✦ 台美臨床差異
美台皆推行「Febrile Neutropenia」照護 Bundle，要求在發燒後一小時內給予第一劑抗生素。