— 安全與感染控制 · MEDIUM · MCQ —
護理師為乳膠過敏的病人擬定護理計畫。房內應移除哪些物品？
A nurse is planning care for a client with a latex allergy. Which items should be removed from the room?
- AStethoscope with metal diaphragms帶有金屬膜片的聽診器
- BPlastic-coated IV tubing塑膠塗層靜脈輸液管路
- CCotton-tipped applicators棉籤
- DRubber-backed mats and blood pressure cuffs✓ 正解橡膠背襯的墊子和血壓袖帶
— Explanation · 中文詳解 —
乳膠過敏（Latex allergy）病人對天然橡膠中的蛋白質會產生嚴重的免疫反應。臨床上，護理師必須移除所有含天然乳膠的物品，包括止血帶、血壓計袖帶、手套、導尿管接口等。這些物品常被疏忽，但與病人皮膚接觸或進入體內後極易引發過敏性休克（Anaphylaxis），因此徹底的環境審查是安全照護的基石。
Clients with latex allergy can develop severe immune reactions to proteins in natural rubber latex. Clinically, the nurse must remove all items that contain natural latex, including tourniquets, blood pressure cuffs, gloves, urinary catheter connectors, and similar items. These items are often overlooked but can easily trigger anaphylaxis once they contact the client's skin or enter the body, so a thorough environmental review is foundational to safe care.