— 照護管理 · HARD · SATA —
護理師在照護嗜中性白血球減少症（Neutropenia）病人時，哪些護理措施是適當的？（選所有適合的）
Which interventions are appropriate for a nurse to include in a plan of care for a client with neutropenia? (Select all that apply.)
- ARestrict fresh fruits and vegetables✓ 正解限制新鮮蔬果
- BEncourage frequent hand hygiene for all visitors✓ 正解鼓勵所有訪客頻繁洗手
- CMonitor for fever as the primary sign of infection✓ 正解監測發燒作為感染的主要徵象
- DPerform rectal temperature checks every 4 hours每4小時進行肛門溫度測量
- EEnsure the client wears a mask when leaving the room✓ 正解確保病人離開病房時佩戴口罩
— Explanation · 中文詳解 —
嗜中性白血球減少代表免疫力低，易引發致命感染。保護措施包括避免細菌性食物（生菜水果）、嚴格手部衛生、監測發燒作為感染前哨。肛溫檢查為禁忌，因可能導致肛門黏膜受損引發菌血症。離開病房需配戴口罩避免吸入病原體。
For a client with neutropenia, the nurse should restrict fresh fruits and vegetables to reduce bacterial exposure, enforce strict hand hygiene, monitor for fever as the primary sign of infection, and ensure the client wears a mask when leaving the room. Rectal temperatures are contraindicated due to the risk of mucosal injury and subsequent bacteremia.
✦ 台美臨床差異
台灣與美國在癌症病房的感染控制標準高度一致，皆嚴格實施保護性隔離措施。