— 照護管理 · MEDIUM · MCQ —
護理師督導照護服務員（AP），下列哪項表現顯示需要進一步教學？
A nurse is supervising an assistive personnel (AP). Which action by the AP indicates a need for further teaching?
- AReporting a blood pressure of 110/70 mmHg to the nurse向護理師報告血壓為 110/70 mmHg
- BTurning a post-operative client every 2 hours每 2 小時為術後個案翻身
- CAssisting a client with a stable hip fracture to the bedside commode協助髖骨骨折穩定的個案至床邊馬桶
- DObtaining a clean-catch urine specimen from a client with an indwelling catheter✓ 正解從有留置導尿管的個案身上取得清潔中段尿標本
— Explanation · 中文詳解 —
留置導尿管的病人應從導尿管採集點（Sampling port）採樣，而非採取中段尿收集法（Clean-catch）。AP 採取中段尿會破壞導尿管的無菌封閉系統，極大增加導尿管相關泌尿道感染（CAUTI）的風險。
Obtaining a clean-catch urine specimen from a client with an indwelling catheter is inappropriate because it requires breaking the closed sterile system. This action significantly increases the risk of catheter-associated urinary tract infections; samples should instead be obtained via the designated sampling port.
✦ 台美臨床差異
台灣與美國對於 CAUTI 的預防指引一致，皆嚴格要求維持導尿管系統封閉。