— 安全與感染控制 · HARD · SATA —
護理師照護一位嗜中性白血球減少症的病人，哪些護理措施適當？（選所有適合的）
A nurse is caring for a client with neutropenia. Which nursing interventions are appropriate? (Select all that apply.)
- AMaintain a strict hand hygiene protocol✓ 正解維持嚴格的手部衛生協議
- BAllow fresh flowers and potted plants in the room允許鮮花和盆栽植物進入病房
- CEncourage the client to eat raw fruits and vegetables鼓勵病人食用生水果和蔬菜
- DRestrict visitors who are ill✓ 正解限制生病的探視者
- EMonitor body temperature every 4 hours✓ 正解每 4 小時監測體溫
— Explanation · 中文詳解 —
嗜中性白血球減少症病人免疫低下，需採取保護性隔離（Protective Isolation）。嚴格手部衛生、限制患病訪客、定時監測體溫（監測發燒）是標準流程。新鮮花卉與生食易帶有細菌黴菌，嚴禁進入病室。
Clients with neutropenia require protective isolation to prevent infection, which includes maintaining strict hand hygiene, restricting ill visitors, and monitoring body temperature frequently for early signs of fever. Fresh flowers, potted plants, and raw fruits or vegetables should be avoided as they may harbor bacteria or fungi that pose a significant risk to immunocompromised patients.
✦ 台美臨床差異
美台皆強調保護性隔離（Neutropenic precaution），對於生食與花卉限制規定嚴格一致。