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安全與感染控制 · HARD · SATA

護理師準備運送一位活動性肺結核(TB)病人去照胸部 X 光,需執行哪些措施?(選所有適合的)

A nurse is preparing to transport a client with active tuberculosis (TB) for a chest X-ray. Which actions are necessary? (Select all that apply.)

  • APlace a surgical mask on the client✓ 正解
    為病人戴上外科口罩
  • BEnsure the nurse wears an N95 respirator✓ 正解
    確保護理師佩戴 N95 呼吸器
  • CNotify the radiology department of the client's condition✓ 正解
    通知放射科部門病人的狀況
  • DUse a negative pressure transport cart
    使用負壓運送車
  • EPlace the client in a private room upon return✓ 正解
    病人返回後安置於獨立病房
Explanation · 中文詳解

肺結核(TB)經由空氣微粒傳播,屬於空氣隔離(Airborne Precautions)。運送過程中,保護措施應同時針對病人(阻斷源頭)與環境(保護他人)。病人必須戴上外科口罩以過濾飛沫,護理師則需佩戴 N95 口罩以防吸入微粒。事先通知檢查單位可確保該單位在病人到達後能迅速執行隔離,避免院內傳播。

Tuberculosis is transmitted via airborne particles, requiring strict airborne precautions during transport to protect both the patient and others. Necessary actions include placing a surgical mask on the client to contain droplets, ensuring the nurse wears an N95 respirator, notifying the radiology department for proper isolation protocols, and returning the client to a private room to maintain isolation.

✦ 台美臨床差異

美國醫療機構對結核病人的隔離政策極為嚴格,通常需經負壓病房診斷與確認,且轉運過程中有嚴格的護理流程(如確保病人佩戴口罩、避開公共電梯等)。

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