— 照護管理 · MEDIUM · SATA —
護理師為嗜中性白血球減少症（neutropenia）病人擬定照護計畫，哪些介入措施至關重要？（選所有適合的）
A nurse is planning care for a client with a diagnosis of neutropenia. Which interventions are essential for this client? (Select all that apply.)
- AImplement strict hand hygiene for all visitors and staff✓ 正解實施所有訪客與員工之嚴格手部衛生
- BEnsure the client consumes fresh fruits and vegetables確保病人攝取新鮮水果和蔬菜
- CInstruct the client to avoid crowds and individuals with infections✓ 正解指示病人避免人群及感染者
- DMonitor for fever as the primary sign of infection✓ 正解監測發燒作為感染的主要徵兆
- EProvide daily mouth care with a soft-bristled toothbrush✓ 正解每日使用軟毛牙刷提供口腔護理
— Explanation · 中文詳解 —
嗜中性白血球減少病人免疫力極低，首要目標是感染控制。應禁止新鮮水果（帶皮/生食，B 選項錯誤），採取隔離措施（洗手、避開人群、避開感染源），密切監測發燒（即使輕微發燒也是警訊），並維護口腔黏膜完整性以防細菌入侵。
Clients with neutropenia require strict infection control measures, including hand hygiene for all visitors and staff, avoidance of crowds and individuals with infections, and monitoring for fever as the primary sign of infection. Fresh fruits and vegetables should be avoided due to bacterial or fungal risks, and soft-bristled toothbrushes should be used to prevent mucosal trauma.
✦ 台美臨床差異
台美對於化療引起之嗜中性白血球減少的照護標準一致，皆強調保護性隔離措施及感染預防。