— 生理適應 · EASY · MCQ —
一位疑似腦膜炎的病人入院，護理師應優先執行哪項措施？
A client is diagnosed with suspected meningitis. Which intervention is the nurse's priority?
- APrepare the client for a lumbar puncture為病人準備腰椎穿刺
- BAdminister IV antibiotics給予靜脈注射抗生素
- CInitiate droplet precautions✓ 正解實施飛沫隔離
- DPerform a neurological assessment進行神經系統評估
— Explanation · 中文詳解 —
疑似腦膜炎（Meningitis）的病人入院時，護理師的首要任務是執行隔離防護（Isolation precautions）。因為腦膜炎（如腦膜炎雙球菌）是透過飛沫傳播的，採取飛沫隔離防護（Droplet precautions）是預防院內感染擴散的首要行動。在診斷確認前，採取預防措施是保護其他病患與醫護人員的關鍵。
The priority nursing intervention for a client with suspected meningitis is to initiate droplet precautions immediately to prevent the spread of infection to other patients and staff. Since meningitis, particularly meningococcal meningitis, is highly contagious via respiratory droplets, isolation takes precedence over diagnostic procedures or assessments.