— 安全與感染控制 · EASY · MCQ —
護理師照顧一名困難梭狀桿菌感染的病人。關於感染控制，護理師應執行哪項措施？
A nurse is caring for a client with Clostridioides difficile infection. Which action should the nurse implement regarding infection control?
- AWear a surgical mask when within 3 feet of the client在距離患者3英尺內時佩戴外科口罩
- BPlace the client in a negative-pressure airflow room將患者安置於負壓氣流房間
- CUse an alcohol-based hand rub after patient contact在接觸患者後使用酒精性搓手液
- DWear a gown and gloves when entering the room✓ 正解進入房間時穿戴隔離衣和手套
— Explanation · 中文詳解 —
困難梭狀桿菌屬於接觸隔離（Contact Precautions）病原體。由於酒精無法殺滅其孢子，必須執行洗手（肥皂與水），並在接觸病人或環境時穿著隔離衣與手套。負壓室（B）用於空氣傳播疾病（如結核病）；外科口罩（A）用於飛沫傳播疾病（如流感）。
Clostridioides difficile is transmitted via contact precautions, requiring the nurse to wear a gown and gloves upon entering the client's room. Since alcohol-based hand rubs do not effectively kill C. difficile spores, thorough handwashing with soap and water is essential after patient contact to prevent spread.
✦ 台美臨床差異
台美對於接觸隔離穿脫流程相似，但台灣在處理此菌時，更強調病室器物專用化與環境清潔。