— 降低風險 · EASY · SATA —
護理師為中性球減少症的病人規劃護理計畫,應執行哪些介入措施?(選所有適合的)
A nurse is planning care for a client with neutropenia. Which nursing interventions should be implemented? (Select all that apply.)
- ARestrict visitors with signs of infection✓ 正解限制帶有感染跡象的訪客探視
- BEnsure the client performs daily perineal hygiene✓ 正解確保病人每日進行會陰清潔
- CAdvise the client to avoid raw fruits and vegetables✓ 正解建議病人避免食用生水果和蔬菜
- DEncourage the use of fresh flower arrangements in the room鼓勵在病房使用鮮花花束
- EInstruct the client to avoid crowds✓ 正解指導病人避免前往人群聚集處
— Explanation · 中文詳解 —
中性球減少症(neutropenia)病人因免疫防禦機制受損,極易發生伺機性感染。護理目標是建立保護性隔離環境(protective isolation)。措施包括:嚴格限制有感染症狀的訪客進入、禁止鮮花(土壤與水含細菌與黴菌)、限制生食(細菌隱患)、勤洗手,以及保持良好的個人衛生(如每日會陰護理)。病人若需外出,應建議避開人潮以降低接觸病原體的機率。
Clients with neutropenia require protective isolation to prevent opportunistic infections, including restricting visitors with signs of illness and avoiding crowds or fresh flowers. Nursing interventions also involve advising against raw fruits and vegetables due to bacterial risks and ensuring strict personal hygiene, such as daily perineal care, to minimize exposure to pathogens.