護理師照護一名傷口感染 MRSA 的病人，下列何種評估結果需立即處理？
A nurse is caring for a client with Methicillin-resistant Staphylococcus aureus (MRSA) in a wound. Which assessment finding requires immediate intervention?
- AThe wound dressing is saturated with purulent drainage傷口敷料已被膿性分泌物浸透
- BThe client is sitting in a chair without a gown病人坐在椅子上但未穿隔離衣
- CA roommate in the next bed has a fever✓ 正解隔壁床的室友發燒
- DThe nurse's scrub top is touching the bed rail護理師的工作服觸碰到床欄
MRSA 為接觸傳播病原。本題護理優先順序聚焦『感染擴散控制』：A 室友發燒可能代表 MRSA 已經交叉傳播給室友，是傳播鏈擴大的警訊，應立即評估、通報感控並採取適當隔離措施，這是『 prevent further harm』的最高優先動作。其他選項：A 敷料飽和膿性引流需更換，但屬本病人本身狀況非擴散風險；C 病人坐輪椅未穿隔離衣需糾正；D 護理師工作服碰床欄需消毒，但都屬於可立即修正的單一行為，不及『他人可能已被傳染』來得急迫。
MRSA spreads via contact, making infection control the highest priority. A roommate developing a fever suggests potential cross-transmission, which requires immediate assessment and isolation measures to prevent further spread. Other options involve routine care or single-instance corrections that do not pose the same urgent risk to other patients.
美國醫院對 MRSA 的感控極為嚴格，通常會對高風險病人進行主動監測採檢（Active Surveillance），若發生交叉感染風險，感控團隊（Infection Control Team）會立即介入調查。