# 護理師準備照護有中心靜脈導管的個案。哪些措施可降低中心導管感染風險？選出所有適用者。

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393827&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

護理師準備照護有中心靜脈導管的個案。哪些措施可降低中心導管感染風險？選出所有適用者。

1

每班更換完整的透明敷料。

2

更換敷料時使用無菌技術。

3

為方便，即使不再需要仍保留導管。

4

接觸導管前執行手部衛生。

5

使用前刷洗消毒無針接頭。

6

每日評估中心導管是否仍有必要。

## 解析

中心導管感染預防包括手部衛生、接頭消毒、無菌敷料更換與每日檢視導管必要性。完整透明敷料若未髒污、鬆脫或到期，不需每班更換。不必要導管應移除以降低感染風險。

## 深入解析

臨床判斷
保護每次導管接觸並減少不必要導管日，以預防血流感染。

記憶重點
洗手、刷接頭、無菌敷料、不需要就移除。

## 臨床情境

實務指引
CDC 標準防護強調手部衛生，中心導管組合措施強調無菌、接頭消毒、敷料完整性與不需時移除。

注意
每次接觸導管都可能污染。

## 重要概念

- **中心導管** — 尖端位於中心靜脈的導管，用於特定藥物、輸液、營養或監測。
- **無菌技術** — 降低無菌或清潔設備與部位污染的操作。
- **接頭消毒** — 接觸前清潔導管接頭，以減少微生物進入。

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