# 一位有發燒、咳嗽、結膜炎和廣泛皮疹的病人被懷疑患有麻疹。哪一項感染控制措施是適當的？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394121&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

一位有發燒、咳嗽、結膜炎和廣泛皮疹的病人被懷疑患有麻疹。哪一項感染控制措施是適當的？

## 選項

1. 僅使用接觸防護措施並保持房門敞開。
2. 將病人置於空氣傳染防護措施中，並使用適當的呼吸防護具。 **✔ 正確答案**
3. 僅使用標準防護措施，因為麻疹是經由血液傳播。
4. 將病人分配到與免疫功能不全者同住的病房。

**正確答案: 2**

## 解析

麻疹需要空氣傳染防護措施，因為它透過空氣中的微粒傳播。應將病人安置在適當的房間，工作人員應根據政策使用呼吸防護具。與免疫功能不全者同住是不安全的。

## 深入解析

臨床判斷
當可能發生空氣傳播時，皮疹伴隨咳嗽的疾病可能是感染控制的緊急情況。

記憶提示
麻疹：空氣傳染。

## 臨床情境

臨床實務指引
空氣傳染防護措施用於那些能懸浮在空氣中、需要特殊通風和呼吸器保護的感染。

注意
迅速行動以保護其他病人和工作人員。

## 重要概念

- **麻疹** — 一種高度傳染性的病毒性疾病，伴隨發燒、咳嗽、結膜炎和皮疹。
- **空氣傳染防護措施** — 針對透過空氣微粒傳播的病原體所採取的傳播途徑防護措施。
- **N95 呼吸防護具** — 一種用於特定空氣危害的密合型呼吸防護具。

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