# 一位水樣腹瀉的個案檢測出困難梭狀桿菌陽性。哪項感染控制措施最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=396597&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

一位水樣腹瀉的個案檢測出困難梭狀桿菌陽性。哪項感染控制措施最為適當？

## 選項

1. 脫掉手套後僅使用酒精性乾洗手液。
2. 將個案置於接觸防護措施下，並在照護後用肥皂和水洗手。 **✔ 正確答案**
3. 將個案分配到一位正從流感恢復的個案房間。
4. 因為已戴手套，停止清潔共用設備。

**正確答案: 2**

## 解析

困難梭狀桿菌需要接觸防護措施和嚴謹的環境清潔；照護後建議使用肥皂和水洗手，因為單用酒精難以去除孢子。與另一位感染的個案同住或省略設備清潔會增加傳播風險。

## 深入解析

臨床判斷
使用個案線索、時機、檢驗數據和安全風險，選擇最符合困難梭狀桿菌防護措施的反應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 題目獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實踐指引
對於困難梭狀桿菌防護措施，將完整的線索模式與個案當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意
當完整情境改變了優先級或安全性時，不要僅根據一個孤立的線索選擇行動。

## 重要概念

- **困難梭狀桿菌** — 一種會形成孢子的微生物，可能導致感染性腹瀉。
- **接觸防護措施** — 針對透過直接或間接接觸傳播的病原體所採取的傳播途徑防護措施。
- **手部衛生** — 清潔雙手以減少微生物傳播。

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