# 一位個案有持續性咳嗽、夜間盜汗、體重減輕，且胸部 X 光疑似肺結核。哪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=397268&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

一位個案有持續性咳嗽、夜間盜汗、體重減輕，且胸部 X 光疑似肺結核。哪項感染控制措施是適當的？

## 選項

1. 僅使用標準防護措施，直到痰液培養結果出來。
2. 將個案安置在正壓保護性病房。
3. 使用接觸防護措施，並讓工作人員佩戴外科口罩。
4. 將個案置於空氣傳染防護措施下，並使用密合度測試過的 N95 口罩。 **✔ 正確答案**

**正確答案: 4**

## 解析

疑似肺結核需要空氣傳染防護措施及適當的呼吸防護，例如密合度測試過的 N95 口罩。僅靠標準或接觸防護措施是不夠的。正壓保護性病房是用於特定免疫功能低下的個案，而非用於隔離傳染性肺結核。

## 深入解析

臨床判斷
運用個案線索、時機、檢驗數據及安全風險，選出最符合「疑似肺結核防護措施」情境的回應。

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 考題獎勵基於線索的優先思考，而非單獨的回憶。

## 臨床情境

臨床實務指引
針對「疑似肺結核防護措施」，將完整的線索模式與個案當前的穩定性、醫囑數據及預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，切勿僅根據單一線索選擇行動。

## 重要概念

- **肺結核** — 一種由結核分枝桿菌引起的空氣傳染疾病。
- **空氣傳染防護措施** — 針對透過小型空氣微粒傳播的病原體所採取的防護措施。
- **N95 口罩** — 正確佩戴時，用於減少吸入空氣微粒的防護口罩。

## 相同主題題目

- [A nurse on a medical-surgical unit is about to enter the private room of a client newly di…](https://mymerci.kr/pages/nclex_q.php?qn_id=361226&lang=zh-tw)
- [A 22-year-old female client presents to the emergency department with a 4-week history of …](https://mymerci.kr/pages/nclex_q.php?qn_id=361677&lang=zh-tw)
- [An 82-year-old client who is postoperative day 1 from a left hip arthroplasty calls the nu…](https://mymerci.kr/pages/nclex_q.php?qn_id=361678&lang=zh-tw)
- [A 65-year-old client admitted to the medical ICU with sepsis and acute delirium has just p…](https://mymerci.kr/pages/nclex_q.php?qn_id=361679&lang=zh-tw)
- [A new graduate registered nurse (RN) on a medical unit just hung an intravenous antibiotic…](https://mymerci.kr/pages/nclex_q.php?qn_id=361710&lang=zh-tw)
- [A nurse is preparing to initiate carbamazepine for a client of Han Chinese descent with ne…](https://mymerci.kr/pages/nclex_q.php?qn_id=391742&lang=zh-tw)
- [A client starting lamotrigine for bipolar disorder calls the clinic on day 18 reporting a …](https://mymerci.kr/pages/nclex_q.php?qn_id=391747&lang=zh-tw)
- [A nurse reviews the discharge medication list for a kidney transplant client. Which prophy…](https://mymerci.kr/pages/nclex_q.php?qn_id=391876&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=397268&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=397268&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=397268&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=397268&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=397268&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_