# 一名嬰兒因疑似百日咳入院。除標準防護措施外，護理師應實施哪項防護措施？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397274&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

一名嬰兒因疑似百日咳入院。除標準防護措施外，護理師應實施哪項防護措施？

## 選項

1. 使用負壓病房的空氣傳染防護措施。
2. 使用正壓的保護性隔離。
3. 近距離接觸時戴口罩的飛沫傳染防護措施。 **✔ 正確答案**
4. 僅採取接觸傳染防護措施，因為百日咳經由糞便傳播。

**正確答案: 3**

## 解析

百日咳透過呼吸道飛沫傳播，因此除標準防護措施外，應使用飛沫傳染防護措施。空氣傳染或保護性隔離並非通常的要求。百日咳主要並非經由糞便傳播。

## 深入解析

臨床判斷
利用個案線索、時機、檢驗數據及安全風險，選擇最符合百日咳飛沫傳染防護的回應。

記憶提示
將最強的線索群組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，而非單獨的記憶。

## 臨床情境

臨床實務指引
針對百日咳飛沫傳染防護，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

- **百日咳** — 一種傳染性呼吸道感染，也稱為哮咳。
- **飛沫傳染防護措施** — 針對透過較大呼吸道飛沫傳播的病原體所採取的防護措施。
- **標準防護措施** — 用於所有個案的基本感染預防措施。

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