# 一位客戶在諾羅病毒爆發期間突然嘔吐和腹瀉。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=397325&lang=zh-tw  
> language: zh-TW  
> subject: Standard/Transmission-Based Precautions/Surgical Asepsis  
> category: SIPC

## 題目

一位客戶在諾羅病毒爆發期間突然嘔吐和腹瀉。哪項感染控制措施最為適當？

## 選項

1. 僅使用標準防護措施，因為諾羅病毒不具傳染性。
2. 使用接觸防護措施並執行仔細的手部衛生。 **✔ 正確答案**
3. 將客戶安置在正壓氣流的保護性隔離病房。
4. 停止環境清潔直到客戶出院。

**正確答案: 2**

## 解析

諾羅病毒很容易透過接觸受污染的表面、糞便或嘔吐物傳播。接觸防護措施、環境清潔和手部衛生至關重要。保護性正壓隔離不適用，且不應延遲清潔。

## 深入解析

臨床判斷
使用客戶線索、時間點、檢驗數據和安全風險，選擇最符合諾羅病毒接觸防護措施的反應。

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 考題獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實務指引
對於諾羅病毒接觸防護措施，請將完整的線索模式與客戶當前的穩定性、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順序或安全性時，不要僅根據單一線索選擇行動。

## 重要概念

- **Norovirus** — 一種引起急性腸胃炎的高度傳染性病原體。
- **Contact Precautions** — 用於透過直接或間接接觸傳播的微生物的傳播性防護措施。
- **Hand Hygiene** — 清潔雙手以減少傳染性病原體的傳播。

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