# 一名發燒、咳嗽、結膜炎和全身性皮疹的個案被懷疑患有麻疹。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=397456&lang=zh-tw  
> language: zh-TW  
> subject: Incident Reporting  
> category: SIPC

## 題目

一名發燒、咳嗽、結膜炎和全身性皮疹的個案被懷疑患有麻疹。哪項感染控制措施最為適當？

## 選項

1. 將個案安置於保護性正壓病房。
2. 在皮疹消退前，採取接觸防護措施。
3. 將個案安置在空氣傳染隔離病房。 **✔ 正確答案**
4. 讓個案留在候診區並戴上外科口罩。

**正確答案: 3**

## 解析

疑似麻疹需要採取空氣傳染防護措施，並在可行的情況下安置於空氣傳染隔離病房。僅在候診區戴口罩不足以控制感染源和減少暴露。保護性正壓病房用於特定的免疫功能低下個案，而非空氣傳染隔離。

## 深入解析

臨床判斷
使用個案線索、時間點、檢驗數據和安全風險，選擇最符合疑似麻疹隔離的回應。

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，而非孤立的回憶。

## 臨床情境

臨床實務指引
對於疑似麻疹隔離，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順序或安全性時，不要僅根據一個孤立的線索選擇行動。

## 重要概念

- **麻疹** — 一種高度傳染性的病毒性疾病，可透過空氣中的微粒傳播。
- **空氣傳染防護措施** — 用於經由小型空氣微粒傳播感染的傳播途徑防護措施。
- **空氣傳染隔離病房** — 設計用於減少空氣傳播的病房，通常為負壓。

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