# 感染管制護理師檢視針扎事件後的行動。哪些行動需要追蹤？請標示出可能傷害組織或延誤適當暴露後照護的行動。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=495003&lang=zh-tw > language: zh-TW > subject: Standard/Transmission-Based Precautions/Surgical Asepsis > category: SIPC ## 題目 感染管制護理師檢視針扎事件後的行動。哪些行動需要追蹤？請標示出可能傷害組織或延誤適當暴露後照護的行動。 | 步驟 | 記錄的行動 | | --- | --- | | 1 | 立即以肥皂和流動清水清洗穿刺部位 | | 2 | 透過工作場所流程立即通報暴露事件 | | 3 | 用力擠壓傷口並將漂白水倒在穿刺部位上 | | 4 | 在急救後尋求緊急且保密的醫療評估 | | 5 | 根據同意書和機構政策取得來源檢測 | | 6 | 等待來源檢測結果才尋求暴露後評估 | | 7 | 完成建議的基準實驗室檢測和追蹤 | | 8 | 記錄暴露的時間、器械、體液和深度 | | 9 | 完成該班次後才向主管通報穿刺事件 | ## 解析 使用漂白水並用力擠壓傷口、等待來源檢測結果才進行評估，以及延遲到交班才通報，這些都需要追蹤。職業暴露照護是立即且具時效性的。 ## 深入解析 快速解答 標示用力擠壓穿刺傷口並倒上漂白水、等待來源檢測結果才尋求評估，以及延遲到交班才通報。這些行動可能傷害組織或浪費時間。 為什麼這是正確的 穿刺傷口應以肥皂和清水清洗，不可使用腐蝕性化學物質。暴露後必須立即通報並進行醫療評估，因為風險評估、基準檢測、B型肝炎處置及HIV暴露後預防皆具時效性。來源檢測可引導照護，但評估不應等待該結果。[2][3] 簡單比喻或心智圖像 想像一個啟動的時鐘。清洗可移除表面汙染，而通報與評估則啟動醫療應變。漂白水會破壞入口，等待則讓時鐘繼續走。此圖像並未估算實際傳染風險。 記憶掛鉤 立即清洗、立即通報、立即評估；來源結果可後續取得。 NCLEX 決策規則 當受血液汙染的尖銳物刺穿皮膚時，應以肥皂和清水清洗、立即通報，並取得緊急且保密的評估。不可用力擠壓、使用漂白水，或等待來源檢測而延誤照護。 為什麼其他選項是錯的 立即清洗、迅速通報、緊急評估、依政策進行來源檢測、基準實驗室檢測，以及記錄暴露細節，皆有助於安全的暴露後處置。參考文獻 - [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing - [2]CDC/NIOSH: Bloodborne Infectious Disease Risk FactorsCenters for Disease Control and Prevention - [3]2025 U.S. Public Health Service Occupational HIV Exposure GuidelinesCenters for Disease Control and Prevention ## 相同主題題目 - [A nurse is caring for a client newly admitted with suspected methicillin-resistant Staphyl…](https://mymerci.kr/pages/nclex_q.php?qn_id=360517&lang=zh-tw) - [A nurse is about to enter the room of a client with Clostridioides difficile infection dur…](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) - [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 caring for a client newly admitted with active Clostridioides difficile infecti…](https://mymerci.kr/pages/nclex_q.php?qn_id=363996&lang=zh-tw) - [A nurse is caring for an adult client newly admitted with suspected active pulmonary tuber…](https://mymerci.kr/pages/nclex_q.php?qn_id=366306&lang=zh-tw) - [A nurse cares for a client newly admitted with a positive surveillance culture for vancomy…](https://mymerci.kr/pages/nclex_q.php?qn_id=366709&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=495003&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=495003&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=495003&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=495003&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=495003&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。_