# 一位住院病人確診為結痂型疥瘡。護理師應將下列哪一項措施納入感染控制計畫？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=498892&lang=zh-tw  
> language: zh-TW  
> subject: Adverse Effects/Contraindications/Interactions  
> category: SIPC

## 題目

一位住院病人確診為結痂型疥瘡。護理師應將下列哪一項措施納入感染控制計畫？

## 選項

1. 使用飛沫防護措施，並在常規進入病房時佩戴外科口罩
2. 將病人置於空氣隔離，並佩戴密合度測試過的呼吸防護具
3. 使用標準防護措施，並在常規照護後將穿過的衣物放回床邊櫃
4. 穿著隔離衣和手套進行接觸防護，並將污染的衣物和床單裝袋 **✔ 正確答案**

**正確答案: 4**

## 解析

結痂型疥瘡帶有大量蟎蟲，容易透過皮膚接觸和受污染的物品傳播。採取接觸防護措施，穿著隔離衣和手套，並仔細將衣物和床單裝袋送洗，可減少傳播。

## 深入解析

快速解答
採取接觸防護措施，並將污染的衣物和床單妥善包裝以進行安全處理。

為什麼這是正確的
結痂型疥瘡會將大量蟎蟲散播到環境中。隔離衣和手套可減少照護時的直接傳播，而將接觸過的織物裝袋則可防止蟎蟲在送洗前傳播給工作人員、其他病人或清潔表面。

簡單比喻或心智圖像
圍堵措施就像在將亮粉帶過房間前先將其密封在袋子裡。這個比喻說明了容易造成環境傳播，但並未描述病原體，也無法取代對病人和接觸者的治療。

記憶掛鉤
結痂型疥瘡意味著接觸屏障加上妥善處理的織物。

NCLEX 決策規則
根據傳播途徑和病原體數量選擇防護措施。對於結痂型疥瘡，應透過接觸防護措施、環境清潔和妥善處理織物來預防直接皮膚和媒介物傳播。

為什麼其他選項是錯的
飛沫和空氣防護措施針對的是呼吸道傳播。標準防護措施和開放式儲存無法充分控制高度的接觸和媒介物傳播風險。參考文獻

- [1]NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing

- [2]Clinical Overview of ScabiesU.S. Centers for Disease Control and Prevention

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