# 護理師審閱一份職業性針扎紀錄。哪項措施是優先的？ > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=zh-tw > language: zh-TW > subject: Adverse Effects/Contraindications/Interactions > category: PPT ## 題目 護理師審閱一份職業性針扎紀錄。哪項措施是優先的？ History Vitals Labs Orders Notes 25 分鐘前，用於靜脈穿刺的空心針穿透手套刺傷了護理師。 (데이터 없음) (데이터 없음) (데이터 없음) (데이터 없음) 1 等待感染源病患的病毒量結果，然後再報告暴露事件。 ✕ 2 清洗部位，立即報告暴露事件，取得基準檢測，並在沒有可避免的延遲下開始執行經授權的 HIV 暴露後預防性投藥 (PEP) 方案。 ✕ 3 用腐蝕性溶液擠壓和擦洗穿刺部位 10 分鐘。 ✕ 4 開始單一抗反轉錄病毒藥物，如果首次結果為陰性則停止後續檢測。 ✕ ## 解析 職業性 HIV 暴露是緊急事件。應立即進行部位照護、報告、風險評估、基準檢測，並迅速啟動建議的三種藥物 PEP 方案，不應等待延遲的感染源結果。 ## 深入解析 快速解答 立即啟動職業暴露途徑。 為何這是正確的 2025 年美國公共衛生署 (USPHS) 指南強調迅速取得 PEP、基準檢測、感染源評估和後續追蹤。當額外的感染源資訊回報時，可以修改 PEP。 簡單類比或心像 在實驗室結果仍在發展時，就開始建立安全網。 記憶點 清洗、報告、檢測並迅速開始 PEP。 NCLEX 決策規則 不要讓待定的感染源結果造成可避免的治療延遲。 為何其他選項是錯誤的 腐蝕性擦洗會傷害組織，延遲報告會浪費時間，而單一藥物治療且無後續追蹤並非建議的途徑。參考文獻 12025 US Public Health Service Occupational HIV PEP Guidelines立即暴露照護、快速感染源和暴露者檢測、迅速三種藥物 PEP 和後續追蹤 ## 臨床情境 職業暴露 記錄時間、器械、深度、感染源體液、部位照護、感染源檢測、暴露者基準檢測、PEP 開始、交互作用、腎功能和後續追蹤。 ## 相同主題題目 - [A client is admitted to the emergency department after ingesting an unknown amount of acet…](https://mymerci.kr/pages/nclex_q.php?qn_id=362720&lang=zh-tw) - [A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Bef…](https://mymerci.kr/pages/nclex_q.php?qn_id=362756&lang=zh-tw) - [A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin…](https://mymerci.kr/pages/nclex_q.php?qn_id=362792&lang=zh-tw) - [A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next do…](https://mymerci.kr/pages/nclex_q.php?qn_id=362833&lang=zh-tw) - [A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times…](https://mymerci.kr/pages/nclex_q.php?qn_id=362894&lang=zh-tw) - [A nurse is monitoring a client receiving a continuous IV heparin infusion for pulmonary em…](https://mymerci.kr/pages/nclex_q.php?qn_id=363988&lang=zh-tw) - [A nurse is preparing to initiate a weight-based continuous IV unfractionated heparin infus…](https://mymerci.kr/pages/nclex_q.php?qn_id=364107&lang=zh-tw) - [A nurse is providing discharge teaching to a 65-year-old client newly prescribed warfarin …](https://mymerci.kr/pages/nclex_q.php?qn_id=364872&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=516662&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。_