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一名護理師監測一名全膝關節置換術後病人,使用嗎啡之病人自控鎮痛(PCA)。下列何者為安全PCA管理之介入?(複選)

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1 Allow only the client to press the demand button and instruct family not to push it for the client 只允許病人本人按按鈕,並衛教家屬不可代按 2 Increase the basal infusion rate without notifying the provider if pain is uncontrolled 若疼痛控制不佳,未通知醫師即增加基礎注射速率 3 Monitor sedation level (Pasero scale), respiratory rate, SpO2, and pain at scheduled intervals 依排定時間監測鎮靜程度(Pasero)、呼吸、SpO2、疼痛 4 Independent two-RN check of pump settings against the order at every shift change 每次交班皆由兩位RN獨立核對pump設定與醫囑 5 Have naloxone and a bag-valve-mask immediately available at the bedside 床邊備有naloxone與球囊面罩可立即使用

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相同主題的下一題A client is admitted to the emergency department after ingesting an unknown amount of acet…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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