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階段 5 — 採取行動。安排第一個小時的主要決策點。立即的床邊穩定與升級處置重疊進行，指定的團隊成員平行執行被指派的任務。

Ordered Response

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Assign eligible established-plan medication and teaching-reinforcement care to the LPN/VN with clear reporting and follow-up expectations 將符合資格的既定計畫給藥與衛教強化照護指派給 LPN/VN，並有明確的回報與追蹤期望

Once immediate help is present, direct the UAP to provide Patient D's fall-safety observation and obtain defined routine data for stable clients 一旦立即支援到位，指導 UAP 提供 D 個案的跌倒安全觀察，並為穩定個案取得指定的常規資料

Notify the provider and activate the facility urgent-response or PE pathway while preparing ordered diagnostic and treatment evaluation 通知醫師並啟動機構的緊急應變或肺栓塞路徑，同時準備醫囑的診斷與治療評估

Stay with Patient A, stop ambulation, perform the focused assessment, apply prescribed oxygen for SpO2 89 percent, and start continuous monitoring 留在 A 個案身邊，停止走動，執行重點評估，依醫囑給予氧氣以處理 SpO2 89%，並開始持續監測

Reassess Patient A and the results of all assigned care, address new findings, and complete timely documentation and handoff updates 重新評估 A 個案及所有指派照護的結果，處理新發現，並完成及時的記錄與交班更新

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相同主題的下一題A 67-year-old client with chronic obstructive pulmonary disease attends a routine primary …本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。