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一位慢性收縮性心衰竭個案出現嚴重呼吸困難、粉紅色泡沫痰、血壓 168/98、心跳 124、室內空氣下血氧飽和度 84%、雙側肺中野有囉音。護理師應預期哪些處置？請選出所有適當選項。

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1 Initiate noninvasive positive pressure ventilation (BiPAP) for hypoxia and work of breathing 針對低氧與呼吸努力啟動NIV(BiPAP) 2 Begin IV nitroglycerin to reduce preload and afterload while BP allows 若血壓允許,給IV nitroglycerin降前後負荷 3 Administer IV furosemide as ordered for fluid removal 依醫囑給予IV furosemide以排除體液 4 Place the client in high Fowler with legs dependent to reduce preload 以雙腿下垂之高Fowler位降低前負荷 5 Administer 1 L bolus of normal saline to support cardiac output 給NS 1 L快速注射以支持心輸出

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