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請將一位在突發失語及右側無力 35 分鐘後抵達之個案的護理措施排序。

Ordered Response

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Assist with eligibility and contraindication review and prepare the selected thrombolytic or thrombectomy pathway as ordered 協助進行符合條件及禁忌症之審查，並依醫囑準備所選之血栓溶解或血栓移除路徑

Activate the stroke alert and notify the imaging and stroke teams without waiting to see whether deficits resolve 立即啟動中風警報並通知影像及中風團隊，無需等待觀察缺損是否緩解

Prepare for urgent noncontrast brain imaging and prescribed vascular imaging without delaying reperfusion evaluation 準備緊急非顯影腦部影像及醫囑之血管影像，不得延誤再灌流評估

While the team mobilizes, establish the exact last-known-well time and obtain anticoagulant, bleeding, surgery, and baseline-function history 在團隊動員的同時，確立精確的最後已知正常時間，並取得抗凝血劑、出血、手術及基礎功能之病史

Perform rapid airway, breathing, circulation, neurologic, vital-sign, oxygenation, and point-of-care glucose assessment 執行快速呼吸道、呼吸、循環、神經學、生命徵象、氧合及即時血糖評估

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相同主題的下一題A nurse in a busy emergency department is triaging five clients who arrive simultaneously.…本題收錄於此題庫[전통+신유형] NCLEX LEVEL UP 패키지KRW 79,000

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