還有更多這樣的題目挑戰 ›

第6階段 — 評估結果。檢視神經學趨勢並回答這兩個問題。

Trend

選擇作答後，查看答案。

Time	Data
Arrival	NIHSS 14; aphasia; left gaze preference; right face, arm, and leg weaknessNIHSS 14分；失語症；左側凝視偏好；右側臉部、手臂和腿部無力
After tenecteplase	Sudden headache and vomiting; emergency CT shows no hemorrhage突發性頭痛和嘔吐；緊急電腦斷層掃描顯示無出血
After thrombectomy	TICI 3 reperfusion; follows one-step commands; right leg strength improvesTICI 3級再灌流；能遵循一步指令；右腿力量改善
6 hours	NIHSS 6; speech clearer; mild right facial droop and cough with oral secretions remainNIHSS 6分；言語更清晰；輕微右側臉部下垂和口腔分泌物引起的咳嗽仍存在

Q1. Which interpretation is best supported at 6 hours?6小時後，哪種解釋最能被支持？

The client has progressive global neurologic failure個案有進行性全身神經功能衰竭 Reperfusion is associated with substantial neurologic improvement再灌流與顯著的神經學改善相關 The original event was a glucose mimic原始事件是血糖模擬症 The client has no remaining safety risks個案沒有剩餘的安全風險

Q2. Which action remains necessary before oral medication or fluids?在口服藥物或液體之前，哪項措施仍然是必要的？

Ask the spouse to offer water請配偶提供水 Use a straw to bypass facial weakness使用吸管繞過臉部無力 Complete the prescribed swallow screen and maintain aspiration precautions完成醫囑的吞嚥篩檢並維持預防吸入措施 Delay all rehabilitation assessment until discharge將所有復健評估延遲至出院

查看答案

相同主題的下一題A 58-year-old patient with metastatic lung cancer is admitted with progressive dyspnea, hy…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。