# 第2階段——分析線索。針對每項結果，指出其在再灌注評估中最直接支持的結論。 > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=zh-tw > language: zh-TW > subject: Reduction of Risk Potential > category: ROR ## 題目 第2階段——分析線索。針對每項結果，指出其在再灌注評估中最直接支持的結論。 | | 支持持續血栓溶解治療評估 | 支持血栓切除術評估 | 降低對血糖擬似症的疑慮 | 降低實驗室出血禁忌 | | --- | --- | --- | --- | --- | | 非顯影電腦斷層顯示無顱內出血 | | | | | | 電腦斷層血管攝影顯示左側 M1 阻塞 | | | | | | 即時血糖為 118 mg/dL | | | | | | 血小板 224,000/mm3 且 INR 1.0 | | | | | ## 解析 非顯影電腦斷層未見出血，可繼續進行缺血性腦中風治療評估；M1 阻塞支持血栓切除術評估；血糖正常可降低代謝性擬似症的疑慮；血小板充足且 INR 1.0 可排除兩項常見的出血相關禁忌，但並不能證明整體符合資格。 ## 深入解析 快速解答 將每項檢查與其功能配對：排除出血、定位阻塞、降低擬似症疑慮，或評估出血風險。 為什麼這是正確的 再灌注決策需綜合時間、缺損嚴重度、影像及禁忌症。單一正常值並不能獨立授權治療。 簡單比喻或心智圖像 腦中風檢查流程就像四線道檢查站：腦部影像、血管影像、擬似症篩檢及出血篩檢，各自回答不同的問題。 記憶口訣 平掃電腦斷層檢查出血；血管攝影檢查阻塞。 NCLEX 決策原則 依目的解讀診斷數據，並持續同步進行腦中風系統處置，而非依序等待每項結果。 為什麼其他選項是錯的 M1 阻塞不能排除出血，血糖無法定位血塊，凝血數值也無法顯示大血管是否阻塞。 參考資料 12026 Guideline for the Early Management of Patients With Acute Ischemic StrokeRapid stroke recognition, thrombolysis, thrombectomy pathways, and early management ## 臨床情境 案例更新 腦中風團隊在再灌注治療前檢視影像、檢驗及床邊資料。 ## 相同主題題目 - [A 52-year-old patient is admitted with severe acute pancreatitis. Lipase is 1,800 U/L and …](https://mymerci.kr/pages/nclex_q.php?qn_id=372851&lang=zh-tw) - [A 68-year-old is admitted for acute uncomplicated diverticulitis with WBC 16,000/uL and pe…](https://mymerci.kr/pages/nclex_q.php?qn_id=372855&lang=zh-tw) - [A patient with end-stage renal disease is post-op day 1 from a left forearm arteriovenous …](https://mymerci.kr/pages/nclex_q.php?qn_id=373261&lang=zh-tw) - [A 72-year-old presents to the ED with sudden right-sided weakness and aphasia. Family stat…](https://mymerci.kr/pages/nclex_q.php?qn_id=373516&lang=zh-tw) - [A 65-year-old is post-op day 1 from a hip arthroplasty. Which nursing action best supports…](https://mymerci.kr/pages/nclex_q.php?qn_id=373882&lang=zh-tw) - [A nurse is implementing the CDC STEADI fall-prevention initiative for community-dwelling o…](https://mymerci.kr/pages/nclex_q.php?qn_id=374875&lang=zh-tw) - [A patient on day 7 of heparin therapy has a platelet count drop from 220,000 to 80,000 ove…](https://mymerci.kr/pages/nclex_q.php?qn_id=374929&lang=zh-tw) - [An 18-year-old with sickle cell disease arrives in vaso-occlusive crisis with severe back …](https://mymerci.kr/pages/nclex_q.php?qn_id=374972&lang=zh-tw) ## 以其他語言閱讀 - [en](https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=en) - [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=ko) - [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=ja) - [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=zh-tw) - [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=568847&lang=vi) --- More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw) _僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_