— 生理適應 · EASY · SATA —
護理師評估一位疑似中風的病人,哪些徵兆是中風的指標?(選所有適合的)
A nurse is assessing a client with a suspected stroke. Which signs are indicators of a stroke? (Select all that apply.)
- AFacial drooping✓ 正解面部下垂
- BArm weakness✓ 正解手臂無力
- CSpeech difficulty✓ 正解言語困難
- DSudden headache✓ 正解突發性頭痛
- EImproved alertness over time隨時間推移警覺度改善
— Explanation · 中文詳解 —
中風徵兆(FAST 原則):面部下垂(Face)、手臂無力(Arm)、說話困難(Speech)、突然劇烈頭痛(尤其腦出血時)。Alertness 在中風後通常不會自動改善,反可能因腦水腫惡化,故 E 不正確。
Stroke indicators include facial drooping, unilateral arm weakness, and speech difficulties, which align with the FAST assessment protocol. A sudden, severe headache is also a key sign, particularly associated with hemorrhagic strokes, whereas improved alertness is not expected in the acute phase.
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