— 降低風險 · MEDIUM · MCQ —
護理師評估一名疑似中風的病人。下列哪項發現需要立即通知醫師？
A nurse is assessing a client with a suspected stroke. Which of the following findings requires immediate notification of the provider?
- AAsymmetric facial droop臉部不對稱下垂
- BBlood pressure 150/90 mmHg血壓 150/90 mmHg
- CDifficulty swallowing liquids吞嚥液體困難
- DSudden change in level of consciousness✓ 正解意識水準突然改變
— Explanation · 中文詳解 —
在評估疑似中風（Stroke）病患時，優先順序（Priority）依循 ABC 原則與神經功能惡化指標。意識狀態（Level of consciousness, LOC）的突然改變是腦部灌流嚴重不足、腦壓升高或腦出血擴大的危急徵象。這代表神經功能正在迅速惡化，可能危及生命，必須立即通知醫師進行神經學評估與腦部影像檢查，以爭取黃金治療時間。
A sudden change in the level of consciousness signals potential neurological deterioration, increased intracranial pressure, or brain herniation, which are life-threatening emergencies. Immediate provider notification is required to initiate urgent neurologic assessment and imaging.