— 照護管理 · MEDIUM · MCQ —
護理師監督照服員照顧中風病人時，哪一項行為需立即介入？
A nurse is supervising an unlicensed assistive personnel (UAP) who is providing care for a client with a stroke. Which action by the UAP requires immediate intervention?
- APlacing food on the affected side of the mouth✓ 正解將食物放在口腔的病變側
- BAssisting the client to sit upright before feeding協助病人在進食前坐直
- CPlacing the client's weak arm on a pillow for support將病人的患側手臂放置在枕頭上支撐
- DReporting a slight decrease in urine output報告尿量輕微減少
— Explanation · 中文詳解 —
中風病人常有單側忽略（Unilateral neglect）或吞嚥困難（Dysphagia）。將食物放在患側（Affected side）極易導致食物堆積在頰囊中，病人無法感覺到而容易在吞嚥時發生嗆咳或吸入性肺炎。照護員應將食物放置在健側，並確認病人完全吞嚥後再給予下一口，這是預防吸入性肺炎的關鍵。
Stroke clients frequently have unilateral neglect or dysphagia. Placing food on the affected side easily allows it to accumulate in the buccal pouch, where the client cannot sense it and is at risk of choking or aspiration pneumonia during swallowing. The UAP should place food on the unaffected side and confirm complete swallowing before offering the next bite; this is key to preventing aspiration pneumonia.