— 基本照護與舒適 · MEDIUM · MCQ —
護理師準備餵食一位吞嚥困難的病人。下列哪項操作最為關鍵？
A nurse is preparing to feed a client who has dysphagia. Which action is most important for the nurse to perform?
- AOffer small, frequent bites提供少量多次的餵食
- BEnsure the food has a thickened consistency確保食物具有增稠的質地
- CPlace the client in a high-Fowler's position✓ 正解將病人置於高福勒氏體位
- DCheck for a gag reflex檢查噁心反射
— Explanation · 中文詳解 —
高坐姿（High-Fowler's）能有效利用重力協助吞嚥並防止食物吸入氣道，是吞嚥困難病人進食時最基礎且最重要的安全姿勢。其他選項如食物稠度與進食方式雖重要，但在體位配置不當的情況下，安全性仍不足。
A high-Fowler's (upright) position effectively uses gravity to assist swallowing and prevent aspiration of food into the airway, making it the most fundamental and important safety position for clients with dysphagia during meals. Although other measures such as food consistency and feeding technique are important, safety remains inadequate if positioning is incorrect.
✦ 台美臨床差異
美國多由語言治療師（SLP）評估吞嚥，台灣則常由護理師觀察並請醫師或營養師會診。