護理師正在照護一位格林-巴利症候群（GBS）病人。哪項評估發現表明疾病正在進展，需要立即關注？
A nurse is caring for a client with Guillain-Barré syndrome (GBS). Which assessment finding indicates progression of the disease and requires immediate attention?
- AAscending weakness in the legs雙下肢上行性無力
- BFacial weakness臉部無力
- CDifficulty swallowing✓ 正解吞嚥困難
- DDecreased deep tendon reflexes深層肌腱反射減弱
格林-巴利症候群的特點是病程快速進展，可能影響呼吸肌和顱神經。吞嚥困難（dysphagia）表示影響到控制吞嚥的肌肉，可能意味著呼吸肌也受影響，有發生呼吸衰竭的風險，需要密切監測呼吸功能並準備插管。選項 A、D、B 雖是 GBS 症狀，但吞嚥困難伴隨呼吸衰竭的風險最高。
Guillain-Barré syndrome is characterized by rapid progression and may involve the respiratory muscles and cranial nerves. Dysphagia indicates involvement of the muscles controlling swallowing and may suggest that the respiratory muscles are also affected, carrying a risk of respiratory failure; close monitoring of respiratory function and preparation for intubation are required. Options A, D, and B are features of GBS, but dysphagia carries the highest risk of progressing to respiratory failure.
美國的重症監護病房（ICU）對於 GBS 病人的呼吸監測非常嚴格，常有專門的評估流程；台灣的 ICU 也有類似標準，但病人呼吸變化的早期辨識與即時反應非常重要。