護理師協助一名有吞嚥困難病史的病人進食午餐。哪項護理措施能確保進食過程中的最高安全性？
A nurse is preparing a client with a history of dysphagia for lunch. Which nursing action ensures the highest safety during feeding?
- AProvide thin liquids first to clear the throat先提供稀薄液體以清喉
- BOffer large bites to encourage swallowing提供大口食物以促進吞嚥
- CPlace the client in a high-Fowler’s position✓ 正解將病人置於高福勒氏臥位
- DPerform passive range-of-motion exercises before the meal進食前進行被動關節活動範圍運動
吞嚥困難（Dysphagia）病人進食時，最大的威脅是食物誤入氣管導致吸入性肺炎。高坐臥位（High-Fowler's position）利用重力幫助食物順利進入食道，並確保呼吸道通暢，減少食物殘留喉頭的風險。進食時應細嚼慢嚥，避免大口吞嚥。稀液體對吞嚥困難病人最危險，因為流動性高，容易在未及時吞嚥時滑入氣管，通常需要加入增稠劑。運動與進食安全無直接關聯，不應作為進食前的強制要求。
For a client with dysphagia, the greatest threat during eating is food entering the trachea and causing aspiration pneumonia. High-Fowler's position uses gravity to help food move smoothly into the esophagus and ensures airway patency, reducing the risk of food residue lodging in the throat. Eating should be slow with small bites; avoid large mouthfuls. Thin liquids are the most dangerous for clients with dysphagia because their high flow rate allows them to slip into the trachea before being swallowed; thickening agents are typically required. Exercise has no direct relationship to swallowing safety and should not be mandated before meals.