— 照護管理 · EASY · MCQ —
護理師監督助理員（AP）照顧中風病人，何者行為需護理師立即介入？
A nurse is supervising an assistive personnel (AP) providing care for a client with a stroke. Which action by the AP requires immediate intervention by the nurse?
- APlacing the client on the unaffected side for hygiene care將客戶置於健側進行衛生護理
- BPositioning the client with a pillow under the axilla of the affected arm在患側手臂腋下放置枕頭
- COffering small sips of water to the client✓ 正解提供小口喝水給客戶
- DAssisting the client with passive range-of-motion exercises協助客戶進行被動關節活動範圍運動
— Explanation · 中文詳解 —
中風病人常有吞嚥困難（Dysphagia），若未經過吞嚥評估，給予液體極易造成吸入性肺炎。AP 不具備專業評估能力，護理師必須阻止此行為，待語言治療師或護理師完成吞嚥篩檢後，方可決定飲食型態與照護安全。
Clients with stroke often have dysphagia, making unscreened oral intake a significant risk for aspiration pneumonia. Assistive personnel must not offer fluids until a formal swallow evaluation has been completed by a qualified professional to ensure safe feeding methods.
✦ 台美臨床差異
美國醫院常見護理師與吞嚥治療師分工，台灣護理師執行吞嚥評估的責任通常較重。