— 安全與感染控制 · MEDIUM · MCQ —
哪位病人誤吸（Aspiration）風險最高？
Which client is at highest risk for aspiration?
- AA client with stable asthma病情穩定的氣喘病人
- BA client with a urinary tract infection患有泌尿道感染的病人
- CA client who has had a stroke with dysphagia✓ 正解患有吞嚥困難的中風病人
- DA client with a broken leg腿部骨折的病人
— Explanation · 中文詳解 —
誤吸（Aspiration）風險通常與吞嚥機制受損或意識狀態改變有關。中風（Stroke）病人常伴隨吞嚥困難（Dysphagia），由於腦部受損導致咽喉肌肉控制失調，進食時食物容易誤入氣管而非食道。這是臨床照護中極需高度警覺的狀況，護理師需執行吞嚥評估（Bedside swallow screening）並與 SLP 配合，以確保病人安全。
Clients with a history of stroke are at the highest risk for aspiration due to potential dysphagia caused by impaired neuromuscular control of swallowing. This condition increases the likelihood of food or liquid entering the airway rather than the esophagus. Nurses must prioritize swallowing assessments and implement safety measures to prevent respiratory complications.