— 生理適應 · EASY · MCQ —
對於一名剛發生中風且有吞嚥困難的病人，下列哪項護理措施最能增進安全性？
Which of the following nursing actions best promotes safety in a client with a recent stroke experiencing dysphagia?
- APlace the client in a supine position for all meals讓病人在進食時採取仰臥姿勢
- BHave the client tilt their head backward while swallowing讓病人在吞嚥時將頭部向後仰
- CEnsure the client is sitting at a 90-degree angle during feedings✓ 正解確保病人在進食時保持九十度坐姿
- DOffer thin liquids to keep the client hydrated提供稀薄液體以維持病人水分
— Explanation · 中文詳解 —
中風病人常有吞嚥功能障礙（dysphagia），導致食物誤入氣管引起吸入性肺炎（aspiration pneumonia）。護理的核心在於利用重力協助吞嚥，並保護呼吸道。將病人維持在 90 度直立位（High-Fowler's position）是防止反流與誤吸的最佳姿勢，且需確保病人清醒並維持正確的頭部姿勢。
Positioning the client at a 90-degree upright angle during feedings utilizes gravity to facilitate swallowing and significantly reduces the risk of aspiration. This safety measure is critical for clients with dysphagia to prevent complications such as aspiration pneumonia.