護理師照護一位無法說話的氣切病人，病人變得越來越煩躁。哪項是最恰當的初步護理措施？
A nurse is caring for a client with a tracheostomy who is unable to speak. The client is becoming increasingly agitated. Which is the MOST appropriate initial nursing intervention?
- AIncrease the oxygen flow rate增加氧氣流量
- BAdminister a sedative給予鎮靜劑
- CProvide a communication board or notepad✓ 正解提供溝通板或筆記本
- DSuction the tracheostomy tube抽吸氣切套管
氣切（tracheostomy）病人若無法說話，其心理壓力極大，容易因無法表達生理需求（如疼痛、痰液阻塞、氧氣不足）而產生焦慮與煩躁。護理師的首要任務是建立有效的溝通管道（Communication Board）。一旦建立溝通方式，病人能表達需求，焦慮感通常會隨之降低。相比之下，抽痰或給氧需先評估呼吸狀況，若無呼吸急促跡象，應優先解決溝通障礙。
The most appropriate initial intervention is to provide a communication board or notepad because inability to speak after a tracheostomy causes significant anxiety and agitation when the client cannot express needs like pain or secretions. Establishing an effective communication channel allows the client to relieve distress, which often reduces agitation more effectively than immediate suctioning or sedation if respiratory status is stable.