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一位因急性中風入院的個案在初始吞嚥篩檢時咳嗽並出現濕嗓音。完成優先處置。

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The nurse should recognize ::선택::expected fatigue without airway riska failed dysphagia screen with aspiration riska normal response to oral fluidsstable expressive aphasia only, first ::선택::give small sips of water and crushed oral medicationstart a regular diet while sitting uprightselect thickened liquids without further assessmentstop oral trials and keep the client NPO, including oral medications, and then ::선택::obtain a formal swallowing assessment and use the recommended diet and medication routeplace the client flat and repeat the water testresume unrestricted intake when coughing stopsoffer a straw to reduce swallowing effort.

護理師應辨識::선택::預期的疲勞但無呼吸道風險吞嚥篩檢失敗且有吸入風險對口服液體的正常反應僅有穩定的表達性失語症，首先::선택::給予少量水和磨碎的口服藥物坐直時開始常規飲食未經進一步評估即選擇增稠液體停止口服嘗試並讓個案禁食，包括口服藥物，然後::선택::取得正式的吞嚥評估並使用建議的飲食和給藥途徑讓個案平躺並重複飲水測試咳嗽停止後恢復無限制攝入提供吸管以減少吞嚥費力。

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