護理師評估一位可能有脊髓損傷的病人。哪項發現需要立即處理？
A nurse is assessing a client with a potential spinal cord injury. Which finding requires immediate attention?
- ARespiratory distress✓ 正解呼吸窘迫
- BInability to feel sharp sensations無法感知刺痛感
- CParalysis of the lower extremities下肢麻痺
- DDifficulty with bowel movements排便困難
脊髓損傷（Spinal cord injury）病人的護理必須遵循 ABC 原則（Airway, Breathing, Circulation）。呼吸系統受損通常與頸椎損傷有關，特別是 C3-C5 節段支配橫膈膜的神經。若出現呼吸窘迫，表示生命中樞受到威脅，屬於最高優先級的緊急情況，必須立即給予呼吸支持或氣管插管，否則會迅速導致死亡。
Nursing care of clients with spinal cord injury must follow the ABC principle (Airway, Breathing, Circulation). Compromise of the respiratory system is typically associated with cervical injuries, particularly involving the C3–C5 segments that innervate the diaphragm. If respiratory distress occurs, the vital centers are threatened, representing the highest priority emergency and requiring immediate ventilatory support or endotracheal intubation; otherwise death may rapidly ensue.