護理師為疑似氣胸的病人進行身體評估，哪項臨床發現應優先報告？
A nurse is performing a physical assessment on a client with a suspected pneumothorax. Which clinical finding should the nurse prioritize for reporting?
- ATracheal deviation toward the unaffected side✓ 正解氣管向未受影響側偏移
- BHyper-resonance on percussion叩診呈過度共振音
- CDecreased breath sounds on the affected side患側呼吸音減弱
- DTachypnea and dyspnea呼吸急促與呼吸困難
氣管偏移至健側是張力性氣胸（Tension Pneumothorax）的晚期徵象，代表胸腔內壓力極大，已導致縱隔腔位移，這是危及生命的緊急狀況，必須立即處置。其他選項雖為氣胸表徵，但氣管偏移象徵循環與呼吸系統即將崩潰，危險性最高。
Tracheal deviation toward the unaffected side is a late sign of tension pneumothorax, indicating that intrathoracic pressure has become so high that the mediastinum has shifted. This is a life-threatening emergency that requires immediate intervention. Although the other options are also features of pneumothorax, tracheal deviation signals impending collapse of the respiratory and circulatory systems and therefore carries the highest urgency.
美國護理師受過 ACLS/TNCC 訓練，遇到此情況可直接準備胸管置入器材；台灣護理師多需醫師進行針頭抽吸減壓。