一位診斷為急性呼吸窘迫症候群（ARDS）的病人，下列哪項評估發現需要護理師立即處置？
A client is diagnosed with acute respiratory distress syndrome (ARDS). Which assessment finding requires immediate nursing intervention?
- ASudden increase in peak inspiratory pressure on the ventilator✓ 正解通氣機上峰端吸氣壓力突然升高
- BBilateral crackles heard on auscultation聽診可聞及雙側囉音
- CPresence of pink, frothy sputum出現粉紅色泡沫痰
- DPaO2/FiO2 ratio of 180 mmHgPaO2/FiO2 比值為 180 mmHg
ARDS 病人在呼吸器上，尖峰吸氣壓力（PIP）突然升高代表氣管阻力增加或肺順應性下降，常見原因為氣胸、黏液栓塞或管路阻塞。這會直接導致通氣不足與危及生命的缺氧，需立即排除管路問題或氣胸，相較於其他慢性 ARDS 特徵，此為急性惡化訊號。
In an ARDS client on mechanical ventilation, a sudden rise in peak inspiratory pressure (PIP) indicates increased airway resistance or decreased lung compliance, commonly caused by pneumothorax, mucus plugging, or tubing obstruction. This directly leads to inadequate ventilation and life-threatening hypoxia, requiring immediate elimination of tubing problems or pneumothorax. Compared with other chronic ARDS features, this is a sign of acute deterioration.
台灣呼吸治療師在 ICU 角色重要，護理師通常與 RT 合作排除管路問題，處理流程類似。