一位有心衰竭病史的病人，下列哪項評估結果需要護理師立即介入？

心衰竭病人出現肺部基底部的爆裂音（crackles）代表發生肺水腫，這是體液過載導致液體滲出至肺泡的表現，屬於急性呼吸功能不全，必須優先處理。B 和 C 雖屬心衰竭徵象，但進展較緩慢；D 的血壓數值在臨床上屬於穩定範圍。

In a client with heart failure, new-onset crackles in the bases of the lungs indicate pulmonary edema, a manifestation of fluid overload with extravasation of fluid into the alveoli. This represents acute respiratory dysfunction and must be addressed first. Although B and C are signs of heart failure, they develop more gradually; the blood pressure value in D is within a clinically stable range.

台灣護理師通常會配合醫師進行聽診評估，美國護理師在心臟護理領域的聽診評估頻率與深度更為強調。