肺炎病人出現下列哪項評估發現，暗示有呼吸道阻塞的潛在風險？
Which assessment finding in a patient with pneumonia indicates a potential for airway obstruction?
- AProductive cough with thick sputum✓ 正解有痰咳嗽且痰液濃稠
- BIncreased respiratory rate呼吸頻率增加
- CLow-grade fever低燒
- DChest pain with coughing咳嗽時胸痛
肺炎病人因肺部發炎反應導致分泌物增加。若痰液質地黏稠（thick sputum），病人即便用力咳嗽也難以將其排出，這可能導致氣道管腔變窄甚至完全阻塞。在 NCLEX 考試中，優先順序（Priority）永遠是維持呼吸道暢通（Airway），因此任何影響排除分泌物的因素皆需高度關注。其他選項如發燒、呼吸加速或胸痛雖為肺炎常見症狀，但皆未直接影響氣道的物理通暢性。
Clients with pneumonia produce increased secretions due to pulmonary inflammation. When the sputum is thick, the client may be unable to clear it even with forceful coughing, potentially narrowing or completely obstructing the airway. On the NCLEX, the priority is always to maintain airway patency, so any factor that impairs secretion clearance demands close attention. Other options such as fever, tachypnea, and chest pain are common pneumonia symptoms but do not directly impair the physical patency of the airway.