— 降低風險 · MEDIUM · MCQ —
哪項評估發現代表病人的呼吸道受阻？
Which assessment finding indicates that a client's airway is compromised?
- AInspiratory wheezing✓ 正解吸氣時喘鳴
- BClear lung sounds肺音清晰
- CSpO2 98%SpO2 98%
- DRegular breathing pattern規律的呼吸型態
— Explanation · 中文詳解 —
吸氣時的喘鳴聲（Inspiratory wheezing/stridor）通常代表上呼吸道部分阻塞，這是一種緊急狀況。清脆的肺音與規律的呼吸模式代表呼吸道通暢，SpO2 98% 屬健康範圍。呼吸道阻塞是致命威脅，需立刻介入。
Inspiratory wheezing, often referred to as stridor, indicates partial upper airway obstruction and represents a medical emergency requiring immediate intervention. Clear lung sounds, regular breathing patterns, and normal oxygen saturation levels suggest that the airway remains patent and ventilation is adequate.
✦ 台美臨床差異
美台護理師皆接受針對 Stridor 進行緊急通報與建立呼吸道的臨床訓練。