護理師照顧一位急性氣喘發作病人。哪些評估發現需要立即介入？（選所有適合的）
A nurse is caring for a patient experiencing an acute asthma attack. Which assessment findings require immediate intervention? (Select all that apply.)
- ASilent chest upon auscultation✓ 正解聽診時胸部無呼吸音（沉默肺）
- BOxygen saturation of 91% on room air在室溫下氧飽和度為91%
- CRapid, shallow respirations with accessory muscle use✓ 正解呼吸急促淺表並使用輔助肌肉
- DInability to speak in full sentences✓ 正解無法說完整句子
- EBilateral expiratory wheezing雙側呼氣性哮鳴音
氣喘發作時，「沉默肺」意味著氣道阻塞嚴重到幾乎沒有氣流交換，屬呼吸衰竭前兆。使用輔助肌呼吸表示呼吸肌極度疲勞，無法說出完整句子則代表氣流嚴重受限，三者皆為危急徵兆。選項 B 雖低但可透過給氧改善，E 為氣喘常見特徵，雖需關注但非最危急。
In a client with an acute asthma attack, a silent chest indicates severely diminished air movement and impending respiratory failure, requiring immediate intervention. The inability to speak in full sentences and the use of accessory muscles signify severe airflow limitation and respiratory muscle fatigue. While wheezing is common and an oxygen saturation of 91% is concerning, these findings are less critical than signs of respiratory exhaustion.
兩地對氣喘重症的處置流程相似，皆強調快速給予支氣管擴張劑與類固醇，但美國呼吸治療師（RT）在急性期介入的角色更為固定。