一位65歲男性剛在床邊完成了一次胸腔放液穿刺術以引流大量的右側胸腔積液，且成功移除了高達 1200 mL 的液體。一小時後，在持續風險評估的期間，個案突然抱怨右側胸部有一陣『緊繃、突然的劇痛』。護理師進行快速呼吸評估並記錄到：呼吸急促、血氧 SpO2 直線暴跌至 89%，且在聽診時，驚人地發現整個右肺視野的呼吸音竟然『完全消失（Absent）』。護理師必須絕望般地認清哪項侵略性併發症，其所需的立即處置為何？（多選題）

A 65-year-old male recently underwent a bedside thoracentesis to drain a large right-sided pleural effusion, with a total of 1200 mL of fluid successfully removed. One hour later, during continuous risk assessment, the client suddenly complains of a 'tight, sudden sharp pain' strictly on the right side of his chest. The nurse performs a rapid respiratory assessment and documents tachypnea, an SpO2 plunging to 89%, and remarkably entirely absent breath sounds over the entire right lung field upon auscultation. What aggressive complications must the nurse desperately recognize, and what are the immediate required actions? (Select all that apply.)

• AThe client has likely developed a massive right-sided pneumothorax (collapsed lung) as an iatrogenic consequence of the invasive needle puncture.✓ 正解
  個案可能因侵入性針頭穿刺而併發右側大量氣胸（肺萎陷）。
• BThe absent breath sounds unequivocally confirm that all the fluid has been perfectly drained and the lung is now entirely beautifully healed.
  呼吸音消失確鑿地證明所有積液已完美引流，且肺部現在完全美麗癒合。
• CImmediately apply emergency high-flow supplemental oxygen and position the client strictly into an upright high Fowler's position to maximize lung expansion.✓ 正解
  立即給予緊急高流量補充氧氣，並將個案嚴格置於高半坐臥位以最大化肺擴張。
• DUrgently activate the rapid response team and fiercely prepare an emergency chest tube insertion tray to decompress the trapped pleural air.✓ 正解
  緊急啟動快速反應團隊並激烈準備緊急胸腔插管盤以減壓被困住的胸膜空氣。
• EEncourage the client to take rapid, forceful, and shallow panting breaths to forcefully push the leaked air back out of the tiny needle hole.
  鼓勵個案進行快速、用力且淺快的喘息呼吸，以強迫將洩漏的空氣推回微小的針孔外。