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一位生命最後數日的個案有口乾及新出現的嘈雜呼吸道分泌物。個案放鬆，無皺眉或呼吸費力，家屬說：「聽起來像窒息。」完成護理師的臨床判讀與計畫。

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The assessment most strongly supports ::선택::acute pulmonary edema causing air hungerairway obstruction requiring deep suctionnoisy terminal secretion without observed client distressaspiration pneumonia requiring routine antibiotics. An appropriate current nursing plan is ::선택::start continuous deep oropharyngeal suctionexplain the sound, provide mouth care, and reposition for comfortincrease tube feeding to thin secretionswithhold all oral care to prevent aspiration. A medication trial becomes reasonable when ::선택::the family asks for silence despite a comfortable clientsecretions are present for any length of timesecretions appear to distress the client despite individualized comfort measuresthe client develops medication-related dry mouth.

評估最強烈支持::선택::急性肺水腫引起空氣飢渴呼吸道阻塞需要深部抽吸末期嘈雜分泌物且未觀察到個案不適吸入性肺炎需要常規抗生素。適當的目前護理計畫為::선택::開始持續深部口咽抽吸解釋該聲音，提供口腔護理，並為舒適重新擺位增加管灌以稀釋分泌物不提供所有口腔護理以預防吸入。藥物試驗在::선택::儘管個案舒適，家屬要求安靜分泌物存在任何時間長度儘管採取個別化舒適措施，分泌物似乎造成個案不適個案出現藥物相關的口乾時變得合理。

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