# COPD 個案走去浴室時變得呼吸急促。護理師應給予哪項指示？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=394030&lang=zh-tw  
> language: zh-TW  
> subject: Medical Emergencies  
> category: PA

## 題目

COPD 個案走去浴室時變得呼吸急促。護理師應給予哪項指示？

## 選項

1. 快速淺呼吸直到症狀過去。
2. 平躺並憋氣 10 秒。
3. 用嘴盡可能快速吸氣與呼氣。
4. 用鼻吸氣，並以噘唇慢慢吐氣。 **✔ 正確答案**

**正確答案: 4**

## 解析

噘唇呼吸可幫助 COPD 個案更有效吐氣並處理呼吸困難。快速淺呼吸可能惡化空氣滯留。平躺或憋氣可能增加呼吸窘迫。

## 深入解析

臨床判斷
COPD 呼吸困難時，緩慢受控的吐氣有助於減少滯留空氣與焦慮。

記憶重點
聞花香，用吸管吹氣。

## 臨床情境

實務指引
MedlinePlus COPD 自我照護說明，噘唇呼吸可在下一次吸氣前幫助排空肺部並處理喘。

注意
嚴重呼吸窘迫、發紺、胸痛或意識改變需要緊急升級處置。

## 重要概念

- **COPD** — 使氣流困難並可能造成呼吸困難的慢性肺病。
- **噘唇呼吸** — 透過幾乎閉合的嘴唇緩慢吐氣的呼吸方法。
- **空氣滯留** — 因吐氣不完全而使空氣留在肺部。

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