Which signs indicate a patient's airway may be compromised?

The signs indicating that a patient's airway may be compromised include stridor, gurgling sounds, and the inability to speak. Stridor is a high-pitched wheezing sound that occurs when there is an obstruction in the upper airway, often signaling severe issues such as swelling or blockage. Gurgling sounds suggest the presence of fluids in the airway, which can also hinder normal breathing. The inability to speak is a significant indicator that the airway is either partially or fully obstructed, as a patent airway is necessary for phonation. Together, these signs clearly suggest that immediate medical intervention is needed to address the compromised airway and ensure adequate breathing and oxygenation of the patient.

In contrast, clear breathing sounds and alertness imply that the airway is likely open and functioning properly, while normal heart rate and stable vitals indicate that there may not be any immediate threat to the airway. Similarly, strength in all four extremities suggests good neural function and circulation, without necessarily providing information about airway status. These other options do not reflect the urgent concerns associated with potential airway compromise.