— 降低風險 · MEDIUM · MCQ —
護理師照護一位剛進行甲狀腺切除術的病人，哪項發現應立即通報醫師？
A nurse is caring for a client who has just returned from a thyroidectomy. Which of the following findings should be reported to the provider immediately?
- AThe client's neck dressing has a small amount of serosanguinous drainage病人的頸部敷料有少量漿液血性滲出液
- BThe client has a noisy, high-pitched respiratory sound✓ 正解病人有嘈雜、高音調的呼吸聲
- CThe client reports a sore throat when swallowing病人吞嚥時主訴喉嚨痛
- DThe client is drowsy but awakens easily病人嗜睡但容易喚醒
— Explanation · 中文詳解 —
甲狀腺切除術（Thyroidectomy）後，最嚴重的併發症是氣道阻塞。高頻呼吸音（Stridor，喘鳴聲）代表喉頭水腫或氣管受到壓迫，這是一種醫療緊急狀況（Medical Emergency）。護理師發現此徵象時，必須立即準備緊急插管或氣切包，並通知醫師，因為呼吸道阻塞會在數分鐘內導致缺氧與心跳停止。
Stridor is a high-pitched, noisy respiratory sound indicating upper airway obstruction, which is a life-threatening emergency after thyroidectomy due to potential laryngeal edema or hematoma. This finding requires immediate intervention to secure the airway, whereas other options represent expected postoperative findings.