護理師照護一位剛進行甲狀腺切除術的病人，發現其出現喘鳴聲且說話困難。下列何項為優先護理處置？
A nurse is caring for a client who has just returned from a thyroidectomy. The nurse notes the client has developed stridor and has difficulty speaking. Which of the following is the priority nursing action?
- APlace the client in a high-Fowler's position將病人置於半坐臥位（High-Fowler's position）
- BAdminister IV calcium gluconate靜脈注射葡萄糖酸鈣
- CPrepare for emergency tracheostomy✓ 正解準備緊急氣管切開術
- DNotify the surgeon immediately立即通知外科醫師
甲狀腺切除術後出現喘鳴（Stridor）是氣道阻塞的警訊，通常由喉頭水腫、血腫壓迫或副甲狀腺低下引起的喉痙攣造成。在 NCLEX 的 ABC（Airway, Breathing, Circulation）優先順序原則中，呼吸道通暢是絕對優先。當病人出現喘鳴與發音困難，意味著隨時可能發生完全性氣道阻塞，護理師應立即備妥緊急氣道設備，以利醫師在必要時執行緊急氣切。
The development of stridor after a thyroidectomy is a warning sign of airway obstruction, usually caused by laryngeal edema, hematoma compression, or laryngospasm due to hypoparathyroidism. According to the NCLEX ABC (Airway, Breathing, Circulation) priority principle, airway patency is the absolute priority. When a client develops stridor and difficulty speaking, complete airway obstruction may occur at any time. The nurse should immediately prepare emergency airway equipment so the physician can perform an emergency tracheostomy if necessary.
在美國臨床中，甲狀腺術後病人通常會放置緊急氣切包（Tracheostomy tray）於床邊。護理師在評估時，若發現喘鳴，不僅僅是通知醫師，更要確保氣道設備已準備就緒（Bedside readiness），這是美國護理實務中極為強調的「準備度」。