— 生理適應 · MEDIUM · MCQ —
甲狀腺切除術後，護理師應優先評估下列何項發現？
Which assessment finding should the nurse prioritize in a client following a thyroidectomy?
- AHoarseness of the voice聲音沙啞
- BRespiratory stridor✓ 正解呼吸喘鳴音
- CPain at the surgical site手術部位疼痛
- DIncision site swelling切口部位腫脹
— Explanation · 中文詳解 —
甲狀腺切除術後，最致命的併發症是氣管壓迫與喉頭水腫。呼吸鳴音（stridor）是一種高頻的呼吸音，代表上呼吸道嚴重狹窄，隨時可能導致呼吸道完全阻塞。護理師在術後評估中，必須將呼吸道的通暢度（Airway）置於最高優先順序，這屬於 ABC（Airway, Breathing, Circulation）原則中的 Airway 評估。
After thyroidectomy, the most life-threatening complications are tracheal compression and laryngeal edema. Respiratory stridor is a high-pitched breath sound indicating severe upper airway narrowing that may progress to complete airway obstruction. In postoperative assessment, the nurse must place airway patency at the highest priority, in accordance with the ABC (Airway, Breathing, Circulation) principle.