甲狀腺切除術後，護理師應優先監測哪項併發症？
A nurse is caring for a client after a thyroidectomy. Which complication is the highest priority to assess?
- AHemorrhage出血
- BAirway obstruction✓ 正解氣道阻塞
- CHypocalcemia低血鈣血症
- DLaryngeal nerve damage喉返神經損傷
甲狀腺切除術（thyroidectomy）後，最嚴重的威脅是呼吸道阻塞。這可能源於手術部位出血導致的血腫壓迫、喉頭水腫，或是喉返神經（recurrent laryngeal nerve）損傷引起的聲帶麻痺。根據 ABC 原則，呼吸道安全（Airway）永遠是最高優先級。護理師必須在術後立即床旁準備氣切包（tracheostomy tray）及抽吸設備，以便在發生急性呼吸困難時能迅速處理。
After thyroidectomy, the most serious threat is airway obstruction. This may result from hematoma compression secondary to bleeding at the surgical site, laryngeal edema, or vocal cord paralysis caused by recurrent laryngeal nerve injury. According to the ABC principle, airway safety is always the highest priority. The nurse must keep a tracheostomy tray and suction equipment at the bedside immediately after surgery to allow rapid intervention if acute respiratory distress occurs.
美國醫院實務中，針對甲狀腺術後，床邊必須備有氣切包（Tracheostomy kit）是標準安全要求（Safety protocol），護理師需定期檢查其完整性。