護理師照護一位剛進行甲狀腺切除術的病人。下列哪項評估發現應立即通知醫師？
A nurse is caring for a client who has just returned from a thyroidectomy. Which assessment finding should be reported to the provider immediately?
- ADrainage of 10 mL of serosanguineous fluid on the dressing敷料上有 10 mL 漿液血性引流液
- BPresence of a hoarse voice when speaking說話時出現聲音嘶啞
- CNoisy, high-pitched respirations on inspiration✓ 正解吸氣時出現嘈雜、高音調的呼吸聲
- DClient reports a pain level of 4 out of 10客戶報告疼痛程度為 10 分中的 4 分
甲狀腺切除術（Thyroidectomy）後，護理師應優先評估呼吸道通暢度。術後常見併發症包括喉返神經（Recurrent laryngeal nerve）損傷或手術部位出血導致的血腫（Hematoma），這些都會壓迫氣管。高頻呼吸音（Stridor）是氣管狹窄或嚴重喉頭水腫的典型徵象，意味著呼吸道受阻，隨時可能導致窒息，必須立即通知醫療團隊準備插管或緊急減壓。
After a thyroidectomy, the nurse must prioritize assessment of airway patency. Common postoperative complications include recurrent laryngeal nerve injury and hematoma at the surgical site, both of which can compress the trachea. Stridor (high-pitched inspiratory sound) is the classic sign of airway narrowing or severe laryngeal edema, indicating an obstructed airway with imminent risk of suffocation; the team must be notified immediately to prepare for intubation or emergency decompression.