一位病人甲狀腺切除術後 2 小時，出現喘鳴與呼吸困難。護理師應優先採取哪項措施？
A nurse is assessing a client who is 2 hours post-thyroidectomy. The client exhibits stridor and difficulty breathing. Which action is the priority?
- AAdminister oxygen via nasal cannula經鼻導管給予氧氣
- BPerform suctioning執行抽吸
- CPrepare for bedside tracheostomy✓ 正解準備床邊氣管造廔術
- DAdminister IV calcium gluconate靜脈注射葡萄糖酸鈣
甲狀腺術後出現喘鳴（stridor）是氣道阻塞的警訊，通常由術後血腫壓迫氣管引起。此時建立呼吸道（Airway）為護理第一優先（ABC 原則）。B 為緊急處理；A 無效且浪費時間；C 用於治療低血鈣抽搐，非呼吸困難首選；B 對於因血腫壓迫造成的氣道狹窄無效且可能加重水腫。
Stridor after thyroid surgery is a warning sign of airway obstruction, usually caused by a postoperative hematoma compressing the trachea. At this point, establishing an airway is the nursing priority (ABC principle). C is the emergency management; A is ineffective and a waste of time; D is used to treat hypocalcemic tetany rather than respiratory distress; and B is ineffective for airway narrowing caused by hematoma compression and may worsen edema.
美國護理師常需負責備妥緊急氣道設備；台灣醫院通常會有固定呼吸治療師或麻醉科醫師介入。