— 降低風險 · EASY · MCQ —
甲狀腺切除術後的病人，病床邊準備哪項設備最為重要？
A client is recovering from a thyroidectomy. Which equipment is most important for the nurse to have at the bedside?
- ASuction machine抽吸機
- BTracheostomy tray✓ 正解氣管切開術器械包
- CIncentive spirometer誘導性肺量計
- DElectrocardiogram monitor心電圖監測器
— Explanation · 中文詳解 —
甲狀腺切除術後最大的急性風險是術後出血導致氣道壓迫或喉頭水腫，這可能迅速引起呼吸道阻塞。床邊備妥氣管切開包 (Tracheostomy tray) 是為了在發生緊急呼吸困難時能立即建立氣道，這是預防致命性風險的關鍵措施。
The greatest acute risk after thyroidectomy is postoperative bleeding leading to airway compression or laryngeal edema, which can rapidly produce airway obstruction. Keeping a tracheostomy tray at the bedside is essential so that an airway can be immediately established if emergency respiratory distress occurs; this is a critical safeguard against a life-threatening risk.
✦ 台美臨床差異
美國 NCLEX 非常強調床邊備氣切包與鈣（Calcium Gluconate）；台灣臨床亦有此規範，但常由護理站集中管理而非置於每床床邊。