— 生理適應 · HARD · MCQ —
甲狀腺切除術後,護理師應立即報告外科醫生的觀察結果為何?
A nurse is caring for a client following a thyroidectomy. Which finding should the nurse report to the surgeon immediately?
- AHoarseness聲音沙啞
- BLaryngeal stridor✓ 正解喉頭喘鳴
- CPain at the incision site切口處疼痛
- DNeck edema頸部水腫
— Explanation · 中文詳解 —
甲狀腺切除術後,護理師需嚴密監測呼吸道通暢度。喉頭喘鳴(Laryngeal stridor)是一種高頻的呼吸音,代表氣道阻塞,通常由喉返神經(recurrent laryngeal nerve)損傷或術後血腫壓迫氣管所致。這屬於呼吸道急症,若不立即處理,病人可能迅速缺氧並導致心跳停止,因此必須優先通報醫師。
Following thyroidectomy, the nurse must closely monitor airway patency. Laryngeal stridor is a high-pitched respiratory sound indicating airway obstruction, typically caused by recurrent laryngeal nerve injury or compression of the trachea by a postoperative hematoma. This is an airway emergency; if not addressed immediately, the client may rapidly become hypoxic and progress to cardiac arrest, making prompt notification of the physician imperative.