病人甲狀腺切除術後，哪項發現最令人擔憂且應立即回報醫師？
A nurse is caring for a client following a thyroidectomy. Which finding is the most concerning and should be reported to the provider?
- AIncision site edema切口處水腫
- BDifficulty swallowing liquids吞嚥液體困難
- CNoisy, high-pitched respirations✓ 正解嘈雜、高音調的呼吸聲
- DHoarseness when speaking說話時聲音沙啞
甲狀腺切除術（thyroidectomy）後，最嚴重的立即併發症是氣道阻塞。氣道阻塞可能源於術後出血造成的血腫壓迫、喉頭水腫或喉返神經（recurrent laryngeal nerve）損傷。選項 C 的「哮鳴音（stridor）」是一種高頻的呼吸音，代表氣道狹窄，這是呼吸窘迫的警訊，若不立即處理，病人可能迅速發展為完全性氣道阻塞，需啟動緊急呼吸道評估並通知醫師。
After thyroidectomy, the most serious immediate complication is airway obstruction. Airway obstruction may result from compression by a postoperative hematoma, laryngeal edema, or injury to the recurrent laryngeal nerve. Option C, 'noisy, high-pitched respirations' (stridor), is a high-pitched respiratory sound indicating airway narrowing. This is a warning sign of respiratory distress; if not addressed immediately, the client may rapidly progress to complete airway obstruction, necessitating urgent airway assessment and physician notification.