護理師照護一位剛進行甲狀腺切除術的病人，哪項評估發現需要立即通知外科醫師？
A nurse is caring for a client who has just returned from a thyroidectomy. Which assessment finding requires immediate notification of the surgeon?
- ADrowsiness from anesthesia麻醉後的嗜睡
- BNoisy, high-pitched respirations✓ 正解嘈雜、高音調的呼吸聲
- CMild hoarseness when speaking說話時輕微的沙啞
- DIncisional pain rated 4/10評分為4/10的切口疼痛
甲狀腺切除術後，最嚴重的立即併發症為呼吸道阻塞。由於手術部位靠近氣管，術後出血、水腫或喉返神經（Recurrent laryngeal nerve）損傷皆可能導致呼吸道狹窄。喘鳴音（Stridor）是氣道阻塞的警訊，代表呼吸道極度狹窄，若不立即處理可能導致窒息，護理師需遵循 ABC（氣道、呼吸、循環）原則，立即通知外科醫師進行緊急處置。
After thyroidectomy, the most serious immediate complication is airway obstruction. Because the surgical site lies close to the trachea, postoperative bleeding, edema, or recurrent laryngeal nerve injury can all narrow the airway. Stridor is a warning sign of airway obstruction indicating that the airway is severely narrowed; if not addressed immediately it can result in asphyxia. Following the ABC (Airway, Breathing, Circulation) principles, the nurse must immediately notify the surgeon for emergency management.
在美國臨床環境中，術後監測若出現喘鳴音，護理師通常會直接啟動緊急呼叫系統（Rapid Response Team），並準備好氣管插管用物，這與台灣護理師通知醫師後等待指示的節奏略有不同，強調護理師的主動判斷與快速急救準備。