護理師照護一位甲狀腺切除術後 2 小時的病人，下列哪項發現是護理師需優先回報的？
A nurse is caring for a client who is 2 hours postoperative following a thyroidectomy. Which finding is the highest priority for the nurse to report?
- ADifficulty speaking clearly說話不清
- BSerosanguinous drainage on the dressing敷料上有漿液血性滲出液
- CRespiratory stridor✓ 正解呼吸喘鳴
- DPatient complains of a sore throat病人抱怨喉嚨痛
甲狀腺切除術後，喉頭水腫或血腫壓迫氣管會導致喘鳴（stridor），這是呼吸道阻塞的警訊，隨時可能發展為窒息。術後早期維護呼吸道通暢是護理的核心任務。其他選項如喉嚨痛為術後常見反應，出血或發音困難則需密切觀察，但喘鳴具有立即致命風險，需即刻處理。
After a thyroidectomy, laryngeal edema or a hematoma compressing the trachea can produce stridor, a warning sign of airway obstruction that may rapidly progress to suffocation. Maintaining airway patency in the early postoperative period is a core nursing priority. Other findings such as sore throat are common postoperative reactions, and bleeding or speech difficulty warrant close observation, but stridor carries an immediate life-threatening risk and requires prompt intervention.
美國護理師常受訓使用 Rapid Response Team 處理此類狀況，台灣護理師通常先聯繫值班醫師或麻醉科醫師。