護理師照護一位甲狀腺切除術後病人。下列哪項發現需優先回報給醫師?
A nurse is caring for a client who is postoperative following a thyroidectomy. Which finding is the highest priority to report to the provider?
- ALaryngeal stridor✓ 正解喉頭喘鳴
- BHoarseness when speaking說話時聲音沙啞
- CPain at the incision site切口處疼痛
- DSerosanguineous drainage on the dressing敷料上有漿液血性引流液
甲狀腺切除術(Thyroidectomy)後,最嚴重的併發症之一是呼吸道阻塞。喉部喘鳴(Laryngeal stridor)是氣管嚴重受壓或喉神經損傷導致聲帶麻痺,造成氣道狹窄的警訊。這屬於呼吸道急症,若不及時處理,病人可能迅速窒息。護理師必須隨時備妥氣管內插管工具與氣切包,並優先回報醫師進行緊急處置。
After a thyroidectomy, the most life-threatening complication is airway obstruction. Laryngeal stridor signals severe tracheal compression, edema, or recurrent laryngeal nerve injury causing vocal cord paralysis and a narrowed airway. This is an airway emergency that can rapidly progress to asphyxia, so the nurse must keep an intubation tray and tracheostomy kit at the bedside and notify the provider immediately. The other findings (small serosanguineous drainage, hoarseness, incision pain) are expected and not the priority.