護理師照護一位剛進行甲狀腺切除術的病人，哪項發現需最優先回報醫師？
A nurse is caring for a client who has just returned from a thyroidectomy. Which finding is the most critical to report to the surgeon?
- AThe client is experiencing laryngeal stridor✓ 正解病人出現喉頭喘鳴
- BThe client is restless and confused病人煩躁且意識混亂
- CThe client reports a sore throat when swallowing病人主訴吞嚥時喉嚨痛
- DThe dressing has a small amount of serosanguineous drainage敷料有少量漿液血性滲出物
甲狀腺切除術後，喉頭喘鳴（Laryngeal stridor）是氣道阻塞的徵兆，常與喉返神經損傷或術後水腫、血腫壓迫有關，這屬於立即威脅生命的呼吸道急症，必須優先處理並通知醫師。喉嚨痛是術後插管後常見現象；少量滲出液屬預期內；躁動則需評估低鈣抽搐或氧合不足，但呼吸道阻塞最急迫。
After thyroidectomy, laryngeal stridor is a sign of airway obstruction, often related to recurrent laryngeal nerve injury, postoperative edema, or compression from a hematoma. This is an immediately life-threatening airway emergency that must be addressed first and reported to the provider. A sore throat is a common postintubation finding; small amounts of drainage are expected; and restlessness requires evaluation for hypocalcemic tetany or inadequate oxygenation, but airway obstruction is the most urgent concern.
美國醫院會準備氣管切開包（Tracheostomy tray）於床邊；台灣多依據各醫院標準作業，通常將抽吸設備與急救車置於附近。