— 降低風險 · HARD · MCQ —
一位甲狀腺切除術後病人出現喘鳴（stridor）與聲音沙啞。護理師應優先採取哪項措施？
A nurse is caring for a client who is postoperative following a thyroidectomy. The client suddenly develops stridor and hoarseness. Which action should the nurse take first?
- APrepare for immediate tracheostomy✓ 正解準備立即進行氣管切開術
- BNotify the surgeon通知外科醫師
- CPerform a neurological assessment執行神經學評估
- DAdminister IV corticosteroids給予靜脈注射皮質類固醇
— Explanation · 中文詳解 —
甲狀腺切除術（thyroidectomy）後出現喘鳴（stridor）是呼吸道阻塞的緊急警訊，通常源於喉頭水腫（laryngeal edema）或術後出血壓迫氣管。這屬於「ABC」（Airway, Breathing, Circulation）中的 Airway 問題，必須優先處理。準備氣切包（tracheostomy tray）是為了在發生完全呼吸道阻塞時能立即執行緊急插管或氣切。
Stridor after thyroidectomy is an emergency airway-obstruction warning, usually from laryngeal edema or postoperative hematoma compressing the trachea. It is an airway (ABC) problem and the top priority. Preparing a tracheostomy tray ensures the team can perform emergency intubation or tracheostomy if complete airway obstruction occurs.