護理師評估一位甲狀腺切除術後兩小時的病人。下列哪項評估結果需要立即通知醫師？
A nurse is monitoring a client who is two hours post-operative after a thyroidectomy. Which assessment finding requires immediate notification of the surgeon?
- ABlood pressure of 135/85 mmHg血壓 135/85 mmHg
- BHoarseness when speaking說話時聲音沙啞
- CMild neck pain at the incision site切口處輕微頸部疼痛
- DRespiratory stridor✓ 正解呼吸性喘鳴
甲狀腺切除術後（Thyroidectomy）病人的首要護理目標是維護呼吸道通暢。術後可能因喉返神經（Recurrent Laryngeal Nerve）損傷、血腫壓迫氣管或喉頭水腫（Laryngeal Edema）導致氣道阻塞。呼吸時出現雜音（Stridor）是氣道狹窄的徵兆，屬於危急事件，需立即通知醫師準備緊急插管或氣切，以防窒息。其他選項如輕微疼痛或血壓輕微波動屬術後常見反應，優先級低於呼吸道評估。
After thyroidectomy, the primary nursing goal is maintaining airway patency. Postoperative airway obstruction may occur due to recurrent laryngeal nerve injury, hematoma compressing the trachea, or laryngeal edema. Audible breathing noise (stridor) signals airway narrowing and is a critical event requiring immediate notification of the surgeon and preparation for emergency intubation or tracheostomy. Other findings such as mild pain or slightly elevated BP are common post-op responses and are lower priority than airway assessment.