一位病人剛結束甲狀腺切除手術，護理師評估時發現呼吸有喘鳴聲（stridor）。下列何者為優先行動？
A client returns from a thyroidectomy. The nurse notes stridor during assessment. Which action is the priority?
- APrepare for emergency tracheostomy✓ 正解準備緊急氣管造廔手術
- BNotify the surgeon immediately立即通知外科醫師
- CPosition the client in high Fowler's將個案置於高福勒氏臥位
- DAdminister oxygen via mask透過面罩給予氧氣
甲狀腺切除術後出現喘鳴聲（stridor）是呼吸道阻塞的危險訊號，通常由術後出血造成的血腫壓迫，或是喉返神經損傷引起的聲帶麻痺所致。根據 ABC（氣道、呼吸、循環）原則，氣道安全是最高優先級。喘鳴聲代表氣道狹窄，隨時可能演變為完全阻塞，因此準備緊急氣切設備是為了在呼吸道徹底關閉時能爭取時間挽救生命。
Stridor after thyroidectomy is an ominous airway sign, usually from postoperative hematoma compression or vocal cord paralysis from recurrent laryngeal nerve injury. Following the ABC priorities, airway is the highest concern. Stridor signals airway narrowing that may progress to complete obstruction, so preparing for emergency tracheostomy is essential to gain time to save the airway should it close completely.
在美國臨床實務中，術後單位（PACU 或 ICU）的甲狀腺術後病人床邊必須放置氣切盤（tracheostomy set）作為標準配置，護理師在交班時需確認其位置，這點與台灣部分單位可能僅放在護理站的做法有所不同。