外科病房同時收治四位病人。護理師應將下列哪位病人安排在最靠近護理站、可最頻繁觀察的病房？
A surgical unit is admitting four clients simultaneously. Which client should the registered nurse place in the room closest to the nurses' station for the most frequent monitoring?
- AA 55-year-old client two days post-total knee replacement, ambulating with a walker and tolerating physical therapy.55 歲病人全膝關節置換術後第二天，使用助行器行走並能耐受物理治療
- BA 60-year-old client one day post-cholecystectomy with stable vital signs and pain controlled on oral analgesics.60 歲病人膽囊切除術後第一天，生命徵象穩定且口服止痛藥已控制疼痛
- CA 45-year-old male immediately post-thyroidectomy with sudden onset of high-pitched inspiratory stridor.✓ 正解45 歲男性病人甲狀腺切除術後立即出現突發的高調吸氣性喘鳴
- DA 65-year-old female three days post-mastectomy with a Jackson-Pratt drain producing minimal serosanguineous output.65 歲女性病人乳房切除術後第三天，Jackson-Pratt 引流管僅有少量血清血性引流液
甲狀腺切除術（thyroidectomy）的最致命併發症是「急性呼吸道阻塞」，可能來自術後血腫壓迫氣管、聲門水腫，或低血鈣引發的喉痙攣（laryngospasm）。 吸氣性喘鳴（inspiratory stridor）是呼吸道即將完全阻塞的鐵血警訊——一旦惡化，病人可能在數分鐘內失去氣道。床邊必須立刻備好氣管切開包（tracheostomy tray），並安排在最靠近護理站、可隨時觀察的病房。 選項 B、A、D 三位病人雖在術後恢復期，但生命徵象穩定、無立即性危及生命的徵象，可安排在較遠病房由常規護理師巡房照護。 NCLEX 病人安排原則：「最不穩定、最可能急速惡化」的病人放在離護理站最近的位置。
The most life-threatening complication after thyroidectomy is acute airway obstruction—from post-op hematoma compressing the trachea, laryngeal edema, or laryngospasm secondary to hypocalcemia. Inspiratory stridor signals impending complete airway obstruction; the airway can close within minutes. A tracheostomy tray must be available at bedside, and the client must be placed in the room closest to the nurses' station for continuous observation. Clients B, A, and D are in post-op recovery but have stable vital signs and no immediate life-threatening signs; they can be assigned to rooms further from the station. NCLEX assignment principle: the most unstable client with the highest risk of rapid deterioration goes closest to the nurses' station.
甲狀腺切除術後的最致命殺手：Stridor (吸氣頸鳴)。這也是世界急救教科書的一級警報，聽見此聲音代表氣管受壓迫快窒息了，必考題！