護理師照護一位剛進行甲狀腺切除術的病人，發現病人出現喘鳴（stridor）且頻繁吞嚥。下列何者為護理師優先採取的行動？
A nurse is caring for a client who has just returned from a thyroidectomy. The nurse notes the client has developed stridor and frequent swallowing. What is the priority nursing action?
- AAdminister an analgesic for incision pain給予切口疼痛的止痛劑
- BPerform an oral suction of secretions進行口腔分泌物抽吸
- CCall the rapid response team✓ 正解呼叫快速反應小組
- DPrepare for immediate tracheostomy準備立即氣管切開術
術後喘鳴暗示喉頭水腫或血腫壓迫氣道，頻繁吞嚥則暗示傷口出血積血（hematoma），這屬於危急生命之氣道阻塞，必須立即啟動團隊支援以處理急救與氣道管理。B為醫療決策，雖需準備但優先順序在呼叫團隊之後；A對氣道阻塞無效；D無法緩解深部出血造成的壓迫。
Postoperative stridor suggests laryngeal edema or a hematoma compressing the airway, and frequent swallowing suggests bleeding accumulating at the wound (hematoma); this constitutes a life-threatening airway obstruction that requires immediate activation of team support for emergency airway management. Option D is a medical decision that, although preparation is required, ranks after summoning help; option A is ineffective for airway obstruction; and option B cannot relieve compression from deep bleeding.
美國護理師對危急狀況啟動 RRT 的自主性高；台灣多依賴醫師現場判斷或啟動 CPR 流程。