護理師照護一位甲狀腺切除術後 2 小時的病人，發現病人出現喉部喘鳴（laryngeal stridor）。護理師應優先採取哪項措施？
A nurse is caring for a client who is 2 hours post-thyroidectomy. The nurse notes the client has developed laryngeal stridor. What is the priority nursing action?
- APlace the client in a high-Fowler's position將病人置於高福勒氏體位
- BPerform tracheal suctioning執行氣管抽吸
- CPrepare for emergency tracheostomy✓ 正解準備緊急氣管切開術
- DAdminister IV calcium gluconate靜脈注射葡萄糖酸鈣
喉部喘鳴是急性呼吸道阻塞的徵兆，通常源於術後水腫或血腫壓迫，是致命性的併發症。首要任務是確保呼吸道通暢，必須立即準備插管或氣管切開術。鈣劑用於手足抽搐，高半坐臥位可緩解水腫但不解決阻塞，抽吸可能進一步激惹氣道。
Laryngeal stridor is a sign of acute airway obstruction, usually caused by postoperative edema or hematoma compression, and is a life-threatening complication. The first priority is to ensure airway patency, and intubation or a tracheostomy must be prepared immediately. Calcium gluconate is used for tetany, high-Fowler's positioning may reduce edema but does not resolve the obstruction, and suctioning may further irritate the airway.
美國醫院常見氣道車（Airway cart）放置於病房，台灣醫療體系在緊急狀況下通常會啟動急救小組進行插管。