一位全甲狀腺切除術後病患返回病房，護理師發現病人有喉鳴音（Laryngeal stridor）。護理師應採取什麼行動？
A client returns to the unit after a total thyroidectomy. The nurse notes the client is experiencing laryngeal stridor. Which action should the nurse take?
- APrepare for immediate emergency airway intervention✓ 正解準備立即進行緊急氣道處置
- BAssess the surgical incision for bleeding評估手術切口是否有出血
- CIncrease the flow rate of oxygen via nasal cannula增加鼻導管的氧氣流量
- DAdminister intravenous calcium gluconate靜脈注射葡萄糖酸鈣
甲狀腺切除術後出現喉鳴音（Laryngeal stridor）是極度危險的呼吸道阻塞警訊，通常由喉頭水腫、術後血腫壓迫氣管或喉返神經損傷（Recurrent Laryngeal Nerve injury）引起。喉鳴音代表氣道空間狹窄，隨時可能發生呼吸道完全阻塞。依據 ABC（Airway, Breathing, Circulation）原則，護理師必須優先處理呼吸道問題，立即準備緊急氣道介入設備（如氣管插管工具或氣切包），這是保護病人的關鍵行動。
Laryngeal stridor after thyroidectomy is an extremely dangerous warning of airway obstruction, usually caused by laryngeal edema, postoperative hematoma compressing the trachea, or recurrent laryngeal nerve injury. Stridor indicates narrowing of the airway and complete obstruction may occur at any time. Following the ABC (Airway, Breathing, Circulation) principle, the nurse must address the airway first and immediately prepare equipment for emergency airway intervention (e.g., intubation kit or tracheostomy tray), which is the critical action to protect the client.
美國醫院在全甲狀腺切除術後，會將氣管插管設備直接放置於床邊（Bedside）作為常規預防措施，以應對突發性的氣道阻塞。護理師需具備隨時啟動快速反應小組（Rapid Response Team, RRT）的判斷力。