— 降低風險 · MEDIUM · MCQ —
護理師照護一位剛進行甲狀腺切除術的病人，哪一項評估是優先事項？
A nurse is caring for a client who has just returned from a thyroidectomy. Which of the following assessments is the priority?
- AMonitoring respiratory rate and quality✓ 正解監測呼吸頻率與品質
- BChecking the posterior dressing for drainage檢查後方敷料是否有滲出
- CAssessing the client's ability to speak評估客戶的說話能力
- DReviewing serum calcium levels檢視血清鈣濃度
— Explanation · 中文詳解 —
甲狀腺切除術後，最致命的併發症是「氣道阻塞」。由於手術位置靠近氣管，術後可能發生出血（血腫壓迫）或喉頭水腫，導致呼吸窘迫。護理師的優先順序應遵循 ABC 原則（Airway, Breathing, Circulation）。雖然檢查背部敷料（B）也很重要，但呼吸狀態的評估直接關乎生命安全，故為最高優先級別。
After thyroidectomy, the most life-threatening complication is airway obstruction. Because the surgical site is near the trachea, postoperative hemorrhage (hematoma compression) or laryngeal edema may cause respiratory distress. Nursing priorities follow the ABC (Airway, Breathing, Circulation) principle. While checking the dressing (B) is important, respiratory assessment is directly tied to life safety and therefore has the highest priority.