護理師照護甲狀腺切除術後返室病人，發現病人出現喘鳴聲。哪項措施為優先？
A nurse is caring for a client who has just returned from a thyroidectomy. The nurse notes the client has developed stridor. Which action is the priority?
- AAdminister IV calcium gluconate靜脈注射葡萄糖酸鈣
- BPrepare for emergency tracheostomy✓ 正解準備緊急氣管切開術
- CNotify the surgeon immediately立即通知外科醫師
- DElevate the head of the bed to 45 degrees將床頭抬高至 45 度
甲狀腺切除術後出現「喘鳴（Stridor）」是危及生命的緊急徵兆，常暗示喉頭水腫或術後血腫壓迫氣管。護理師應立即判斷這是否導致呼吸道阻塞。在這種情況下，護理最高原則（ABC 原則：Airway, Breathing, Circulation）要求立刻確保呼吸道通暢，準備氣切（Tracheostomy）或插管設備是搶救生命的必要準備。
The appearance of stridor after thyroidectomy is a life-threatening emergency, often suggesting laryngeal edema or postoperative hematoma compressing the trachea. The nurse must immediately determine whether this is causing airway obstruction. In this situation, the highest priority in nursing (the ABC principle: Airway, Breathing, Circulation) is to immediately ensure airway patency, and preparing tracheostomy or intubation equipment is a necessary preparation to save life.