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生理適應 · HARD · MCQ

一位甲狀腺切除術後恢復中的病人,何種發現需立即通知醫師?

A client is recovering from a thyroidectomy. Which finding requires immediate notification of the provider?

  • ANeck pain
    頸部疼痛
  • BMild incision swelling
    輕微切口腫脹
  • CHoarseness
    聲音沙啞
  • DStridor✓ 正解
    喘鳴
Explanation · 中文詳解

甲狀腺切除術後,護理師必須對呼吸道併發症保持高度警覺。喘鳴(Stridor)是一種高頻的呼吸音,通常暗示上呼吸道嚴重阻塞。可能的原因包括術後喉頭水腫(Laryngeal edema)、出血導致頸部血腫壓迫氣管,或雙側喉返神經損傷。這屬於生命危急狀況,必須立即通知醫師進行緊急處理,必要時需準備氣管插管。

After a thyroidectomy, the nurse must remain highly vigilant for airway complications. Stridor is a high-pitched respiratory sound that typically indicates severe upper airway obstruction. Possible causes include postoperative laryngeal edema, hematoma compressing the trachea due to bleeding, or bilateral recurrent laryngeal nerve injury. This is a life-threatening situation, and the physician must be notified immediately for emergency intervention; endotracheal intubation may need to be prepared if necessary.

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