一位甲狀腺切除術後 4 小時的病人，護理師觀察到喉部喘鳴（Stridor）及呼吸困難。護理師應採取哪項優先措施？
A nurse is caring for a client who is 4 hours post-thyroidectomy. The nurse notes laryngeal stridor and respiratory distress. Which action is the priority?
- ACall the surgeon to report the findings呼叫外科醫師報告發現
- BPrepare for immediate tracheostomy or airway support✓ 正解準備立即氣管造廔術或氣道支持
- CCheck the surgical dressing for bleeding檢查手術敷料是否有出血
- DAdminister IV calcium gluconate靜脈注射葡萄糖酸鈣
術後喉部喘鳴提示氣道阻塞（可能由血腫壓迫或喉頭水腫引起），這是危及生命的緊急狀況。雖然甲狀腺切除可能導致低血鈣引起痙攣，但在處理氣道阻塞（ABC 中的 A）之前，不應優先給鈣或聯絡醫師。優先維護氣道通暢（插管或氣切包）是當務之急。
Postoperative laryngeal stridor suggests airway obstruction (possibly from hematoma compression or laryngeal edema), a life-threatening emergency. Although thyroidectomy can cause hypocalcemic tetany, calcium administration or notifying the physician should not take priority over managing airway obstruction (the 'A' in ABC). Securing the airway with intubation or a tracheostomy kit is the immediate priority.
美國護理站多備有緊急氣切包（Tracheostomy tray）；台灣護理師需視單位常規，緊急時呼叫 Code Blue 由麻醉科協助插管。