— 降低風險 · MEDIUM · MCQ —
護理師照護一位甲狀腺切除術後的病人，術後 24 小時內哪項併發症需優先評估？
A nurse is caring for a client after a thyroidectomy. Which complication is the highest priority to assess for in the first 24 hours?
- ARespiratory distress from laryngeal edema✓ 正解喉頭水腫引起的呼吸困難
- BInfection of the wound傷口感染
- CHemorrhage at the incision site切口處出血
- DHypocalcemia低血鈣
— Explanation · 中文詳解 —
甲狀腺切除術後，最致命的併發症是喉頭水腫（laryngeal edema）導致的呼吸道阻塞。由於手術部位靠近氣道，組織腫脹可能迅速危及生命，因此優先評估呼吸狀態及有無喘鳴聲（stridor）是護理首要任務。
The most life-threatening complication after thyroidectomy is airway obstruction from laryngeal edema. Because the surgical site lies adjacent to the airway, tissue swelling can quickly endanger life; therefore the foremost nursing priority is to assess respiratory status and listen for stridor.
✦ 台美臨床差異
美台對此手術的術後監測極為雷同，均將呼吸道管理置於術後監測的第一位。