— 生理適應 · HARD · MCQ —
一位病人剛完成甲狀腺切除術後返回病房，下列何種評估為優先？
A client returns to the unit following a thyroidectomy. Which assessment is the priority?
- AMonitoring the voice quality for hoarseness監測聲音品質是否有沙啞
- BChecking the serum calcium levels檢查血清鈣濃度
- CChecking the back of the neck dressing for bleeding檢查頸後敷料是否有出血
- DAssessing for respiratory stridor✓ 正解評估是否有呼吸喘鳴
— Explanation · 中文詳解 —
甲狀腺切除術後，病人最嚴重的併發症之一是氣道阻塞。氣道阻塞的徵兆包括喉鳴聲（Stridor）、呼吸困難、頸部腫脹或出血造成的壓迫。喉鳴聲是緊急狀況，代表氣道嚴重狹窄，需立即通報醫師並準備氣道插管。其他評估如傷口出血、聲音沙啞或血鈣濃度（副甲狀腺損傷）雖然重要，但皆次於呼吸道的優先級（ABC 原則）。
Respiratory stridor is the priority assessment because it indicates life-threatening laryngeal edema or airway compression following thyroidectomy. While bleeding, hoarseness, and hypocalcemia are potential complications, maintaining a patent airway takes precedence according to ABC principles.