— 降低風險 · MEDIUM · MCQ —
病人甲狀腺切除術後恢復中。護理師在床邊準備了氣切包。此行動的首要理由為何？
A client is recovering from a thyroidectomy. The nurse places a tracheostomy tray at the bedside. What is the primary rationale for this action?
- ATo manage potential respiratory distress from laryngeal edema✓ 正解以處理喉頭水腫所致的潛在呼吸困難
- BFor routine post-operative wound care用於常規術後傷口護理
- CTo facilitate suctioning of thick secretions以利抽吸濃稠分泌物
- DThe client will require a permanent tracheostomy病人將需要永久性氣切
— Explanation · 中文詳解 —
甲狀腺手術緊鄰氣管，術後嚴重的併發症包括喉頭水腫或出血形成血腫壓迫氣管，導致急性呼吸道阻塞。床邊準備氣切包是為了在發生緊急呼吸困難時能立即建立人工氣道。這並非因為病人需要永久氣切，也不是為了抽痰或傷口護理。
Post-thyroidectomy patients are at risk for airway obstruction due to laryngeal edema or a compressive hematoma. Keeping a tracheostomy tray at the bedside ensures immediate availability for emergency airway management if respiratory distress occurs. This precaution is for emergency use only, as most clients do not require a permanent tracheostomy or routine tracheostomy care.
✦ 台美臨床差異
美國 NCLEX 經常考術後床邊應備器材（如甲狀腺術後備氣切包、胸管術後備凡士林紗布）；台灣臨床常規亦要求床邊備妥急救器材。