— 降低風險 · HARD · MCQ —
護理師照護一位剛進行甲狀腺切除術的病人，哪項發現應優先回報外科醫師？
A nurse is caring for a client who has just returned from a thyroidectomy. Which of the following findings should the nurse prioritize reporting to the surgeon?
- APatient complains of a sore throat病人主訴喉嚨痛
- BPatient has slight hoarseness病人有輕微聲音沙啞
- CPatient reports pain at the incision site病人報告切口處疼痛
- DPatient exhibits inspiratory stridor✓ 正解病人出現吸氣性喘鳴
— Explanation · 中文詳解 —
甲狀腺切除術後發生吸氣性喘鳴（stridor）是呼吸道阻塞的危急徵兆，通常導因於喉頭水腫或血腫壓迫氣管。此為 ABC 生命徵象問題，若不及時處理將導致窒息，必須立即通知醫療團隊準備緊急氣管切開或插管準備。
Daily foot inspections are crucial because neuropathy may prevent the client from feeling injuries, allowing early detection of cuts or redness. Well-fitting leather shoes help prevent pressure ulcers and blisters, while cutting toenails straight across avoids ingrown nails. Clients should check water temperature with their hands, as peripheral neuropathy can impair the ability to judge heat accurately.
✦ 台美臨床差異
台美對甲狀腺術後護理高度一致，均強調備妥氣切包在床邊，以防急性呼吸道阻塞。