護理師照護一位甲狀腺切除術後 2 小時的病人，發現病人出現喘鳴（stridor）且傷口處有腫脹。護理師應優先採取何種行動？
A nurse is caring for a client who is 2 hours post-thyroidectomy. The nurse notes the client has stridor and swelling at the incision site. Which action is the priority?
- AAdminister oxygen via nasal cannula經鼻導管給氧
- BPrepare for emergency tracheostomy✓ 正解準備緊急氣管切開術
- CNotify the surgeon immediately立即通知外科醫師
- DElevate the head of the bed to 45 degrees將床頭抬高至 45 度
甲狀腺切除術後出現喘鳴及傷口腫脹，高度暗示頸部血腫壓迫氣管，這是致命性的緊急併發症。首要任務是維持呼吸道通暢，必須立即呼叫團隊準備緊急氣管切開術或床邊拆線以減壓。僅抬高床頭或給氧無法解決嚴重的機械性氣道阻塞。
Stridor and neck swelling two hours post-thyroidectomy suggest a cervical hematoma compressing the airway, which is a life-threatening emergency. The priority action is to prepare for immediate airway management, such as an emergency tracheostomy or bedside decompression, to relieve the obstruction. Simple measures like elevating the head or administering oxygen are insufficient to resolve mechanical airway compromise caused by external compression.
台美兩地皆將術後頸部血腫壓迫視為重大危急事件，需立即啟動急救團隊（Code Blue/Rapid Response）。