— 生理適應 · MEDIUM · MCQ —
病人甲狀腺切除術後回病房，護理師應優先監測哪項併發症？
A client returns from the operating room after a thyroidectomy. Which complication is the highest priority for the nurse to monitor?
- AHypocalcemia低血鈣
- BLaryngeal nerve damage喉返神經損傷
- CPostoperative pain術後疼痛
- DRespiratory distress✓ 正解呼吸窘迫
— Explanation · 中文詳解 —
甲狀腺切除術（Thyroidectomy）後，最致命的併發症是呼吸道阻塞。這可能源於術後出血造成的血腫壓迫氣管，或是手術過程中的喉頭水腫（Laryngeal edema）。依據 ABC（Airway, Breathing, Circulation）原則，呼吸道通暢性是護理師首要監測目標。若病人出現喘鳴音（Stridor）、呼吸困難或聲音沙啞加劇，必須立即通知醫師並準備氣管插管。
Respiratory distress is the highest priority complication to monitor after a thyroidectomy due to the risk of airway obstruction from postoperative bleeding or edema. According to the ABC (Airway, Breathing, Circulation) framework, maintaining a patent airway takes precedence over other concerns like hypocalcemia or pain. Immediate intervention is required if signs of stridor or breathing difficulty appear.