— 生理適應 · HARD · MCQ —
甲狀腺切除術後病人，護理師應立即回報哪項評估結果？
Which assessment findings should a nurse report immediately for a client who is post-thyroidectomy?
- ANeck edema頸部水腫
- BLaryngeal stridor✓ 正解喉鳴
- CHoarseness聲音沙啞
- DSore throat喉嚨痛
— Explanation · 中文詳解 —
喉鳴（Laryngeal stridor）是氣道阻塞的危險信號，通常由喉頭水腫或甲狀腺手術傷及喉返神經引起。若不及時處理，病人的氣道將完全阻塞。聲音沙啞（Hoarseness）常見但較無立即性生命危險；喉嚨痛與輕微腫脹屬於術後常見反應。
Laryngeal stridor is a critical finding indicating potential airway obstruction due to laryngeal edema or nerve damage, requiring immediate intervention. While hoarseness and mild soreness are common post-thyroidectomy side effects, stridor signals a life-threatening emergency that compromises the client's breathing.
✦ 台美臨床差異
美台皆強調緊急氣道評估，但美國護理師常訓練使用特定工具如「氣道檢查清單」進行篩檢。