一位病人甲狀腺切除術後兩小時，突然出現喘鳴（stridor）與躁動。護理師首要採取哪項行動？
A nurse is caring for a client who is two hours post-thyroidectomy. The client suddenly develops stridor and restlessness. Which action is the priority?
- AAdminister oxygen via face mask透過面罩給氧
- BPrepare for emergency tracheostomy✓ 正解準備緊急氣管切開術
- CPerform an arterial blood gas analysis執行動脈血氣分析
- DNotify the surgeon immediately立即通知外科醫師
甲狀腺切除術後出現喘鳴（stridor）與躁動，是氣道阻塞的警訊，極可能因術後血腫壓迫或喉頭水腫引起，這屬於危及生命的呼吸道急症。根據 ABC（氣道、呼吸、循環）原則，護理師必須優先確保呼吸道通暢。準備緊急氣管切開術（emergency tracheostomy）工具是為了在氣道完全閉鎖時能立即進行搶救。此時若僅給予氧氣或抽血，無法解決物理性阻塞，延誤治療將導致腦缺氧。
Stridor and restlessness after thyroidectomy indicate acute airway obstruction, likely due to hematoma or laryngeal edema, which requires immediate intervention. According to ABC principles, the nurse must prioritize securing the airway by preparing for an emergency tracheostomy rather than administering oxygen or performing diagnostic tests.
在美國臨床環境中，甲狀腺術後病房會強制要求床邊備有氣切盤（tracheostomy tray），護理師需熟悉其放置位置與內容物。台灣醫院亦有類似規定，但美國 NCLEX 考試極度強調這種「立即準備器材」的護理自主權與風險預防意識。