— 降低風險 · HARD · MCQ —
護理師照護一位甲狀腺切除術後 2 小時的病人，下列哪項評估發現需立即回報外科醫師？
A nurse is caring for a client who is 2 hours post-operative after a thyroidectomy. Which assessment finding should the nurse report to the surgeon immediately?
- ANoisy, high-pitched respirations✓ 正解嘈雜、高音調的呼吸聲
- BDrowsiness from anesthesia麻醉後的嗜睡
- CIncisional pain rated as 4 out of 10傷口疼痛評分為 4/10
- DMild hoarseness when speaking說話時輕微聲音沙啞
— Explanation · 中文詳解 —
甲狀腺切除術（Thyroidectomy）後，最嚴重的併發症之一是喉頭水腫或氣管受壓迫，這通常是由於術後血腫或損傷喉返神經造成的。若病人出現「高音調呼吸聲」（Stridor，喘鳴），這顯示氣道已經顯著狹窄，隨時可能發生完全阻塞。這是醫療急症，護理師必須立即通知外科醫師並準備緊急氣道處理（如氣管插管或重新開刀止血），優先級最高。
Noisy, high-pitched respirations (stridor) indicate laryngeal edema or airway obstruction, which are life-threatening emergencies following thyroidectomy. This symptom requires immediate notification of the surgeon and preparation for emergency airway management, whereas drowsiness, mild pain, and hoarseness are less critical or expected findings.