— 生理適應 · HARD · MCQ —
一位甲狀腺切除術後病人出現喉部喘鳴音，護理師下一步應採取什麼行動？
A nurse is caring for a client post-thyroidectomy. The client exhibits laryngeal stridor. What is the nurse's next step?
- APrepare for immediate airway intervention✓ 正解準備立即進行氣道介入
- BAdminister pain medication給予止痛藥物
- CCheck the incision site for bleeding檢查傷口是否有出血
- DAssess for Chvostek's sign評估Chvostek徵象
— Explanation · 中文詳解 —
喉部喘鳴音是呼吸道阻塞的徵兆，甲狀腺切除術後可能因喉返神經損傷或術後血腫壓迫導致氣管阻塞。這屬於威脅生命的緊急狀況，必須優先準備氣道處置。其他選項如檢查鈣離子或傷口出血均屬後續評估項目，不應延誤呼吸道維持。
Laryngeal stridor after a thyroidectomy indicates airway obstruction, which is a life-threatening emergency often caused by edema or hematoma. The nurse's priority is to prepare for immediate airway intervention to ensure patency. Other assessments, such as checking for bleeding or hypocalcemia, are secondary to securing the airway.
✦ 台美臨床差異
台美臨床對於此類術後急症均遵循 ACLS/呼吸道維持流程，優先順序一致。