護理師照護一位剛進行甲狀腺切除術的病人，聽診發現喉部喘鳴音（stridor）。護理師應採取何種優先措施？
A nurse is caring for a client who has just returned from a thyroidectomy. The nurse notes a laryngeal stridor upon auscultation. What is the nurse's priority action?
- APrepare for emergency tracheostomy✓ 正解準備緊急氣管切開術
- BAdminister an IV analgesic給予靜脈注射止痛藥
- CNotify the surgeon immediately立即通知外科醫師
- DPlace the client in high Fowler's position將病人置於高福勒氏臥位
甲狀腺切除術（Thyroidectomy）後，出現喉部喘鳴音（stridor）是呼吸道阻塞（airway obstruction）的危急徵兆。這通常是由於術後喉頭水腫（laryngeal edema）、聲帶損傷或血腫壓迫氣管所致。此情況屬於 ABC（Airway, Breathing, Circulation）中的 Airway 優先順序，必須立即準備緊急氣道重建設備。
Laryngeal stridor after a thyroidectomy indicates acute airway obstruction, likely due to edema or hematoma, which is a life-threatening emergency. The nurse's priority is to prepare for an emergency tracheostomy to secure the airway immediately. Notifying the surgeon or administering analgesics are secondary actions that do not address the immediate airway compromise.
在美國醫院，若發生術後 stridor，護理師通常會立即觸發 Rapid Response Team (RRT)，並同步將緊急氣切盤（Tracheostomy tray）帶至床邊，這是 NCLEX 常考的緊急應變流程。