— 生理適應 · HARD · MCQ —
病患甲狀腺切除術後返回病房，哪項評估發現最令護理師擔憂？
A client returns to the unit after a thyroidectomy. Which assessment finding is most concerning to the nurse?
- AHigh-pitched inspiratory stridor✓ 正解高音調的吸氣性喘鳴
- BHoarseness when speaking說話時聲音沙啞
- CIncisional pain rated 6 out of 10自評疼痛程度為 6/10
- DDifficulty swallowing liquids吞咽液體困難
— Explanation · 中文詳解 —
甲狀腺切除術後，高音頻吸氣性喘鳴（stridor）強烈暗示喉頭水腫或氣管受壓，屬於氣道阻塞的早期警訊，隨時可能導致窒息，需立即採取急救措施並通知醫師。聲音嘶啞可能是喉返神經損傷，雖嚴重但不屬於立即危及生命的氣道問題。
High-pitched inspiratory stridor is the most concerning finding as it indicates upper airway obstruction, likely due to laryngeal edema or tracheal compression, which is a life-threatening emergency. While hoarseness and swallowing difficulties are common post-thyroidectomy complications, they do not pose the same immediate threat to the airway.
✦ 台美臨床差異
台美均將氣道評估視為術後首要工作，但美國對於術後氣道狹窄的急救訓練較強調護理師的主動干預。