— 生理適應 · MEDIUM · MCQ —
甲狀腺切除術後 4 小時，護理師評估時應優先注意下列哪項徵兆？
Which of the following signs should the nurse prioritize when assessing a client 4 hours post-thyroidectomy?
- ALaryngeal stridor✓ 正解喉鳴音
- BHoarseness聲音嘶啞
- CDrainage on the dressing敷料上的引流液
- DIncisional pain切口疼痛
— Explanation · 中文詳解 —
甲狀腺術後最危險的併發症是呼吸道阻塞，喉鳴音（Stridor）代表呼吸道水腫或受壓，是立即危及生命的緊急狀況。A（聲音嘶啞）可能因喉返神經受損，需觀察但非最緊急；D 與 C 雖需處理，但不及維持呼吸道通暢緊急。
Laryngeal stridor is the priority sign as it indicates acute airway obstruction due to edema or hematoma, which is a life-threatening emergency after thyroidectomy. While hoarseness, drainage, and pain require assessment, maintaining a patent airway takes precedence over all other concerns.
✦ 台美臨床差異
兩地均強調術後氣道觀察，台灣病房內通常備有氣切插管盤於床邊，美國則更強調緊急呼叫（Rapid Response Team）。