— 降低風險 · HARD · MCQ —
一位甲狀腺切除術後 24 小時的病人，護理師注意到出現喉部喘鳴音（stridor）。護理師首要行動為何？
A nurse is caring for a client who is 24 hours post-thyroidectomy. The nurse notes the client has developed laryngeal stridor. What is the nurse's priority action?
- AElevate the head of the bed抬高床頭
- BNotify the surgeon immediately✓ 正解立即通知外科醫師
- CPrepare the client for emergency tracheostomy為病人準備緊急氣管切開術
- DAdminister a prescribed analgesic給予處方之止痛藥
— Explanation · 中文詳解 —
甲狀腺切除術（thyroidectomy）後出現喉部喘鳴音（stridor）是呼吸道阻塞的危險信號，通常暗示喉頭水腫（laryngeal edema）或術後出血（hematoma）壓迫氣管。這屬於緊急狀況，必須立即啟動醫療團隊介入。通知醫師（notify the surgeon）是優先行動，以便醫師評估是否需要緊急插管或手術減壓。護理師在等待醫師到場的同時，應準備氣道維持設備，但首要職責是通報以爭取救治時間。
Laryngeal stridor after a thyroidectomy is a critical sign of impending airway obstruction, often caused by laryngeal edema or a hematoma compressing the trachea. The nurse must notify the surgeon immediately to facilitate urgent assessment and potential interventions such as intubation or surgical decompression.