— 生理適應 · HARD · MCQ —
一位甲狀腺切除術後的病人，護理師應立即報告下列哪項徵象？
A nurse is assessing a client after a thyroidectomy. Which clinical manifestation should be reported immediately?
- AHypocalcemia低血鈣
- BLaryngeal stridor✓ 正解喉頭喘鳴
- CHoarseness聲音沙啞
- DNeck dressing drainage頸部傷口滲出液
— Explanation · 中文詳解 —
喉頭喘鳴（Stridor）是術後氣管受壓或水腫的徵兆，會導致呼吸道阻塞，是致命的緊急事件。C 雖然重要但屬於神經受損的常見風險。A 雖然是術後常見併發症，但在沒有抽搐前危險性低於窒息。D 若無過度出血則可觀察。
Laryngeal stridor is a critical sign of airway obstruction due to edema or hematoma, representing a life-threatening emergency that requires immediate intervention. While hypocalcemia and hoarseness are potential complications, they are not as immediately fatal as respiratory compromise.
✦ 台美臨床差異
美台皆將呼吸道通暢性（Airway）列為術後觀察最高指標。