病人術後返回病房，護理師發現在說話時有喉喘鳴音（stridor）。護理師應優先採取的行動為何？
A client returns to the unit after a total thyroidectomy. The nurse notes laryngeal stridor when the client speaks. What is the priority nursing action?
- APlace the client in a high-Fowler's position將病人置於高福勒氏體位
- BAssess the surgical dressing for bleeding評估手術敷料是否有出血
- CPrepare for immediate re-intubation or tracheostomy✓ 正解準備立即重新插管或氣切
- DAdminister the prescribed analgesic給予處方止痛藥
甲狀腺切除術（thyroidectomy）後，喉喘鳴（laryngeal stridor）是極為危急的徵兆，代表氣道因喉頭水腫、出血或血腫壓迫而發生阻塞。呼吸道安全永遠是護理優先級（priority）的第一順位，符合ABC原則（Airway, Breathing, Circulation）。護理師發現此徵兆時，應立即採取行動以確保呼吸道通暢，準備氣道建立設備（如氣管內管或氣切包）是搶救生命的核心措施。
Laryngeal stridor after a total thyroidectomy indicates potential airway obstruction due to edema or hematoma, posing an immediate life-threatening risk. The priority nursing action is to prepare for emergency airway management, such as re-intubation or tracheostomy, to ensure patent breathing.
在美國臨床環境中，甲狀腺術後若出現 stridor，護理師通常會直接啟動 Rapid Response Team (RRT) 並同步準備緊急氣道盤 (tracheostomy tray) 於床邊，以防緊急氣管切開術的需求。