— 降低風險 · HARD · MCQ —
護理師照護一位剛完成甲狀腺切除術的病人，下列哪項評估是最高優先事項？
A nurse is caring for a client who has just returned from a thyroidectomy. Which of the following assessments is the highest priority for the nurse to perform?
- AChecking the dressing for drainage檢查敷料是否有滲出液
- BMonitoring for laryngeal stridor✓ 正解監測是否有喉頭喘鳴
- CAssessing the client's voice quality評估病人的聲音品質
- DChecking the back of the neck for blood檢查頸後是否有血液
— Explanation · 中文詳解 —
甲狀腺切除術後，氣管受壓或水腫引起的喉頭喘鳴（stridor）是呼吸道阻塞的危險信號，需立即處理以維持氣道暢通。A、D 涉及出血觀察，雖然重要但非立即危及生命；B 評估喉返神經受損，但氣道穩定度優先於神經功能評估。
Laryngeal stridor is a critical sign of airway obstruction caused by tracheal compression or edema following a thyroidectomy. While monitoring for hemorrhage is important, maintaining a patent airway is the highest priority to prevent life-threatening respiratory compromise.
✦ 台美臨床差異
台灣醫院對甲狀腺術後呼吸道狀況監測極嚴格，護理師常需準備氣切包於床邊備用。