護理師評估甲狀腺切除術後 2 小時的病人，發現有喘鳴音且頻繁吞嚥。護理師應優先採取什麼行動？
A nurse is assessing a client who is 2 hours post-thyroidectomy. The client exhibits stridor and frequent swallowing. What is the nurse's priority action?
- ACheck the surgical dressing for active bleeding檢查手術敷料是否有活動性出血
- BPrepare for emergency airway management✓ 正解準備緊急呼吸道管理
- CAdminister an analgesic for post-operative pain給予止痛藥以緩解術後疼痛
- DPlace the client in a semi-Fowler's position將病人置於半坐臥姿勢
甲狀腺切除術後 2 小時出現喘鳴音（stridor）與頻繁吞嚥，是極度危急的警訊。頻繁吞嚥暗示傷口深處可能發生血腫（hematoma），壓迫氣管；喘鳴音則明確指出呼吸道已受到阻塞。在 NCLEX 考試中，遇到呼吸道受阻的臨床情境，必須遵循 ABC（Airway, Breathing, Circulation）優先原則。此時病人隨時可能發生完全性呼吸道梗阻，護理師應立即採取緊急措施，準備插管（intubation）或氣切（tracheostomy）相關設備，確保呼吸道通暢。
Stridor and frequent swallowing two hours post-thyroidectomy suggest a hematoma compressing the airway, which is a life-threatening emergency. Following the ABC priority, the nurse must immediately prepare for emergency airway management, such as intubation or tracheostomy, to ensure patency.
在美國臨床環境中，此類術後病人通常會被置於裝有緊急氣切包（tracheostomy tray）的病房，護理師需確認該設備隨時可用，這是 NCLEX 常考的護理師安全責任。