護理師評估甲狀腺切除術後病人，哪項發現應最優先通報外科醫師？
A nurse is performing a postoperative assessment on a client following a thyroidectomy. Which finding is the highest priority to report to the surgeon?
- AHoarseness when speaking說話時聲音嘶啞
- BTingling sensation in the fingers手指有刺痛感
- CIncisional pain rated 6/10切口疼痛評分為 6/10
- DInspiratory stridor✓ 正解吸氣性喘鳴
甲狀腺切除術後，最致命的併發症為呼吸道阻塞。吸氣性喘鳴（Inspiratory stridor）是氣管受壓迫或喉頭水腫的典型徵象，代表呼吸道極度狹窄。護理師必須優先執行 ABC（呼吸道、呼吸、循環）原則，呼吸道問題永遠是第一優先。術後病人若出現此症狀，可能因血腫（Hematoma）壓迫氣管或喉返神經受損導致聲帶麻痺，需立即通知外科醫師進行緊急處置，必要時需準備氣切設備。
Inspiratory stridor is the highest priority finding because it indicates airway obstruction, a life-threatening complication such as laryngeal edema or hematoma compression following thyroidectomy. According to the ABC (Airway, Breathing, Circulation) framework, maintaining a patent airway is the nurse's primary responsibility. Immediate intervention is required to prevent respiratory arrest.
在美國臨床環境中，甲狀腺術後若出現喘鳴，護理師通常會直接啟動緊急呼叫（Rapid Response Team）並準備床邊氣管切開包（Tracheostomy tray），動作較台灣更強調在醫師到達前的快速預備。