護理師對於一位剛完成甲狀腺切除術的病人,需回報哪些評估結果?(選所有適合的)
Which assessment findings should a nurse report to the provider for a client recovering from a thyroidectomy? (Select all that apply.)
- APositive Chvostek sign✓ 正解Chvostek 徵象陽性
- BHoarseness when speaking說話時聲音沙啞
- CTingling sensation in the fingers✓ 正解手指有刺痛感
- DIncision site dressing dry and intact切口處敷料乾燥且完整
- ESerum calcium level of 7.2 mg/dL✓ 正解血清鈣濃度 7.2 mg/dL
甲狀腺切除術後,需高度警惕副甲狀腺受損導致的低血鈣(Hypocalcemia)。低血鈣的徵兆包括:指尖與口周麻木、Chvostek 徵象陽性(輕敲面神經引起臉部抽搐)、Trousseau 徵象陽性。血鈣數值低於正常範圍(7.2 mg/dL)是需要緊急回報醫師並準備補充鈣劑的關鍵發現,以防喉痙攣發生。
After a thyroidectomy, the nurse must be highly vigilant for hypocalcemia caused by inadvertent damage to the parathyroid glands. Signs of hypocalcemia include numbness and tingling in the fingertips and around the mouth, a positive Chvostek sign (tapping the facial nerve elicits facial twitching), and a positive Trousseau sign. A serum calcium level below the normal range (7.2 mg/dL) is a critical finding that must be urgently reported to the provider and treated with calcium supplementation to prevent laryngospasm.