— 生理適應 · MEDIUM · SATA —
甲狀腺切除術後，哪些發現顯示病人可能出現低血鈣？（選所有適合的）
A nurse is monitoring a client after a thyroidectomy. Which findings suggest hypocalcemia? (Select all that apply.)
- APositive Trousseau's sign✓ 正解Trousseau 徵象陽性
- BNumbness and tingling around the mouth✓ 正解口周麻木和刺痛感
- CNegative Chvostek's signChvostek 徵象陰性
- DMuscle tremors or tetany✓ 正解肌肉震顫或手足搐搦
- EHyperreflexia✓ 正解反射亢進
— Explanation · 中文詳解 —
甲狀腺切除可能誤傷副甲狀腺導致低血鈣。徵兆包括：Trousseau 徵象陽性（壓脈帶誘發手部抽搐，A）、口周麻刺感（B）、肌肉震顫或抽搐（D）、以及反射亢進（E）。Chvostek 徵象陽性才是低血鈣，C 選項說陰性是錯誤的。
Thyroidectomy can inadvertently injure the parathyroid glands and lead to hypocalcemia. Manifestations include a positive Trousseau's sign (carpal spasm induced by a blood-pressure cuff, Option A), perioral numbness and tingling (B), muscle tremors or tetany (D), and hyperreflexia (E). A positive—not negative—Chvostek's sign suggests hypocalcemia, so Option C as written (a negative sign) is incorrect.
✦ 台美臨床差異
兩地教學重點一致。術後備妥葡萄糖酸鈣（Calcium Gluconate）是共同的護理常識。