病人甲狀腺切除術後 4 小時，出現手指及嘴唇周圍麻刺感。護理師下一步應執行何種評估？
A nurse is assessing a client 4 hours post-thyroidectomy. The client exhibits tingling of the fingers and around the mouth. Which assessment should the nurse perform next?
- AAssess for airway patency評估呼吸道是否暢通
- BCheck the surgical dressing for bleeding檢查手術敷料是否有出血
- CAssess the client's ability to swallow評估病人的吞嚥能力
- DCheck for Trousseau's sign✓ 正解檢查特魯索氏徵象（Trousseau's sign）
甲狀腺切除術後若出現肢體末梢與口周麻刺感，高度懷疑誤傷副甲狀腺導致低血鈣。Trousseau's sign 是評估低血鈣的敏感指標。雖然氣道評估很重要，但此時的神經學症狀指向電解質失衡，需優先確立診斷。
If a patient develops paresthesia in the distal extremities and around the mouth after thyroidectomy, accidental injury to the parathyroid glands leading to hypocalcemia should be strongly suspected. Trousseau's sign is a sensitive indicator for assessing hypocalcemia. Although airway assessment is important, the neurological symptoms in this scenario point to an electrolyte imbalance, and establishing the diagnosis is the priority.
此類評估在兩國皆為護理評估重點，但美國護理師在發現症狀後可直接申請檢驗項目（如鈣離子），台灣多需先報告醫師開單。