一位急性胰臟炎病人需監測低血鈣。護理師應評估哪一項臨床徵象？

急性胰臟炎常因脂肪壞死導致鈣質沈積，引起低血鈣。Trousseau's sign 是評估神經肌肉激越性的重要指標，當血鈣過低會導致手腕痙攣。其他選項中，低血鈣通常表現為腸蠕動亢進而非過度蠕動，且肌力較少呈現弛緩性麻痺。

Acute pancreatitis often causes fat necrosis, leading to calcium deposition and hypocalcemia. Trousseau's sign is an important indicator for assessing neuromuscular irritability; carpal spasm occurs when the serum calcium is too low. Among the other options, hypocalcemia is usually associated with increased rather than excessive bowel motility, and muscle strength rarely manifests as flaccid paralysis.

美台臨床皆重視 Chvostek's 與 Trousseau's sign 評估，美國護理師常需自行啟動鈣離子監測，台灣則多依據醫師開立檢查單。