一位急性胰臟炎病人需監測低血鈣。護理師應優先評估下列哪種體徵來偵測此併發症？
A client with acute pancreatitis is being monitored for hypocalcemia. Which assessment finding should the nurse prioritize as a sign of this complication?
- AFlaccid paralysis of the lower extremities下肢軟癱
- BDecreased bowel sounds腸蠕動音減弱
- CFlattened T-waves on the electrocardiogram心電圖上 T 波平坦
- DPositive Trousseau's sign✓ 正解特魯索氏徵象（Trousseau's sign）陽性
急性胰臟炎脂肪壞死會消耗鈣離子導致低血鈣。Trousseau's sign（壓脈帶測量後手指內收）是神經肌肉易激惹的經典徵象，代表血鈣過低導致神經傳導異常。B 是高血鉀表現；C 是低血鉀表現；B 則是與胰臟發炎本身相關，非低血鈣特異徵兆。
Fat necrosis in acute pancreatitis consumes calcium ions, leading to hypocalcemia. Trousseau's sign (carpal spasm after blood pressure cuff inflation) is the classic sign of neuromuscular irritability and indicates abnormal nerve conduction due to low serum calcium. Option A reflects hyperkalemia; option C reflects hypokalemia; and option B is related to pancreatic inflammation itself and is not a specific sign of hypocalcemia.
美台臨床對於胰臟炎護理評估皆以 Chvostek's 及 Trousseau's sign 為主，無顯著差異。