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生理適應 · MEDIUM · SATA

甲狀腺切除術後病患,下列哪些護理措施是合適的?(選所有適合的)

Which of the following nursing interventions are appropriate for a client post-thyroidectomy? (Select all that apply.)

  • AKeep a tracheostomy tray at the bedside✓ 正解
    在床邊準備氣切盤
  • BMonitor for signs of hypocalcemia (Trousseau's sign)✓ 正解
    監測低血鈣徵象(Trousseau氏徵象)
  • CEncourage early ambulation and deep coughing
    鼓勵早期下床活動並深呼吸咳嗽
  • DAssess for voice changes or hoarseness✓ 正解
    評估是否有聲音改變或嘶啞
  • EApply a tight neck dressing to prevent bleeding
    施加緊繃的頸部敷料以預防出血
Explanation · 中文詳解

甲狀腺術後需嚴防喉頭水腫引發呼吸道阻塞(需備氣切盤),且因副甲狀腺誤傷需監測低血鈣(Trousseau's/Chvostek's sign),同時檢查喉返神經受損導致的聲音嘶啞。E 選項:敷料不可過緊,會壓迫氣管導致呼吸困難,且不利觀察血腫。

After a thyroidectomy, the nurse must guard against airway obstruction from laryngeal edema (a tracheostomy tray must be kept at the bedside), monitor for hypocalcemia caused by inadvertent parathyroid injury (Trousseau's/Chvostek's sign), and assess for hoarseness due to recurrent laryngeal nerve damage. Option E is incorrect: the dressing must not be applied too tightly, as this can compress the trachea, cause respiratory difficulty, and obscure observation for hematoma.

✦ 台美臨床差異

台美術後監測重點一致,但在美國醫療體系中,Trousseau's sign 的評估頻率與標準更為嚴格。

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