— 降低風險 · HARD · SATA —
護理師照護一位甲狀腺切除術後的病人。護理師應立即報告外科醫生的異常發現為何？（選所有適合的）
A nurse is caring for a client who is post-operative following a thyroidectomy. Which findings should the nurse report to the surgeon immediately? (Select all that apply.)
- AIncisional pain rated as 4/10切口疼痛評分為4/10
- BStridor and hoarseness✓ 正解喘鳴音與聲音嘶啞
- CPositive Trousseau's sign✓ 正解Trousseau氏徵呈陽性
- DTingling sensation in the fingers✓ 正解手指刺痛感
- ENeck swelling and respiratory distress✓ 正解頸部腫脹與呼吸困難
— Explanation · 中文詳解 —
甲狀腺切除術後的致命併發症包含呼吸道受阻（喉頭水腫、血腫壓迫）及低血鈣症。喘鳴音、頸部腫脹均暗示氣道受壓，需緊急處理。手部刺痛與 Trousseau 徵象為低血鈣表現，源於副甲狀腺受損，需補充鈣劑以防抽搐。
Life-threatening complications after thyroidectomy include airway obstruction (laryngeal edema, hematoma compression) and hypocalcemia. Stridor and neck swelling both suggest airway compression and require emergency management. Hand tingling and Trousseau's sign are manifestations of hypocalcemia, resulting from parathyroid gland damage, and calcium replacement is needed to prevent tetany.
✦ 台美臨床差異
美國護理師常負責術後初期緊急評估，台灣則高度依賴呼吸治療師輔助評估氣道狀況，兩者皆視為高風險手術。