甲狀腺切除術後病患,護理師應優先評估下列哪些項目?(選所有適合的)
Which assessment findings should the nurse prioritize in a client post-thyroidectomy? (Select all that apply.)
- APresence of stridor or high-pitched sound on inhalation✓ 正解是否存在喘鳴音或吸入時的高調聲
- BSerum calcium level trends✓ 正解血清鈣濃度的變化趨勢
- CInability to speak or voice changes✓ 正解無法說話或聲音改變
- DDressing saturation with bright red blood✓ 正解敷料被鮮紅色血液浸濕的程度
- EAbility to swallow small sips of water吞嚥少量水的能力
甲狀腺切除術後三大風險:氣管壓迫(喉頭水腫)、副甲狀腺損傷(低血鈣)、喉返神經損傷(嗓音改變)以及出血。A 指示呼吸道梗阻,B 指示抽搐風險,C 指示神經受損,D 指示術後出血。E 選項雖然重要,但在術後早期通常維持禁食或依醫囑,非首要生命徵象評估。
The three major risks after thyroidectomy are tracheal compression (laryngeal edema), parathyroid injury (hypocalcemia), and recurrent laryngeal nerve injury (voice changes), as well as hemorrhage. Option A indicates airway obstruction, Option B suggests risk of tetany, Option C suggests neurological injury, and Option D indicates post-operative bleeding. Although Option E is important, the client is usually NPO or follows physician orders in the early post-operative period, so it is not the priority vital-sign assessment.
美國護理師在術後評估項目更細緻,包含神經學功能的細微變化;台灣醫院則多依據標準化術後護理常規。