一位甲狀腺切除術後病人，出現手指麻木與口周感覺異常。護理師的優先處置為何？
A nurse is monitoring a client post-thyroidectomy. The client exhibits tingling of the fingers and perioral numbness. What is the nurse's priority action?
- AAdminister a dose of morphine給予一劑嗎啡
- BAssess the surgical site for bleeding評估手術部位是否有出血
- CIncrease the IV fluid rate增加靜脈輸液速率
- DMonitor for Chvostek's sign and notify the provider✓ 正解監測 Chvostek 徵象並通知醫師
甲狀腺切除術後，若術中誤傷或移除了副甲狀腺，會導致副甲狀腺素（PTH）分泌不足，進而引發低血鈣。臨床表現包括口周及指尖麻木（Paresthesia）、Chvostek 徵象（臉部神經反射）或 Trousseau 徵象。這是術後危急併發症，可能導致喉頭痙攣與呼吸道阻塞，護理師應立即評估並通知醫師處理。
After thyroidectomy, if the parathyroid glands are inadvertently injured or removed during surgery, parathyroid hormone (PTH) secretion is decreased, resulting in hypocalcemia. Clinical manifestations include perioral and fingertip numbness (paresthesia), Chvostek's sign (facial nerve reflex), and Trousseau's sign. This is a serious postoperative complication that can lead to laryngeal spasm and airway obstruction; the nurse should immediately assess and notify the provider for management.