— 生理適應 · MEDIUM · SATA —
一位病人剛完成甲狀腺切除手術，下列哪些評估是必要的？（選所有適合的）
A client is recovering from a thyroidectomy. Which assessments are mandatory? (Select all that apply.)
- ACheck for Trousseau's sign✓ 正解檢查 Trousseau 徵象
- BMonitor for laryngeal stridor✓ 正解監測是否有喉頭喘鳴
- CAssess for voice changes✓ 正解評估聲音變化
- DMeasure urine output hourly每小時測量尿液排出量
- ECheck the back of the neck for dressing drainage✓ 正解檢查頸後方紗布是否有滲出液
— Explanation · 中文詳解 —
甲狀腺切除術後，護理師需監測多項潛在致命併發症。Trousseau's sign 是監測低血鈣（副甲狀腺受損）的指標；喉頭鳴音（Stridor）暗示呼吸道水腫或阻塞，需緊急處理；聲音改變提示喉返神經（Recurrent laryngeal nerve）可能受損；頸後部敷料檢查是為了觀察有無隱匿性出血（血液因重力積聚在頸後）。
After thyroidectomy, the nurse must monitor for several potential life-threatening complications. Trousseau's sign is an indicator of hypocalcemia (due to parathyroid damage); laryngeal stridor suggests airway edema or obstruction and requires emergency intervention; voice changes indicate possible recurrent laryngeal nerve injury; and checking the back of the neck for drainage is performed to detect occult bleeding, as blood may pool posteriorly under the influence of gravity.