— 生理適應 · MEDIUM · MCQ —
甲狀腺切除術後，病人主訴手指和腳趾有刺痛感。護理師的優先行動為何？
A nurse is caring for a client after a thyroidectomy. The client reports tingling in the fingers and toes. What is the nurse's priority action?
- AAdminister a sedative給予鎮靜劑
- BCheck the client's blood pressure測量病人的血壓
- CEncourage deep breathing exercises鼓勵深呼吸運動
- DAssess for Chvostek's sign✓ 正解評估 Chvostek 徵象
— Explanation · 中文詳解 —
甲狀腺切除術後，若術中誤傷或切除副甲狀腺，會導致副甲狀腺素（PTH）分泌不足，引發低血鈣（Hypocalcemia）。指尖與腳趾刺痛（Paresthesia）是低血鈣的早期徵象。護理師必須進行 Chvostek's sign（敲擊面神經引起臉部抽動）與 Trousseau's sign（壓迫手臂引起手部抽搐）檢查以確認低血鈣。
After thyroidectomy, inadvertent injury or removal of the parathyroid glands can result in insufficient parathyroid hormone (PTH) secretion and subsequent hypocalcemia. Tingling (paresthesia) in the fingers and toes is an early sign of low calcium. The nurse must assess for Chvostek's sign (facial twitching with tapping of the facial nerve) and Trousseau's sign (carpal spasm with arm compression) to confirm hypocalcemia.