— 生理適應 · MEDIUM · SATA —
下列哪些護理措施適用於甲狀腺切除術後恢復中的病人？（選所有適合的）
Which of the following interventions are appropriate for a client recovering from a thyroidectomy? (Select all that apply.)
- AKeep a tracheostomy tray at the bedside✓ 正解在床邊準備氣管切開術器械盤
- BCheck for Chvostek's sign frequently✓ 正解經常檢查Chvostek徵象
- CMaintain the head of the bed in a low-Fowler's position維持床頭處於低福勒氏體位
- DAssess the back of the neck for blood pooling✓ 正解評估頸後是否有血液積聚
- EEncourage the client to talk frequently to assess laryngeal nerve鼓勵病人頻繁說話以評估喉返神經
— Explanation · 中文詳解 —
甲狀腺切除術後重點：A 防氣管壓迫窒息；B 監測誤切除副甲狀腺導致的低血鈣（Chvostek's 徵象）；D 血液易聚集在傷口後方，必須檢查。C 應採高枕位（Semi-Fowler's）以減輕腫脹，低枕位會增加腫脹風險；E 應限制說話以防喉返神經受損。
Post-thyroidectomy priorities: A: a tracheostomy tray prevents asphyxiation from tracheal compression; B: monitor Chvostek's sign for hypocalcemia from inadvertent parathyroid removal; D: blood may pool behind the neck and must be checked. C is incorrect (semi-Fowler's reduces edema; low-Fowler's worsens it). E is incorrect (the client should limit talking to protect the recurrent laryngeal nerve).
✦ 台美臨床差異
在美國，甲狀腺術後監測低血鈣指標極為嚴謹，台灣則常配合抽血檢驗鈣離子濃度。