— 生理適應 · MEDIUM · SATA —
護理師對甲狀腺切除術後的病人應採取哪些措施？（選所有適合的）
Which actions should the nurse perform for a client post-thyroidectomy? (Select all that apply.)
- AKeep the client in a semi-Fowler's position✓ 正解讓病人保持半坐臥位
- BAssess for Chvostek's sign✓ 正解評估是否有 Chvostek 徵象
- CMaintain a quiet environment✓ 正解維持安靜的環境
- DKeep a tracheostomy tray at the bedside✓ 正解在床邊備妥氣切包
- EEncourage frequent talking to check vocal cord integrity鼓勵頻繁說話以檢查聲帶完整性
— Explanation · 中文詳解 —
甲狀腺切除術後，重點監測包括：維持半坐臥位（減少頭頸部水腫）、監測低血鈣症狀（如 Chvostek's sign，因副甲狀腺可能受損）、提供安靜環境（減少交感神經刺激）、備妥氣切盤（以防喉頭水腫引發呼吸道阻塞）。鼓勵說話錯誤，因為應讓聲帶休息。這些措施能有效降低術後併發症，確保病人呼吸與內分泌穩定。
Post-thyroidectomy priorities: semi-Fowler's position to reduce neck edema; monitor for hypocalcemia (Chvostek's sign) due to potential parathyroid injury; quiet environment to reduce sympathetic stimulation; tracheostomy tray at bedside for potential airway obstruction from laryngeal edema. Encouraging talking is wrong — voice rest is required to prevent vocal cord damage.