— 生理適應 · HARD · MCQ —
一位甲狀腺切除術後的病人。護理師必須優先評估的隱憂為何？
A client is recovering from a thyroidectomy. What is the priority concern the nurse must assess for?
- AHyperglycemia高血糖
- BHypocalcemia低血鈣
- CHypertension高血壓
- DRespiratory distress✓ 正解呼吸困難
— Explanation · 中文詳解 —
甲狀腺切除術後，最嚴重的急症是氣管受壓（由於術後出血或水腫）或喉返神經損傷導致的呼吸道阻塞。雖然低血鈣（Hypocalcemia）是常見併發症，但呼吸道通暢（ABC 的 A）永遠是優先評估與處置的對象。
After thyroidectomy, the most serious acute complication is airway obstruction caused by tracheal compression (due to postoperative hemorrhage or edema) or recurrent laryngeal nerve injury. Although hypocalcemia is a common complication, airway patency (the 'A' in the ABCs) is always the priority for assessment and intervention.
✦ 台美臨床差異
台美臨床對於甲狀腺術後的呼吸評估（如床邊備氣切包）是一致的，但在美國，護理師常會監測 Trousseau's sign 作為常規。