一位甲狀腺切除術後的病人，護理師應評估哪些項目以偵測可能的併發症？（選所有適合的）
A nurse is caring for a client who is postoperative following a thyroidectomy. Which of the following assessments should the nurse perform to detect potential complications? (Select all that apply.)
- AAssess the back of the neck for blood pooling✓ 正解評估頸後是否有血液積聚
- BMonitor for laryngeal stridor✓ 正解監測喉頭喘鳴
- CCheck for Trousseau’s sign✓ 正解檢查 Trousseau 徵象
- DMonitor for difficulty in swallowing✓ 正解監測吞嚥困難
- EAssess for symmetrical movement of the chest評估胸廓活動是否對稱
甲狀腺切除術後三大風險：1.出血（檢視頸部後方）、2.喉頭水腫或神經損傷（出現喘鳴聲 stridor）、3.副甲狀腺損傷（低鈣血症，檢查 Trousseau’s sign）、4.出血壓迫氣管導致吞嚥困難。選項 E 與心肺功能監測相關，非此手術特有之術後併發症監測。
There are three major risks after thyroidectomy: 1) hemorrhage (check the back of the neck); 2) laryngeal edema or nerve injury (laryngeal stridor); 3) parathyroid injury (hypocalcemia, check Trousseau's sign); and 4) hemorrhage compressing the trachea leading to swallowing difficulty. Option E (assessing for symmetrical chest movement) is related to cardiopulmonary monitoring and is not a complication specific to this surgery.
美國護理師對低鈣血症的評估敏感度極高，台灣臨床護理師常需更主動提醒醫師檢查電解質。