— 降低風險 · HARD · SATA —
護理師於甲狀腺切除術後 24 小時，應立即回報下列哪項評估發現？（選所有適合的）
Which assessment findings should a nurse report immediately for a client 24 hours post-thyroidectomy? (Select all that apply.)
- APositive Chvostek's sign✓ 正解Chvostek氏徵象呈陽性
- BHoarseness during speech說話時聲音沙啞
- CLaryngeal stridor✓ 正解喉鳴音
- DTingling sensation in fingers✓ 正解手指有刺痛感
- ENeck dressing slightly dry頸部敷料略為乾燥
— Explanation · 中文詳解 —
甲狀腺切除術可能誤傷副甲狀腺，導致低血鈣，臨床表現為 Chvostek's 徵象、手指刺痛感。喉鳴音（Stridor）則是氣道阻塞的警訊，為急症。聲音沙啞雖然需要監測喉返神經損傷，但非致命性急症。敷料乾燥為正常現象。
After thyroidectomy, inadvertent damage to the parathyroid glands can cause hypocalcemia, manifesting as a positive Chvostek's sign and tingling/paresthesia in the fingers and around the mouth. Laryngeal stridor signals airway obstruction from edema or hematoma—a true emergency. Mild hoarseness is common from intubation or laryngeal edema and is monitored. A dry, intact neck dressing is an expected finding.
✦ 台美臨床差異
台美兩地對術後低血鈣的監測 protocol 相似，均強調對呼吸道的密切監護。