— 生理適應 · MEDIUM · MCQ —
一位甲狀腺切除術後病人出現手指麻木與口周刺痛感，護理師應監測下列何項臨床表徵？
A nurse is caring for a client post-thyroidectomy. The client exhibits tingling in the fingers and circumoral numbness. Which finding should the nurse monitor for?
- APositive Chvostek's sign✓ 正解Chvostek氏徵呈陽性
- BHypokalemia低血鉀
- CDecreased bowel sounds腸蠕動音減弱
- DHypertension高血壓
— Explanation · 中文詳解 —
甲狀腺切除術後，需密切監測是否有誤傷副甲狀腺的風險。副甲狀腺受損會導致血鈣降低，出現手指麻木與口周刺痛感（Circumoral numbness）。Chvostek's sign（面神經叩擊反射）陽性是低血鈣的典型表現。護理師需準備鈣離子補充劑，並監測是否有嚴重的喉頭痙攣或心律不整，以確保病人安全。
After thyroidectomy, the nurse must closely monitor for inadvertent injury to the parathyroid glands. Parathyroid damage leads to hypocalcemia, presenting with finger tingling and circumoral numbness. A positive Chvostek's sign (facial nerve tap reflex) is a classic manifestation of hypocalcemia. The nurse should prepare calcium replacement and monitor for severe laryngospasm or dysrhythmias to ensure patient safety.