一位甲狀腺切除術後兩小時的病人，主訴手指與嘴周圍麻木、刺痛。護理師應優先採取何種行動？
A nurse is caring for a client who is 2 hours postoperative following a thyroidectomy. The client reports numbness and tingling in the fingers and around the mouth. Which action is the priority?
- AReassure the client that this is normal post-anesthesia安撫病人，表示這是麻醉後的正常現象
- BAssess the surgical incision for bleeding檢查手術切口是否有出血
- CPrepare for calcium gluconate administration✓ 正解準備給予葡萄糖酸鈣
- DCheck the client's vital signs測量病人的生命徵象
本題測試術後併發症之優先順序（ABC 原則與安全）。甲狀腺切除術後，若誤傷副甲狀腺可能導致血鈣過低（Hypocalcemia）。手指與嘴周麻木刺痛是低血鈣的神經肌肉過度興奮典型症狀。低血鈣可能引發嚴重的喉頭痙攣（Laryngospasm），直接威脅病人的呼吸道安全，因此準備鈣劑（Calcium Gluconate）以備急救是護理師最優先的預防性行動。
This item tests prioritization of postoperative complications (ABC principles and safety). After thyroidectomy, inadvertent injury to the parathyroid glands during surgery can result in hypocalcemia. Numbness and tingling of the fingers and around the mouth are classic signs of the neuromuscular hyperexcitability associated with low calcium. Hypocalcemia can precipitate severe laryngospasm and directly threaten the client's airway, so preparing calcium gluconate for potential emergency administration is the nurse's top priority preventive action.