護理師照護甲狀腺切除術後病人,下列哪些評估對發現潛在併發症至關重要?(選所有適合的)
A nurse is caring for a client after a thyroidectomy. Which assessments are critical to identify potential complications? (Select all that apply.)
- AMonitor for Chvostek's sign✓ 正解監測Chvostek氏徵象
- BAssess for voice changes✓ 正解評估聲音變化
- CCheck for neck hematoma✓ 正解檢查頸部血腫
- DEvaluate pupil reactivity評估瞳孔反應
- EObserve for laryngeal stridor✓ 正解觀察是否有喉頭喘鳴
甲狀腺切除術後重點在於保護副甲狀腺及喉返神經。A(Chvostek徵象表示低血鈣)、B(喉返神經受損)、C(頸部血腫壓迫氣道)、E(喉頭喘鳴表示氣道阻塞)均為術後重要監測目標。D(瞳孔反應)與甲狀腺手術無直接關係。
Post-thyroidectomy care focuses on detecting complications related to parathyroid and recurrent laryngeal nerve injury. Critical assessments include monitoring for Chvostek's sign to identify hypocalcemia, checking for voice changes indicating nerve damage, observing for neck hematomas that could compress the airway, and listening for laryngeal stridor which signals respiratory distress. Pupillary reactivity is not a specific indicator for thyroid surgery complications.
台灣醫院在術後追蹤常規會監測鈣離子濃度,美國則更強調護理師執行的 Chvostek 與 Trousseau 徵象評估。