— 照護管理 · HARD · SATA —
護理師照顧甲狀腺切除術後病人。哪些發現應立即回報外科醫師？（選所有適合的）
A nurse is caring for a client following a thyroidectomy. Which findings should the nurse immediately report to the surgeon? (Select all that apply.)
- ALaryngeal stridor✓ 正解喉鳴
- BHoarseness when speaking說話時聲音嘶啞
- CTingling around the mouth✓ 正解嘴脣周圍刺痛感
- DNeck swelling and dressing tightness✓ 正解頸部腫脹與敷料緊繃
- EStable blood pressure and pulse穩定的血壓與脈搏
— Explanation · 中文詳解 —
甲狀腺手術後併發症需高度警覺：喉鳴（Stridor）暗示呼吸道阻塞，為緊急情況；嘴唇麻木暗示低鈣血症（副甲狀腺受損）；頸部腫脹與敷料過緊暗示血腫壓迫呼吸道。聲音沙啞（Hoarseness）常見但應監測，若無呼吸困難則可密切觀察，非最緊急的回報對象。
Laryngeal stridor suggests airway obstruction, while tingling around the mouth indicates hypocalcemia from parathyroid damage. Neck swelling and dressing tightness suggest an expanding hematoma that could compress the airway.
✦ 台美臨床差異
美台對於術後呼吸道監測標準一致，皆將喉鳴列為最高優先級（Red Flag）。