— 生理適應 · HARD · SATA —
護理師照護甲狀腺切除術後病人，下列哪些評估發現應立即回報外科醫師？（選所有適合的）
A nurse is caring for a client post-thyroidectomy. Which assessment findings are priority to report to the surgeon immediately? (Select all that apply.)
- ALaryngeal stridor✓ 正解喉頭喘鳴
- BPositive Chvostek's sign✓ 正解Chvostek氏徵象陽性
- CIncision site drainage of 5 mL切口處引流液5 mL
- DHoarseness when speaking說話時聲音嘶啞
- EFrequent swallowing✓ 正解頻繁吞嚥
— Explanation · 中文詳解 —
甲狀腺切除術後需監測三大致命危險：喉頭喘鳴（呼吸道阻塞）、頻繁吞嚥（術後出血腫脹壓迫）、Chvostek徵象（副甲狀腺誤切導致低血鈣抽搐）。喉部聲音嘶啞（D）雖需觀察，但多為暫時性神經受損，相較之下 ABE 立即威脅生命，需優先處理。
Laryngeal stridor, a positive Chvostek's sign, and frequent swallowing are priority findings indicating airway obstruction, hypocalcemia, or hemorrhage, respectively. These symptoms represent life-threatening complications requiring immediate surgical intervention, whereas mild hoarseness or small drainage amounts are less critical.
✦ 台美臨床差異
美台皆強調術後呼吸道評估，但美國護理站常備有氣切插管盤於床邊，台灣則是確保氣切設備完整即可。