— 降低風險 · HARD · SATA —
甲狀腺切除術後，護理師應進行哪些護理措施？（選所有適合的）
Which interventions should the nurse perform for a client post-thyroidectomy? (Select all that apply.)
- AKeep a tracheostomy tray at the bedside✓ 正解在床邊備妥氣切盤
- BCheck for Chvostek's sign✓ 正解檢查Chvostek徵象
- CPosition the client flat to reduce neck strain將病人置於平臥姿勢以減少頸部負擔
- DMonitor for laryngeal nerve damage✓ 正解監測喉返神經損傷
- EAssess voice quality periodically✓ 正解定期評估聲音品質
— Explanation · 中文詳解 —
甲狀腺術後風險：1. 呼吸道阻塞（需備氣切盤）；2. 低血鈣（副甲狀腺誤傷，需檢查 Chvostek/Trousseau 徵象）；3. 喉返神經受損（聲音沙啞）。術後應採半坐臥位（Fowler's position）以減輕頸部張力與水腫，不可平躺。
Post-thyroidectomy care requires keeping a tracheostomy tray at the bedside to manage potential airway obstruction from edema and monitoring for signs of hypocalcemia, such as Chvostek's sign, due to possible parathyroid injury. The nurse should also assess voice quality to detect early signs of laryngeal nerve damage. Clients should be positioned in semi-Fowler's position to reduce neck strain and edema, rather than lying flat.
✦ 台美臨床差異
美台臨床皆視甲狀腺術後監測為專科護理重點，兩地照護標準幾乎一致。