病人接受甲狀腺全切除手術後，護理師觀察到其有肌肉抽搐與手指麻刺感。應優先採取哪項護理措施？
A client undergoes a total thyroidectomy. The nurse notes the client has developed muscle twitching and tingling in the fingers. Which intervention is priority?
- AObtain a serum ionized calcium level取得血清游離鈣濃度檢測
- BAdminister intravenous calcium gluconate✓ 正解給予靜脈注射葡萄糖酸鈣
- CCheck Trousseau’s sign檢查Trousseau徵象
- DNotify the surgeon of the findings將發現通知外科醫師
甲狀腺全切除手術後，若發生肌肉抽搐（muscle twitching）與手指麻刺感（tingling），應高度懷疑術中誤傷副甲狀腺導致低血鈣（hypocalcemia）。低血鈣會導致神經肌肉興奮性增加，進而引發喉痙攣（laryngospasm）甚至窒息。因此，護理師需優先給予靜脈鈣劑補充（如 Calcium gluconate），以穩定神經肌肉膜電位，防止呼吸道危機。
Muscle twitching and tingling after a total thyroidectomy indicate hypocalcemia due to potential parathyroid gland damage, which can lead to life-threatening laryngospasm. The priority intervention is to administer intravenous calcium gluconate immediately to stabilize neuromuscular excitability and prevent airway compromise. While notifying the provider and checking labs are necessary, rapid treatment takes precedence to ensure patient safety.