— 生理適應 · MEDIUM · SATA —
針對甲狀腺切除術後個案，護理師應採取哪些措施以預防併發症？（選所有適合的）
Which of the following interventions should the nurse perform for a client post-thyroidectomy to prevent complications? (Select all that apply.)
- AKeep the head of the bed in a semi-Fowler's position✓ 正解將床頭抬高至半佛克勒氏臥位（semi-Fowler's position）
- BMonitor for laryngeal nerve damage by assessing voice quality✓ 正解透過評估聲音品質，監測喉返神經損傷
- CCheck for signs of hypocalcemia like Trousseau's sign✓ 正解檢查圖塞勞氏徵象（Trousseau's sign）等低血鈣跡象
- DEncourage the client to move their neck frequently to prevent stiffness鼓勵個案經常活動頸部以預防僵硬
- EEnsure emergency tracheostomy kit is available at the bedside✓ 正解確保床邊備有緊急氣管切開術套件
— Explanation · 中文詳解 —
甲狀腺切除後重點在於氣道維持（床邊準備氣切包）、預防出血水腫、監測喉返神經損傷（聲帶功能）以及監測甲狀旁腺誤切導致的低血鈣（Trousseau's/Chvostek's sign）。D 選項錯誤：術後應保持頸部支撐，避免頻繁扭動導致傷口出血或縫線鬆脫。
Post-thyroidectomy care focuses on airway safety and monitoring for specific complications. Interventions include maintaining semi-Fowler’s position to reduce edema, assessing voice quality for laryngeal nerve damage, checking for hypocalcemia signs like Trousseau’s sign, and keeping an emergency tracheostomy kit at the bedside for potential airway obstruction.
✦ 台美臨床差異
台美臨床對於甲狀腺術後監測標準高度一致，皆高度重視喉返神經與血鈣狀況。