— 降低風險 · HARD · MCQ —
護理師照護一位甲狀腺切除術後的病人。下列哪項併發症是監測時的最高優先事項？
A nurse is caring for a client who is post-operative from a thyroidectomy. Which complication is the highest priority to monitor for?
- AUrinary retention尿滯留
- BHypocalcemia✓ 正解低血鈣
- CHypertension高血壓
- DHyperglycemia高血糖
— Explanation · 中文詳解 —
甲狀腺切除術（Thyroidectomy）後，副甲狀腺（Parathyroid glands）極可能受損或因血液供應中斷，導致副甲狀腺素（PTH）分泌不足，進而引起血鈣濃度急劇下降（低血鈣）。低血鈣會導致神經肌肉興奮性異常，嚴重時會引起喉頭痙攣（Laryngeal stridor），這會導致呼吸道阻塞，是術後致命性的併發症，因此監測鈣離子與呼吸狀況是優先事項。
Hypocalcemia due to accidental damage or removal of the parathyroid glands is a serious post-thyroidectomy complication that can lead to laryngeal stridor and airway obstruction. Monitoring for signs of tetany and respiratory distress is the highest priority to ensure patient safety.