一位甲狀腺切除術後病人，護理師觀察到下列哪些徵象應立即通知外科醫師？（選所有適合的）
A nurse is monitoring a client who is post-operative following a thyroidectomy. Which findings should the nurse report to the surgeon immediately? (Select all that apply.)
- APositive Chvostek's sign✓ 正解Chvostek 徵象陽性
- BLaryngeal stridor✓ 正解喉鳴音
- CHoarseness when speaking說話時聲音沙啞
- DTingling sensation in the fingers✓ 正解手指感覺異常
- EHeart rate of 98 bpm心率为 98 bpm
甲狀腺切除術後需警惕副甲狀腺損傷引起的低血鈣（徵兆為 Chvostek 徵象與手指麻木），以及喉返神經損傷或術後血腫導致的氣管阻塞（喉鳴音）。喉鳴音為極度危險的呼吸道受阻徵象。沙啞（Hoarseness）雖然也是神經損傷表現，但不如喉鳴音緊急；心率 98 尚在術後正常波動範圍內。
Post-thyroidectomy, the nurse must immediately report signs of hypocalcemia, such as a positive Chvostek’s sign and tingling in the fingers, which indicate potential parathyroid damage. Laryngeal stridor is a critical finding suggesting airway obstruction from edema or hematoma, requiring urgent intervention. While hoarseness may occur due to nerve irritation, it is less immediately life-threatening than stridor.
美國護理師常需判讀血鈣報告並主動執行鈣劑補充 Protocol，台灣則多需先回報醫師確認後才補鈣。