— 生理適應 · HARD · SATA —
一位甲狀腺切除術後個案，護理師應評估哪些項目以偵測併發症？（選所有適合的）
A nurse is caring for a client after a thyroidectomy. Which assessments are essential to detect complications? (Select all that apply.)
- ATrousseau's sign✓ 正解Trousseau徵象
- BChvostek's sign✓ 正解Chvostek徵象
- CStridor✓ 正解喘鳴音
- DDifficulty swallowing吞嚥困難
- EAbility to speak clearly✓ 正解清楚說話的能力
— Explanation · 中文詳解 —
甲狀腺切除術後常見併發症包括副甲狀腺損傷導致低血鈣，需監測 Trousseau 與 Chvostek 徵象。手術區域腫脹或喉返神經受損可能導致氣管阻塞或發聲異常，Stridor（喘鳴音）是緊急呼吸道阻塞的訊號，說話清晰度評估可反映喉返神經狀態。
Essential assessments include checking for Trousseau’s and Chvostek’s signs to detect hypocalcemia from parathyroid damage. Nurses must also monitor for stridor indicating airway obstruction and assess speech clarity to evaluate for recurrent laryngeal nerve injury.
✦ 台美臨床差異
美國護理師術後會優先準備氣切包在床邊；台灣亦有此標準流程，但術後呼吸評估的頻率更為嚴格。