— 生理適應 · MEDIUM · MCQ —
護理師照護甲狀腺切除術後病患，下列何項措施最適當？
Which of the following nursing interventions is most appropriate for a client recovering from a thyroidectomy?
- AEncourage deep coughing to clear secretions鼓勵深呼吸與咳嗽以清除分泌物
- BMonitor for laryngeal nerve damage by checking voice quality✓ 正解透過檢查聲音品質來監測喉返神經損傷
- CLimit calcium intake to prevent stone formation限制鈣攝取以防止結石形成
- DKeep the client in a supine position讓病人保持仰臥姿勢
— Explanation · 中文詳解 —
甲狀腺切除術後，主要的併發症包括喉返神經損傷與低血鈣。喉返神經損傷會導致聲帶麻痺，臨床表現為說話聲音沙啞（Hoarseness）或失聲。術後護理師必須評估病人的聲音品質，若出現沙啞需立即報告醫師，因為可能伴隨呼吸道水腫與呼吸困難。術後姿勢應採半坐臥（Semi-Fowler's）以減輕頸部水腫壓力，而非平躺。
Monitoring voice quality is essential to detect potential laryngeal nerve damage, which may manifest as hoarseness or voice changes after a thyroidectomy. This assessment helps identify early signs of airway compromise or nerve injury. Clients should be positioned in semi-Fowler’s position to reduce neck swelling, and excessive coughing should be avoided to protect suture integrity.