— 生理適應 · HARD · MCQ —
個案接受甲狀腺切除術後返回單位。下列哪項評估發現最令護理師擔憂？
A client returns to the unit following a thyroidectomy. Which assessment finding is most concerning to the nurse?
- APatient experiences numbness around the mouth✓ 正解患者出現口周麻木
- BVoice is hoarse when speaking說話時聲音嘶啞
- CPatient has a respiratory rate of 18 breaths/min患者呼吸速率為每分鐘 18 次
- DIncision site dressing is dry and intact切口敷料乾燥且完整
— Explanation · 中文詳解 —
甲狀腺切除術後，副甲狀腺（Parathyroid gland）可能因手術位置相近而受損或移除。副甲狀腺負責調節鈣離子，若受損會導致低血鈣（Hypocalcemia）。口周圍麻木（Perioral numbness）是低血鈣的早期徵兆。若不處理，低血鈣會導致喉部肌肉痙攣（Laryngospasm），引發急性呼吸道阻塞，是致命的併發症。
Circumoral numbness is an early sign of hypocalcemia, which can occur if the parathyroid glands were damaged or removed during thyroidectomy. This condition poses a serious risk of laryngospasm and airway obstruction, requiring immediate medical attention. While hoarseness may result from intubation and a dry dressing is normal, hypocalcemia represents a potentially life-threatening metabolic complication.