# 一位甲狀腺切除術後 12 小時的個案主訴口周刺痛和肌肉痙攣。護理師應懷疑哪種併發症？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=397279&lang=zh-tw  
> language: zh-TW  
> subject: Postsurgical Complications  
> category: ROR

## 題目

一位甲狀腺切除術後 12 小時的個案主訴口周刺痛和肌肉痙攣。護理師應懷疑哪種併發症？

## 選項

1. 高血糖。
2. 體液容積過量。
3. 副甲狀腺損傷引起的低血鈣。 **✔ 正確答案**
4. 僅為預期的術後焦慮。

**正確答案: 3**

## 解析

甲狀腺切除術後出現口周刺痛和肌肉痙攣，暗示低血鈣，這可能發生在副甲狀腺受到影響時。這可能進展為手足抽搐或呼吸道風險。這些發現不應僅視為焦慮而忽略。

## 深入解析

臨床判斷
使用個案線索、時間點、檢驗數據和安全風險，選擇最符合甲狀腺切除術後低血鈣的反應。

記憶提示
將最強的線索群與最安全的護理判斷配對。

KR vs US
NCLEX 考題獎勵基於線索的優先思考，而非孤立的回憶。

## 臨床情境

臨床實務指引
對於甲狀腺切除術後低血鈣，將完整的線索模式與個案當前的穩定性、醫囑數據和預期的護理範圍進行比較。

注意
當完整情境改變了優先順序或安全性時，不要僅根據一個孤立的線索選擇行動。

## 重要概念

- **Thyroidectomy** — 手術切除部分或全部甲狀腺。
- **Hypocalcemia** — 血鈣濃度過低，可能導致刺痛、痙攣或手足抽搐。
- **Parathyroid Glands** — 有助於調節鈣平衡的小腺體。

## 相同主題題目

- [A 24-year-old patient is brought to the ED with a generalized tonic-clonic seizure that ha…](https://mymerci.kr/pages/nclex_q.php?qn_id=372718&lang=zh-tw)
- [A 28-year-old patient with a T4 spinal cord injury 3 months ago is admitted with sudden se…](https://mymerci.kr/pages/nclex_q.php?qn_id=372742&lang=zh-tw)
- [A patient who sustained blunt chest trauma 30 minutes ago is now in extreme respiratory di…](https://mymerci.kr/pages/nclex_q.php?qn_id=372743&lang=zh-tw)
- [Two hours after abdominal surgery, a client has a saturated dressing, heart rate 126/min, …](https://mymerci.kr/pages/nclex_q.php?qn_id=393731&lang=zh-tw)
- [Two hours after abdominal surgery, a client has a saturated dressing, heart rate 126/min, …](https://mymerci.kr/pages/nclex_q.php?qn_id=393732&lang=zh-tw)
- [A client scheduled for surgery tomorrow says, "I took my warfarin this morning like usual.…](https://mymerci.kr/pages/nclex_q.php?qn_id=394154&lang=zh-tw)
- [A client scheduled for surgery tomorrow says, "I took my warfarin this morning like usual.…](https://mymerci.kr/pages/nclex_q.php?qn_id=394155&lang=zh-tw)
- [A client is 6 hours postoperative after a thyroidectomy and develops stridor with increasi…](https://mymerci.kr/pages/nclex_q.php?qn_id=396607&lang=zh-tw)

## 以其他語言閱讀

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=397279&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=397279&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=397279&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=397279&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=397279&lang=vi)

---

More free questions: [NCLEX-RN 題庫](https://mymerci.kr/pages/nclex_bank.php?lang=zh-tw)

_僅供學習參考。實際臨床請遵循最新指引與所屬機構規範。_