— 降低風險 · MEDIUM · MCQ —
護理師評估一位急性膽囊炎病人，應觀察到哪項發現？
A nurse is assessing a client with acute cholecystitis. Which finding should the nurse expect?
- ALeft upper quadrant pain after meals餐後左上腹疼痛
- BPain in the right upper quadrant radiating to the shoulder✓ 正解右上腹疼痛並放射至肩部
- CPain in the right lower quadrant右下腹疼痛
- DPainless jaundice無痛性黃疸
— Explanation · 中文詳解 —
急性膽囊炎的典型表現是右上腹疼痛（RUQ pain），且常放射至右肩或右肩胛骨（稱為 Boas 徵象）。右下腹痛多與闌尾炎相關；無痛性黃疸常指向胰臟頭癌；左上腹痛則與胰臟炎或脾臟疾病相關。確診常需腹部超音波檢查。
The classic presentation of acute cholecystitis is right upper quadrant (RUQ) pain, often radiating to the right shoulder or right scapula (known as Boas's sign). Right lower quadrant pain is more often associated with appendicitis; painless jaundice typically suggests pancreatic head cancer; left upper quadrant pain is associated with pancreatitis or splenic disorders. Diagnosis often requires abdominal ultrasonography.
✦ 台美臨床差異
美台臨床皆視此為經典症狀。美國護理師常會協助安排緊急超音波，台灣護理師則負責協助病人禁食以利進一步影像檢查。