— 基本照護與舒適 · MEDIUM · MCQ —
護理師為病人進行腹部身體檢查，下列何項技術應最先使用？
A nurse is performing a physical assessment on a client. Which technique should be used first during the abdominal examination?
- APalpation觸診
- BAuscultation聽診
- CInspection✓ 正解視診
- DPercussion叩診
— Explanation · 中文詳解 —
腹部檢查的標準順序為：視診（Inspection）、聽診（Auscultation）、叩診（Percussion）、觸診（Palpation）。必須先視後聽，是因為叩診與觸診會改變腸蠕動音，導致聽診結果失真。這在護理評估中屬於基本且必須遵守的程序。
The standard sequence of abdominal examination is inspection, auscultation, percussion, and palpation. Auscultation must precede percussion and palpation because the latter two can alter bowel sounds and distort auscultation findings. This is a fundamental procedure that must be followed in nursing assessment.
✦ 台美臨床差異
美台護理教育與臨床實作對於腹部檢查順序的要求完全一致。