護理師照顧一位腸阻塞病人，何項發現需立即報告醫師？
A nurse is caring for a client with a bowel obstruction. Which finding requires immediate report to the provider?
- AAbdominal distention腹部膨脹
- BAbsent bowel sounds腸鳴音消失
- CVomiting of fecal-like material嘔吐糞便樣物質
- DSigns of peritonitis✓ 正解腹膜炎跡象
腸阻塞（Bowel Obstruction）的臨床表現包含腹脹、嘔吐與腸音異常。護理重點在於鑑別「單純性阻塞」與「合併症」。腹膜炎（Peritonitis）徵兆，如反彈痛（Rebound tenderness）、板狀腹（Rigid abdomen）、發燒與心跳過速，代表腸道可能已發生缺血、壞死或穿孔，這是外科急症（Surgical Emergency），若未立即處置將導致敗血症與休克，故需優先報告醫師。
The clinical manifestations of a bowel obstruction include abdominal distention, vomiting, and abnormal bowel sounds. The nursing focus is to differentiate uncomplicated obstruction from complications. Signs of peritonitis, such as rebound tenderness, a rigid (board-like) abdomen, fever, and tachycardia, suggest that the bowel may have become ischemic, necrotic, or perforated. This is a surgical emergency that, if not promptly addressed, will lead to sepsis and shock, and must therefore be reported to the provider as a priority.