一名急性胰臟炎病人主訴上腹部劇烈疼痛放射至背部。下列何項護理介入為最高優先級？
A client with acute pancreatitis reports severe epigastric pain radiating to the back. Which nursing intervention is the highest priority?
- AEncourage clear liquid diet for bowel rest鼓勵攝取清流質飲食以讓腸胃道休息
- BPlace the client in a supine position讓病人採取仰臥姿勢
- CPerform passive range of motion exercises執行被動關節活動範圍運動
- DAdminister parenteral analgesics as prescribed✓ 正解依處方給予注射用鎮痛劑
急性胰臟炎的核心治療目標之一是緩解劇烈疼痛，因為疼痛會刺激胰液分泌與代謝需求，加重發炎反應。靜脈注射止痛藥能快速控制症狀。飲食應為禁食（NPO）而非清流質，姿勢以側臥或屈膝抱腹為佳，絕非平躺，且發炎期應避免不必要的活動。
One of the central treatment goals in acute pancreatitis is to relieve severe pain, because pain stimulates pancreatic secretion and metabolic demand and worsens the inflammatory response. Intravenous analgesics rapidly control symptoms. The patient should be kept NPO rather than placed on a clear liquid diet, and the preferred positions are side-lying or with the knees drawn to the chest, not supine; during the inflammatory phase, unnecessary activity should also be avoided.
美國護理師常依止痛 protocol 給藥；台灣給藥多嚴格執行醫囑，緊急疼痛控制需即時通知醫師開立。