一位急性胰臟炎病人正在接受靜脈輸液且禁食，下列哪項評估結果最令護理師擔憂？
A client with acute pancreatitis is receiving IV fluids and is NPO. Which assessment finding is the most concerning for the nurse?
- ABlood glucose level of 180 mg/dL血糖濃度 180 mg/dL
- BHypoactive bowel sounds腸音減弱
- CRigid, board-like abdomen✓ 正解僵硬如板狀的腹部
- DSerum amylase level of 500 U/L血清澱粉酶濃度 500 U/L
急性胰臟炎併發腹膜炎是致死性併發症。腹部變得僵硬如板狀是腹膜炎的經典徵象，代表發炎已擴散至腹膜，可能導致敗血症或休克。其他選項如腸音減弱（胰臟炎常見反應）、澱粉酶升高（診斷標準）、血糖升高（胰島細胞受損）雖需監控，但不像腹膜炎具立即生命威脅。
Peritonitis is a life-threatening complication of acute pancreatitis. A board-like rigid abdomen is the classic sign of peritonitis, indicating that the inflammation has spread to the peritoneum and may lead to sepsis or shock. The other findings — hypoactive bowel sounds (a common response in pancreatitis), elevated amylase (a diagnostic criterion), and elevated blood glucose (from pancreatic islet cell damage) — require monitoring but do not pose the same immediate threat to life as peritonitis.
美國護理師常需負責評估腹膜徵象並即時給予止痛與聯絡醫師；台灣護理師執行相同評估，但處置權限較受限，需更依賴醫師判斷。