一名診斷為急性胰臟炎的病人，在急性期時最合適的飲食調整為何？
A client is diagnosed with acute pancreatitis. Which dietary modification is most appropriate for the client during the acute phase?
- ANPO (Nothing by mouth)✓ 正解NPO（禁食）
- BHigh-protein diet高蛋白飲食
- CLow-fat, low-fiber diet低脂、低纖維飲食
- DClear liquid diet清流質飲食
急性胰臟炎（Acute Pancreatitis）的病理核心在於胰臟酵素在胰臟內被過早活化，導致胰臟自體消化與發炎。治療的核心原則是「讓胰臟休息（Pancreatic Rest）」，以減少胰液分泌，緩解疼痛並防止病情惡化。因此，在急性期維持禁食（NPO）是最基礎且關鍵的醫囑，直到疼痛緩解、腸蠕動恢復且澱粉酶（Amylase）數值穩定後，才可採取漸進式飲食。臨床上，護理師應評估病人的疼痛狀況與腸胃功能，嚴格執行 NPO 醫囑，並根據醫囑給予靜脈輸液（IV Fluids）以維持水電解質平衡。
The pathophysiologic basis of acute pancreatitis is premature activation of pancreatic enzymes within the pancreas, resulting in autodigestion and inflammation of the gland. The core principle of management is "pancreatic rest," which reduces pancreatic secretion, relieves pain, and prevents disease progression. Maintaining NPO status during the acute phase is therefore the most fundamental and critical order, until pain subsides, bowel motility returns, and amylase levels stabilize, after which a gradual reintroduction of diet may be initiated. Clinically, the nurse should assess the client's pain and GI function, strictly enforce the NPO order, and administer IV fluids as ordered to maintain fluid and electrolyte balance.