— 生理適應 · MEDIUM · MCQ —
病人術後從腹部手術恢復，護理師在術後期間應評估下列何者？
A client is recovering from abdominal surgery. What should the nurse assess for in the postoperative period?
- AAbsence of pain無疼痛
- BReturn of bowel sounds✓ 正解腸音恢復
- CIncreased urine concentration尿液濃度增加
- DElevated white blood cell count白血球計數升高
— Explanation · 中文詳解 —
腹部手術後，腸胃道功能因麻醉劑與手術刺激出現「術後腸麻痺（Postoperative ileus）」。評估腸蠕動恢復是確認病人恢復正常生理功能、安全進食的關鍵指標。護理師應評估腸音、排氣（flatus）及排便情況。若腸音尚未恢復即給予飲食，可能引發噁心、嘔吐或腸阻塞，因此腸蠕動恢復是術後護理的優先生理指標。
After abdominal surgery, gastrointestinal function is impaired by anesthesia and surgical handling, producing postoperative ileus. Assessing return of bowel function is key to confirming recovery and safe oral intake. Nurses should evaluate bowel sounds, passage of flatus, and bowel movements. Feeding before bowel function returns may cause nausea, vomiting, or obstruction.