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生理適應 · MEDIUM · MCQ

一位病人診斷為急性胰臟炎,護理師應優先執行哪項飲食調整以控制症狀?

A client is diagnosed with acute pancreatitis. Which dietary modification should the nurse prioritize to manage the client's symptoms?

  • AEncourage a high-protein diet
    鼓勵高蛋白飲食
  • BMaintain NPO status✓ 正解
    維持禁食狀態
  • CIncrease intake of complex carbohydrates
    增加複合碳水化合物的攝取
  • DProvide small, frequent meals
    提供少量多餐
Explanation · 中文詳解

急性胰臟炎的核心處理原則是讓胰臟「休息」。進食會刺激胰臟分泌消化酶,加劇發炎與腹痛,因此入院初期必須嚴格執行 NPO(禁食),並給予靜脈輸液維持水電解質平衡。待腹痛改善、腸鳴音恢復後,才循序漸進由清流質飲食開始恢復進食。

The core management principle for acute pancreatitis is to 'rest' the pancreas. Oral intake stimulates pancreatic secretion of digestive enzymes, aggravating inflammation and abdominal pain. Therefore, strict NPO status must be enforced during the initial hospitalization, with intravenous fluids given to maintain fluid and electrolyte balance. Once abdominal pain improves and bowel sounds return, oral intake is reintroduced gradually, beginning with a clear liquid diet.

✦ 台美臨床差異

臨床趨勢皆傾向提早進食(若可耐受),但標準急性期照護仍以 NPO 為首要。

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