— 生理適應 · EASY · MCQ —
腹部手術後病人在恢復室。哪項評估發現最需要向外科醫師報告？
A client is in the recovery room after an abdominal surgery. Which assessment finding is most important to report to the surgeon?
- ASlightly bloody drainage on the dressing敷料上有少量血性滲出液
- BComplaint of pain 7 out of 10主訴疼痛程度為 7/10
- CAbsent bowel sounds in all four quadrants四個象限均無腸鳴音
- DRigid, board-like abdomen✓ 正解腹部僵硬如木板
— Explanation · 中文詳解 —
腹部呈「板狀硬（Rigid, board-like）」是腹膜炎或內出血的典型徵兆，屬於外科急症，必須立即處理。術後初期腸音消失（C）是正常現象（術後腸麻痺）；少量滲血（A）和疼痛（B）是術後常見預期表現。
New onset of confusion and restlessness indicates an acute change in mental status, which may signal hypoxia, shock, or other life-threatening conditions and requires immediate assessment. Other options, such as requesting water, needing a routine dressing change, or having a scheduled medication, represent stable or non-urgent needs compared to neurological changes.
✦ 台美臨床差異
無差異。對「板狀硬」腹部的警覺是外科護理的核心。