— 生理適應 · MEDIUM · MCQ —
一位膽囊切除術後第一天的病人。哪項評估發現令人擔憂並需要追蹤？
A client is post-op day 1 from a cholecystectomy. Which assessment finding is concerning and requires follow-up?
- AShoulder pain肩膀疼痛
- BLow-grade temperature低燒
- CRigid, board-like abdomen✓ 正解腹部僵硬如木板
- DAbsence of bowel sounds in all quadrants各象限均無腸鳴音
— Explanation · 中文詳解 —
膽囊切除術後，護理師需評估病人有無術後併發症。二氧化碳氣體殘留引起的肩痛或輕微發燒是常見反應。然而，板狀腹（Rigid, board-like abdomen）是典型的腹膜炎（Peritonitis）徵兆，暗示可能有腸穿孔、出血或膽管損傷導致膽汁滲漏。這屬於緊急狀況，必須立即通知外科醫師進行評估與處理。
A rigid, board-like abdomen is a sign of peritonitis, which is a medical emergency requiring immediate surgical evaluation. While shoulder pain and low-grade fever are common postoperative findings, abdominal rigidity indicates a serious complication such as perforation or leakage.