— 生理適應 · MEDIUM · MCQ —
護理師照護一位急性胰臟炎病人，病人主訴嚴重的上腹痛，放射至背部。哪項護理措施為優先？
A nurse is caring for a client with acute pancreatitis. The client reports severe epigastric pain radiating to the back. Which nursing intervention is a priority?
- AProviding a high-fat diet提供高脂飲食
- BAdministering pain medication✓ 正解給予止痛藥物
- CEncouraging ambulation鼓勵病人下床活動
- DEncouraging oral fluids鼓勵攝取口服液體
— Explanation · 中文詳解 —
急性胰臟炎（Acute Pancreatitis）引起的上腹痛極為劇烈，這不僅影響病人舒適度，更會引發交感神經反應。疼痛會導致代謝需求增加，進而刺激胰臟分泌更多消化酵素，加重胰臟的自我消化過程（Autodigestion）。因此，優先給予止痛藥（Pain Management）是打破此惡性循環的關鍵。在護理優先順序（Priority）上，緩解疼痛能有效降低身體的應激反應，為後續的補液與禁食治療奠定基礎。
Severe pain in acute pancreatitis triggers sympathetic responses that increase metabolic demand and stimulate further pancreatic enzyme secretion, worsening autodigestion. Prioritizing pain management breaks this cycle, reduces physiological stress, and facilitates subsequent treatments such as fluid resuscitation and bowel rest.