— 生理適應 · MEDIUM · SATA —
護理師評估一位急性膽囊炎的病患，哪些發現是預期內的？（選所有適合的）
A nurse is assessing a client with acute cholecystitis. Which findings are expected? (Select all that apply.)
- ARight upper quadrant pain✓ 正解右上腹痛
- BRebound tenderness✓ 正解反彈痛
- CPain radiating to the right shoulder✓ 正解疼痛輻射至右肩
- DDark-colored urine✓ 正解深色尿液
- EHypoactive bowel sounds腸音減弱
— Explanation · 中文詳解 —
急性膽囊炎典型症狀包括右上腹痛（Murphy's sign）、疼痛放射至右肩、腹膜刺激徵兆（反彈痛）、黃疸導致的深色尿液。E 選項腹部腸音減弱通常見於腸阻塞或胰臟炎，雖有時出現但非膽囊炎的最典型表徵。A-D 均為經典臨床表現。
Expected findings in acute cholecystitis include right upper quadrant pain, rebound tenderness indicating peritoneal irritation, referred pain to the right shoulder, and dark urine due to biliary obstruction. These symptoms reflect the classic inflammatory and obstructive processes associated with gallbladder disease.
✦ 台美臨床差異
美台臨床對於 Murphy's sign 的檢查技巧與評估原則皆一致。