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生理適應 · MEDIUM · MCQ

一位急性胰臟炎病人需禁食(NPO),哪項評估是護理重點?

A client with acute pancreatitis is NPO. Which nursing assessment is priority?

  • ABlood glucose levels
    血糖濃度
  • BBowel sounds
    腸鳴音
  • CUrine output
    尿量
  • DPain level✓ 正解
    疼痛程度
Explanation · 中文詳解

急性胰臟炎(Acute pancreatitis)病人因胰臟酵素消化自身組織,會產生劇烈且難以忍受的腹痛。護理師首要任務是評估疼痛等級並依醫囑給予止痛藥。疼痛不僅影響舒適度,劇烈疼痛引發的壓力反應會增加機體代謝與胰臟分泌,導致發炎加劇。因此,在 NPO(禁食)以減少胰臟分泌的同時,疼痛控制是護理的重中之重。

Severe pain in acute pancreatitis triggers a sympathetic stress response that increases pancreatic secretion and metabolic demand, potentially worsening inflammation. Therefore, assessing and managing pain is the priority nursing intervention to reduce this physiological burden.

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