— 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.