— 生理適應 · MEDIUM · MCQ —
一位疑似闌尾炎的病人入院,下列哪項行動是禁忌的?
A client is admitted with suspected appendicitis. Which action is contraindicated?
- AApplying a heating pad to the abdomen✓ 正解在腹部放置熱敷墊
- BAdministering IV fluids給予靜脈輸液
- CMonitoring vital signs監測生命徵象
- DMaintaining NPO status維持禁食(NPO)狀態
— Explanation · 中文詳解 —
闌尾炎(Appendicitis)是闌尾發炎,若未及時處理可能導致穿孔(Perforation)引發腹膜炎(Peritonitis)。熱敷腹部會促進局部血液循環,增加發炎區域代謝,進而加速闌尾穿孔過程,因此絕對禁止。臨床護理重點在於讓腸胃道休息,採取 NPO 狀態並給予靜脈輸液維持水電解質平衡,準備緊急手術。
Applying a heating pad to the abdomen is contraindicated in suspected appendicitis because heat increases local blood flow and metabolism, which can accelerate inflammation and lead to appendix rupture. Nursing care should instead focus on maintaining NPO status, administering IV fluids, and monitoring vital signs to prepare for potential emergency surgery.