— 生理適應 · MEDIUM · SATA —
針對疑似闌尾炎病人，哪些介入是適當的？（選所有適合的）
Which intervention is appropriate for a client with a suspected appendicitis? (Select all that apply.)
- AMaintain NPO status✓ 正解維持禁食（NPO）狀態
- BAdminister pain medication as ordered依醫囑給予止痛藥物
- CApply local heat to the abdomen在腹部局部熱敷
- DPrepare for imaging studies✓ 正解準備進行影像學檢查
- EMonitor for fever and leukocytosis✓ 正解監測發燒和白細胞增多症
— Explanation · 中文詳解 —
疑似闌尾炎（Appendicitis）的護理重點在於預防闌尾穿孔（Perforation）及準備緊急手術。護理師必須維持禁食（NPO）以備全身麻醉，並監測發炎指標。嚴禁對腹部進行任何熱敷或按摩，因為熱效應會增加局部血流量並促進發炎反應，大幅提高闌尾穿孔與導致腹膜炎（Peritonitis）的風險。臨床護理應以觀察病情惡化（如突然疼痛緩解後轉為劇烈全腹痛）及術前準備為優先。
For a client with suspected appendicitis, maintaining NPO status is crucial to prepare for potential emergency surgery. Nurses should prepare for imaging studies to confirm the diagnosis and monitor for signs of infection such as fever and leukocytosis. Local heat application is contraindicated as it may increase blood flow and risk appendix rupture.