— 生理適應 · EASY · MCQ —
針對消化性潰瘍（Peptic ulcer）病人，哪項護理處置是必要的？
Which nursing intervention is essential for a client with a history of peptic ulcer disease?
- ADrink coffee to stimulate digestion喝咖啡以促進消化
- BTake antibiotics for all ulcers為所有潰瘍服用抗生素
- CEat spicy foods to clear the ulcer吃辛辣食物以清除潰瘍
- DAvoid NSAIDs like ibuprofen✓ 正解避免使用布洛芬等非類固醇消炎藥（NSAIDs）
— Explanation · 中文詳解 —
消化性潰瘍（Peptic Ulcer Disease, PUD）的核心病理在於胃黏膜防禦機制受損。非類固醇消炎止痛藥（NSAIDs）會抑制環氧化酶（COX），進而減少保護胃黏膜的前列腺素（Prostaglandins）合成，直接損害黏膜屏障。臨床護理首重減少刺激因子，並進行衛教以預防潰瘍惡化或出血。
NSAIDs inhibit prostaglandin synthesis, which compromises the gastric mucosal barrier and can exacerbate peptic ulcer disease or cause bleeding. Therefore, avoiding NSAIDs is a critical nursing intervention, whereas coffee and spicy foods irritate the stomach lining, and antibiotics are only indicated for H. pylori-related ulcers.