一位護理師正在照護一位腹部手術後恢復的病人。哪項發現需要立即向醫師報告？
A nurse is managing care for a client recovering from abdominal surgery. Which finding requires immediate reporting to the physician?
- AClient reports pain level of 4/10, managed with prescribed analgesics.病人報告疼痛程度為4/10，已使用處方止痛藥控制
- BAbdominal distention and absent bowel sounds 48 hours post-op.✓ 正解術後48小時腹部脹氣且腸音消失
- CVital signs within the client's normal range.生命徵象在病人的正常範圍內
- DSlight serous drainage from the incision site.切口處有少量漿液性滲出
術後恢復期中，腸蠕動音消失且伴隨腹脹，在術後 48 小時後仍未緩解，可能暗示麻痺性腸阻塞（Paralytic Ileus）或腸沾黏。這是需要醫療關注的異常發現。正常的術後恢復過程中，腸蠕動音可能在 24-48 小時內緩慢恢復，但若出現顯著腹脹（Distention），表示腸道功能受阻，可能導致嘔吐、脫水及電解質失衡，必須立即報告醫師進行進一步評估（如腹部 X 光）。
Abdominal distention accompanied by absent bowel sounds 48 hours after surgery suggests a potential complication such as paralytic ileus or intestinal obstruction. While some ileus is expected immediately post-operatively, persistent absence of bowel sounds with significant distention indicates impaired gastrointestinal motility that requires medical evaluation. This finding warrants immediate reporting to prevent further complications like vomiting or electrolyte imbalances.