— 生理適應 · MEDIUM · SATA —
急性胰臟炎病人出現下列哪些發現應回報醫師？（選所有適合的）
Which findings in a client with a history of acute pancreatitis should the nurse report? (Select all that apply.)
- AJaundice✓ 正解黃疸
- BSevere abdominal pain✓ 正解劇烈腹痛
- CDecreased bowel sounds腸音減弱
- DHypoglycemia低血糖
- EPositive Cullen's sign✓ 正解庫倫氏徵象陽性
— Explanation · 中文詳解 —
急性胰臟炎（Acute Pancreatitis）患者的病情變化迅速，需嚴密監測併發症。黃疸暗示膽管阻塞（如膽結石引起）；嚴重腹痛可能代表病情惡化或腹膜炎跡象；Cullen's sign（腹部周圍皮下瘀斑）則是嚴重的出血性胰臟炎徵兆，代表腹膜後出血。護理師應評估這些指標並立即回報，以採取必要的臨床介入。
Jaundice suggests bile duct obstruction, severe pain may indicate worsening inflammation or peritonitis, and Cullen's sign indicates retroperitoneal hemorrhage, all of which require immediate reporting. While decreased bowel sounds are common in pancreatitis, these other findings signal serious complications that need urgent clinical intervention.