— 生理適應 · EASY · MCQ —
一名急性胰臟炎病人表現出嚴重上腹痛，哪項護理措施應優先以維持生理適應？
A client with acute pancreatitis presents with severe epigastric pain. Which nursing intervention should be prioritized to maintain physiological adaptation?
- AEncourage high-carbohydrate diet鼓勵高碳水化合物飲食
- BPerform passive range of motion exercises進行被動關節活動運動
- CAdminister morphine sulfate as prescribed依處方給予硫酸嗎啡
- DMaintain NPO status to rest the pancreas✓ 正解維持禁食狀態以讓胰臟休息
— Explanation · 中文詳解 —
急性胰臟炎治療核心是讓胰臟休息，禁止進食可停止分泌消化酵素，防止自我消化加重炎症。C選項雖用嗎啡，但需注意奧迪氏括約肌痙攣爭議；A錯誤，進食會刺激胰液分泌；D非急救優先項目。禁食是減少生理壓力之首要。
The primary goal in managing acute pancreatitis is to rest the pancreas to prevent further inflammation and autodigestion. Maintaining NPO status stops the stimulation of pancreatic enzyme secretion, which is the most effective physiological intervention. Although pain management is necessary, dietary restriction is the priority to reduce physiological stress.
✦ 台美臨床差異
美國臨床多傾向使用嗎啡，台灣過去常因痙攣爭議避用嗎啡改用配替啶，現已逐漸與國際接軌。