# 一位疑似闌尾炎的個案正在等待外科評估。以下何種指示最為適當？

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=393883&lang=zh-tw  
> language: zh-TW  
> subject: Complications of Procedures  
> category: ROR

## 題目

一位疑似闌尾炎的個案正在等待外科評估。以下何種指示最為適當？

## 選項

1. 在右下腹使用熱敷墊。
2. 服用瀉劑以減輕腹部壓力。
3. 維持 NPO，並報告疼痛或發燒惡化。 **✔ 正確答案**
4. 開始高纖餐以促進排便。

**正確答案: 3**

## 解析

疑似闌尾炎的個案應維持禁食以準備可能的手術，並監測是否有疼痛加劇、發燒或穿孔徵象。熱敷、瀉藥及刺激腸道蠕動的食物會增加風險，應予避免。優先要務為外科評估及預防併發症。

## 深入解析

臨床判斷
疑似闌尾炎是外科風險情境：維持 NPO，避免增加穿孔風險的行為。

記憶重點
不熱敷、不瀉劑、不進食。

## 臨床情境

實務指引
疑似闌尾炎需要迅速評估，並監測穿孔、腹膜炎、發燒與疼痛惡化。

注意
不要把疼痛當成單純便秘而延誤評估。

## 重要概念

- **闌尾炎** — 闌尾發炎，可能進展為穿孔。
- **NPO** — 禁食，常用於處置或手術前。
- **穿孔** — 器官壁破裂或產生孔洞，可能使感染擴散至腹腔。

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