— 降低風險 · MEDIUM · SATA —
護理師照護一位進行經尿道攝護腺切除術後，正進行持續膀胱沖洗（CBI）的病人，哪些發現需回報醫師？（選所有適合的）
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). Which findings should the nurse report to the provider? (Select all that apply.)
- APresence of small clots in the urinary drainage尿液引流中有少量血塊
- BOutput is significantly less than input✓ 正解排出量顯著少於輸入量
- CBright red, viscous drainage with many large clots✓ 正解鮮紅色、黏稠的引流液伴隨大量大血塊
- DClient reports bladder spasms病人報告膀胱痙攣
- EDrainage color changes from pink to light yellow引流液顏色由粉紅變為淡黃色
— Explanation · 中文詳解 —
CBI 的目的是防止血塊阻塞。輸出量遠小於輸入量暗示尿管阻塞（可能是血塊）；鮮紅色且黏稠的引流液伴隨大血塊，顯示有活動性動脈出血。A、D 為術後常見之預期性臨床現象，E 則是引流液顏色變清澈，代表復原良好。
The purpose of CBI is to prevent clot obstruction. Output significantly less than input suggests catheter obstruction (likely by clots); bright red, viscous drainage with large clots indicates active arterial bleeding. A and D are expected post-operative clinical findings, while E represents drainage clearing to light yellow, indicating good recovery.
✦ 台美臨床差異
美台護理臨床對於 TURP 病人的 CBI 照護差異不大，皆強調維持管路通暢與出血監測。