一位接受經尿道攝護腺切除術（TURP）的病人正進行持續性膀胱沖洗（CBI）。護理師發現引流液呈現鮮紅色且含有粗大血塊。優先處置為何？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a TURP. The drainage becomes bright red with thick clots. What is the priority action?
- ATurn off the continuous bladder irrigation關閉持續性膀胱沖洗
- BAdminister an IV bolus of normal saline靜脈推注生理食鹽水
- CNotify the surgeon immediately立即通知外科醫師
- DIncrease the flow rate of the irrigation fluid✓ 正解增加沖洗液的流速
經尿道攝護腺切除術（TURP）術後進行持續性膀胱沖洗（CBI）是預防血塊堵塞尿管的重要程序。若引流液呈現鮮紅色且含有粗大血塊，代表引流管可能已被血塊阻塞，導致膀胱內壓力上升，進而引發嚴重的膀胱痙攣。護理師應首先加速沖洗液的流速，試圖透過機械沖刷力排除血塊，維持管路通暢。若加速沖洗後仍無效，才需進一步聯絡醫師處理。
After a transurethral resection of the prostate (TURP), continuous bladder irrigation (CBI) is an important procedure to prevent clot obstruction of the urinary catheter. If the drainage appears bright red and contains large clots, this indicates that the drainage tubing may already be obstructed by clots, leading to increased intravesical pressure and potentially severe bladder spasms. The nurse should first increase the rate of irrigation fluid to mechanically flush out the clots and maintain catheter patency. If accelerated irrigation is ineffective, the physician should then be contacted.