攝護腺肥大經尿道切除術（TURP）後病人正在進行持續膀胱沖洗（CBI）。護理師發現引流停止，應先採取哪項行動？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notes the drainage has stopped. Which action should the nurse take first?
- ACheck the catheter tubing for kinks or obstructions✓ 正解檢查導尿管管路是否有扭曲或阻塞
- BAspirate the catheter to remove potential clots抽吸導尿管以移除可能的血塊
- CIncrease the irrigation rate增加沖洗速率
- DNotify the surgeon immediately立即通知外科醫師
TURP 後的持續膀胱沖洗（CBI）引流停止時，護理師應先排除最簡單且常見的問題。管路扭曲（kinks）或受壓是導致引流不暢的主因。護理師應先行檢查管路是否通暢，若檢查確認無受壓，再考慮手動沖洗或抽吸血塊（B）。直接增加沖洗速率（C）在引流管堵塞時會導致膀胱過度充盈，造成劇烈疼痛甚至膀胱穿孔，應嚴格禁止。
When drainage stops during continuous bladder irrigation (CBI) after TURP, the nurse should first rule out the simplest and most common problem. Kinks or compression of the tubing are the primary causes of obstructed drainage. The nurse should first check whether the tubing is patent; if no compression is found, then consider manual irrigation or aspiration of clots (B). Directly increasing the irrigation rate (C) when the catheter is obstructed will cause bladder overdistension, severe pain, and even bladder rupture, and is strictly prohibited.