護理師照顧一位經尿道攝護腺切除術後進行連續膀胱沖洗的病人，發現引流管扭曲。護理師的首要行動為何？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notes that the drainage tubing is kinked. What is the nurse's priority action?
- AStraighten the tubing✓ 正解拉直管路
- BFlush the catheter with sterile saline以無菌生理食鹽水沖洗導尿管
- CIncrease the flow rate of the irrigation增加沖洗液流速
- DNotify the surgeon immediately立即通知醫師
經尿道攝護腺切除術（TURP）後進行連續膀胱沖洗（CBI）的目的是防止血塊阻塞尿道。當引流管出現扭曲，首要任務是排除機械性阻礙。在 NCLEX 考試中，護理師應遵循「護理介入優先順序」，即先執行最簡單、非侵入性且能立即解決問題的行動。拉直管路能立即恢復引流，避免膀胱因尿液滯留而過度膨脹，進而引發嚴重的膀胱痙攣（Bladder Spasms）或導致術後傷口出血。
Continuous bladder irrigation (CBI) after transurethral resection of the prostate (TURP) is intended to prevent clot obstruction of the urethra. When the drainage tubing is kinked, the priority is to eliminate the mechanical obstruction. On the NCLEX, nurses should follow the principle of nursing intervention prioritization, performing the simplest, least invasive action that can immediately resolve the problem. Straightening the tubing restores drainage at once and prevents bladder over-distention, which can cause severe bladder spasms or postoperative bleeding.