一位接受經尿道前列腺切除術並進行連續膀胱沖洗（CBI）的病人，下列哪項評估結果需要採取護理措施？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate. Which assessment finding indicates a need for intervention?
- AOutput less than intake排出量小於輸入量
- BSmall blood clots present in the tubing管路中有少量血塊
- CPatient reports a feeling of bladder fullness✓ 正解病人主訴膀胱脹滿感
- DLight pink urine in the catheter bag導尿管集尿袋中尿液呈淡粉紅色
CBI 的目的是防止血塊阻塞尿道。病人主訴膀胱漲滿感，通常暗示導尿管阻塞導致尿液滯留，這是必須優先處理的異常情況，否則會引起膀胱痙攣或損傷。其他選項如淺粉色尿、少量血塊或沖洗量與排出量差距，在 CBI 過程中屬常見現象，需監測但非立即緊急。
The purpose of CBI is to prevent clot obstruction of the urinary catheter. When the client reports a sense of bladder fullness, this often indicates that the catheter is obstructed and urine is being retained, which must be addressed urgently to prevent bladder spasm or injury. Other findings, such as light pink urine, small clots, or discrepancies between irrigation and output volumes, are common during CBI and require monitoring but are not immediate emergencies.
台灣醫院對 CBI 病人通常由護理師嚴格監控進出量，美國護理師更強調病人主訴的即時反應。