護理師照護一位經尿道攝護腺切除術（TURP）後進行連續膀胱沖洗（CBI）的病人。護理師發現引流液呈現鮮紅色且含有大血塊。此時護理師應採取何種優先措施？
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 has turned bright red with large clots. Which action is the priority?
- ACall the primary healthcare provider immediately立即聯繫主要醫療保健提供者
- BDiscontinue the CBI and flush with normal saline停止連續膀胱沖洗（CBI）並以生理食鹽水沖洗
- CSlow the rate of the CBI減慢連續膀胱沖洗（CBI）的速度
- DIncrease the rate of the CBI✓ 正解增加連續膀胱沖洗（CBI）的速度
連續膀胱沖洗（Continuous Bladder Irrigation, CBI）的主要目的在於預防血塊阻塞導尿管，這在攝護腺切除術（TURP）後至關重要。當引流液變為鮮紅色且含有大血塊時，代表出血速度可能大於沖洗速度，或者管腔已開始被血塊阻塞。此時的優先行動是「增加沖洗速度（Increase rate）」，利用沖洗液的壓力與流量將血塊沖出，以維持管腔通暢，防止膀胱膨脹（Bladder distention），這對預防嚴重的術後併發症至關重要。
The primary purpose of continuous bladder irrigation (CBI) is to prevent clot obstruction of the urinary catheter, which is critical after transurethral resection of the prostate (TURP). When the drainage turns bright red with large clots, this indicates that bleeding may exceed the irrigation rate or that the catheter lumen is beginning to be obstructed by clots. The priority action is to increase the rate of CBI, using the pressure and flow of irrigation fluid to flush out the clots and maintain catheter patency, preventing bladder distention. This is critical to avoiding serious postoperative complications.