病人術後接受經尿道前列腺切除術（TURP）並進行連續膀胱沖洗，引流液呈鮮紅色，護理師首要行動為何？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a TURP. The urine output appears bright red. What is the nurse's first action?
- AAdminister an analgesic for bladder spasms給予止痛藥以緩解膀胱痙攣
- BSlow the irrigation rate減緩沖洗速率
- CNotify the surgeon immediately立即通知醫師
- DIncrease the irrigation rate✓ 正解增加沖洗速率
TURP 術後引流液出現鮮紅色（Bright red）通常代表活動性出血，這在術後早期是可能的臨床表現。護理師的首要行動是增加沖洗速率，目的是透過持續的沖洗液流動來稀釋血液，並防止血塊（Clots）在膀胱內形成。血塊一旦形成，會阻塞尿管，導致膀胱極度膨脹與劇烈痙攣。增加速率是預防性護理，若持續鮮紅且血塊量增加，才需考慮聯絡醫師。
Bright red drainage following TURP usually indicates active bleeding, which is a possible clinical finding in the early postoperative period. The nurse's first action is to increase the irrigation rate in order to dilute the blood with continuous flow of irrigant and to prevent clot formation within the bladder. Once clots form, they can obstruct the catheter, leading to severe bladder distention and intense spasms. Increasing the rate is a preventive nursing intervention; the physician should be notified only if the bright red drainage and clot formation persist.