護理師照護一位經尿道攝護腺切除術（TURP）後使用持續性膀胱沖洗（CBI）的病人，發現引流液變為鮮紅色且有濃稠血塊，首要的護理措施為何？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notices the drainage has become bright red with thick clots. What is the priority nursing action?
- ADiscontinue the irrigation停止沖洗
- BIncrease the irrigation flow rate✓ 正解增加沖洗流速
- CAdminister an analgesic for bladder spasms給予止痛藥以緩解膀胱痙攣
- DNotify the surgeon immediately立即通知醫師
經尿道攝護腺切除術（TURP）後，持續性膀胱沖洗（CBI）的主要目的是防止血塊堆積阻塞導管。若引流液呈現鮮紅色且有濃稠血塊，代表出血量大，若不立即處理，血塊會導致膀胱填塞（Bladder tamponade），造成病人劇烈膀胱痙攣與疼痛。加速沖洗速度是護理師能立即執行的介入，以清除血塊並保持引流暢通。
After a transurethral resection of the prostate (TURP), the primary purpose of continuous bladder irrigation (CBI) is to prevent clot accumulation and obstruction of the catheter. Bright red drainage with thick clots indicates significant bleeding; if not addressed immediately, clots can cause bladder tamponade, leading to severe bladder spasms and pain. Increasing the irrigation rate is the immediate nursing intervention that can flush out clots and maintain drainage patency.