護理師照護一位接受經尿道前列腺切除術（TURP）後，使用持續性膀胱沖洗（CBI）的病人。病人主訴膀胱痙攣且尿量減少。護理師應優先採取哪項措施？
A nurse is managing a client with a continuous bladder irrigation (CBI) after a transurethral resection of the prostate (TURP). The client reports bladder spasms and decreased urine output. Which action should the nurse take first?
- AIncrease the rate of CBI增加 CBI 速率
- BNotify the surgeon通知外科醫師
- CCheck the CBI tubing for kinks or obstruction✓ 正解檢查 CBI 管路是否有扭曲或阻塞
- DAdminister antispasmodic medication給藥解痙劑
TURP 術後進行持續性膀胱沖洗（CBI）是為了預防血塊阻塞導尿管。若病人主訴膀胱痙攣且尿量減少，最常見原因是管路中出現血塊阻塞，導致引流不順。護理師應優先檢查管路是否有扭結或被血塊堵塞，並依規定進行沖洗或擠壓管路。確認管路通暢是緩解痙攣與恢復引流的第一步。若管路無異狀，再考慮增加沖洗速率或給予解痙藥物。
After TURP surgery, continuous bladder irrigation (CBI) is used to prevent clots from obstructing the urinary catheter. If the client reports bladder spasms with decreased urine output, the most common cause is clot obstruction in the tubing, leading to poor drainage. The nurse should first check the tubing for kinks or clot obstruction and irrigate or milk the tubing per protocol. Ensuring tubing patency is the first step to relieve spasms and restore drainage. If the tubing is unobstructed, then increasing the irrigation rate or administering antispasmodic medication should be considered.