經尿道攝護腺切除術後病人使用連續性膀胱沖洗（CBI）。護理師發現引流液呈現亮紅色、黏稠且含有血塊。哪項處置為優先？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following transurethral resection of the prostate (TURP). The nurse notes bright red, thick, clot-filled drainage. Which action is the priority?
- AAdminister an ordered analgesic給予處方止痛藥
- BNotify the surgeon immediately立即通知外科醫師
- CIncrease the flow rate of the irrigation solution✓ 正解增加沖洗溶液的流速
- DSlow the irrigation rate to allow for clotting減緩沖洗速率以允許凝血
出現亮紅色且伴隨血塊的引流液，顯示導尿管可能因血塊阻塞而導致引流不暢。優先增加沖洗液流速可透過物理方式沖刷血塊，預防導尿管完全阻塞導致膀胱擴張及疼痛，若增加流速後仍無法緩解，則需考慮手動沖洗或通知醫師。
The appearance of bright red drainage with clots suggests that the catheter may be obstructed by clots and that drainage is impaired. Increasing the flow rate of the irrigation solution first physically flushes out the clots and prevents complete catheter obstruction, bladder distention, and pain; if the obstruction is not relieved after increasing the rate, manual irrigation or notifying the physician should be considered.
美台對於 TURP 後 CBI 的管理原則高度一致，護理師均被賦予依照引流液性質自行調整流速的專業權限。