護理師照護一位經尿道攝護腺切除術後進行連續膀胱沖洗的病人。護理師觀察到引流液呈鮮紅色且帶有厚血塊，應優先採取何種措施？
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 is bright red with thick clots. What is the nurse's priority action?
- AAdminister an ordered analgesic給予處方止痛藥
- BIncrease the rate of the irrigation fluid✓ 正解增加沖洗液之流速
- CCall the surgeon immediately立即呼叫外科醫師
- DDiscontinue the CBI catheter停止連續膀胱沖洗導尿管
經尿道攝護腺切除術（TURP）後，連續膀胱沖洗（CBI）的主要目的是防止血塊阻塞導管。若引流液變為鮮紅色且伴隨厚血塊，代表出血增加，首要護理動作是「增加沖洗液滴速」，以物理方式快速將血塊沖出，維持引流暢通，防止膀胱填塞（Bladder tamponade）導致急性膀胱擴張與劇痛。若增加滴速後仍未見改善或引流液持續變深，才需聯絡醫師進行進一步處置。
After transurethral resection of the prostate (TURP), the main purpose of continuous bladder irrigation (CBI) is to prevent clot obstruction of the catheter. If the drainage becomes bright red with thick clots, indicating increased bleeding, the first nursing action is to increase the irrigation drip rate so that clots are physically flushed out quickly, maintaining drainage and preventing bladder tamponade with acute bladder distention and severe pain. If increasing the rate fails to improve the situation or the drainage continues to darken, the physician should be contacted for further intervention.