護理師照護一位經尿道攝護腺切除術（TURP）後進行連續膀胱沖洗（CBI）的病人。發現引流液變成鮮紅色且帶有血塊。優先處理為何？
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 clots. Which action is the priority?
- ANotify the surgeon immediately立即通知醫師
- BDocument the findings in the medical record在病歷中記錄發現
- CAdminister a prescribed analgesic給予處方止痛藥
- DIncrease the rate of the irrigation fluid✓ 正解增加沖洗液流速
TURP 後出現鮮紅血塊代表引流管可能受阻。增加沖洗液流速是為了透過壓力將血塊沖出，維持引流暢通，防止膀胱膨脹導致出血加劇。這是護理師依據 protocol 可立即執行的護理判斷，若處理後仍無效再通知醫師。
Bright red clots in the drainage after TURP indicate that the drainage tube may be obstructed. Increasing the rate of the irrigation fluid uses pressure to flush out the clots and maintain drainage patency, preventing bladder distention and worsening of the bleeding. This is an immediate nursing action that the nurse can implement based on protocol; the physician is notified if the obstruction is not cleared.
兩地護理師皆被賦予在 CBI 引流不暢時增加流速的自主判斷權，是泌尿外科術後常見的標準操作。