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，發現引流液停止。護理師應優先採取何種行動？
A nurse is caring for a client with a continuous bladder irrigation (CBI) after transurethral resection of the prostate (TURP). The nurse notes that the drainage has stopped. Which action should the nurse take first?
- AIncrease the irrigation rate增加沖洗速率
- BIrrigate the catheter with 50 mL of sterile saline以 50 mL 之無菌食鹽水沖洗導尿管
- CNotify the surgeon immediately立即通知外科醫師
- DAssess the tubing for kinks or obstructions✓ 正解評估管路是否有扭曲或阻塞
TURP 術後進行連續膀胱沖洗（CBI）是為了預防血塊堵塞導管。當發現引流液停止時，護理師應先執行「系統性排查」，即檢查管路是否有扭曲、壓迫或受損。這是最快速且無侵入性的確認方式。若管路外觀正常，下一步才考慮沖洗（Irrigation）以排除內部的血塊阻塞。直接通知醫師通常是在排除物理性阻塞後仍無效時的選項。
Continuous bladder irrigation (CBI) after TURP is used to prevent obstruction by blood clots. When drainage stops, the nurse should first perform systematic troubleshooting -- checking the tubing for kinks, compression, or damage. This is the fastest and least invasive way to confirm the cause. If the tubing appears normal, irrigation may then be considered to clear internal clot obstruction. Notifying the physician directly is usually reserved for situations where mechanical obstruction has been ruled out and the problem persists.