— 基本照護與舒適 · HARD · MCQ —
一位經尿道前列腺切除術（TURP）後進行連續膀胱沖洗（CBI）的病人，護理師應監測什麼？
A nurse is caring for a client with a continuous bladder irrigation (CBI) post-TURP. What should the nurse monitor for?
- AUrine output that is light pink尿液呈現淡粉紅色
- BPatient's intake of fluids病人的液體攝取量
- CUrine output that is bright red with large clots✓ 正解尿液呈現鮮紅色並伴有大量血塊
- DPresence of a small amount of sediment存在少量沉澱物
— Explanation · 中文詳解 —
CBI 的目的是防止血塊阻塞尿道。正常的引流液應為淡粉紅色（Light pink）。若出現「鮮紅色」（Bright red）伴隨「大血塊」（Large clots），顯示活動性出血或管路阻塞，極易導致尿液滯留而引起膀胱痙攣，需立即通知醫師並增加沖洗速度。
The purpose of continuous bladder irrigation (CBI) is to prevent urinary clots from obstructing the urethra. Normal drainage should be light pink in color. If the output is bright red with large clots, this indicates active bleeding or tubing obstruction, which can easily cause urinary retention and bladder spasms. The physician must be notified immediately and the irrigation rate increased.
✦ 台美臨床差異
美台對 TURP 後 CBI 的監測邏輯一致，強調避免血塊導致膀胱填塞（Bladder tamponade）。