護理師正在照顧一位接受大腸鏡檢查合併息肉切除術的病人。該病人有出血風險。下列哪項發現需要立即通知醫療提供者？
A nurse is caring for a client who has undergone a colonoscopy with polypectomy. The client is at risk for bleeding. Which finding requires immediate notification of the healthcare provider?
- AClient passes flatus病人排出氣體
- BClient's vital signs are stable病人的生命徵象穩定
- CClient reports mild abdominal cramping病人報告輕微腹部痙攣
- DClient has bright red blood in the stool✓ 正解病人糞便中有鮮紅色的血液
大腸鏡合併息肉切除術後，病人有發生延遲性出血的風險。糞便中若出現少量鮮紅色血液，可能表示切除部位持續活動性出血。鮮紅色血液代表出血位置靠近肛門或出血量較大且未經消化道處理，這需要立即評估生命徵象（如心跳加快、血壓下降）並通報醫師，以防發生嚴重出血性休克。其他選項如排氣、輕微腹痛均為檢查後的預期反應。
Following colonoscopy with polypectomy, the client is at risk for delayed bleeding. Even a small amount of bright red blood in the stool may indicate ongoing active bleeding from the polypectomy site. Bright red blood suggests bleeding from a site close to the anus or significant unprocessed gastrointestinal bleeding, requiring immediate evaluation of vital signs (such as tachycardia or hypotension) and notification of the physician to prevent severe hemorrhagic shock. Other options such as passing flatus and mild abdominal pain are expected post-procedure responses.