護理師照護一位接受經尿道前列腺切除術（TURP）並進行膀胱持續沖洗（CBI）的病人，發現引流液呈鮮紅色，應優先採取的措施為何？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notes bright red blood in the drainage. What is the nurse's priority action?
- AIncrease the flow rate of the irrigation solution✓ 正解增加沖洗溶液的流速
- BAdminister an ordered analgesic給予醫囑中的止痛藥
- CStop the irrigation and flush the catheter with sterile water停止沖洗並用無菌水沖洗導尿管
- DNotify the surgeon immediately立即通知外科醫師
CBI 術後引流液出現鮮紅色血液，通常是血塊堆積阻塞導致。優先調高沖洗速度可以促進引流，排除血塊防止阻塞加劇。若調高速度後仍為鮮紅或出現血塊量大增，則需進一步通知醫師。直接停止沖洗會導致更多血塊阻塞，適得其反。
Bright red blood in the drainage of a postoperative CBI client is usually caused by clot accumulation and obstruction. Increasing the irrigation flow rate is the priority action because it promotes drainage and flushes clots to prevent worsening obstruction. If the drainage remains bright red or clot burden increases markedly despite a higher flow rate, the provider should be notified. Stopping the irrigation outright would allow more clots to accumulate and would be counterproductive.
美國泌尿科術後護理常規較強調護理師的主動調整速度權限；台灣護理師調整速度前通常仍需確認醫囑範圍，儘管多數醫囑已包含此權限。