— 照護管理 · HARD · SATA —
照護帶有連續膀胱沖洗（CBI）導尿管的病人，哪些措施是必要的？（選所有適合的）
Which of the following interventions are essential when caring for a client with a continuous bladder irrigation (CBI) catheter? (Select all that apply.)
- AMonitoring the drainage for clots✓ 正解監測引流液中是否有血塊
- BMaintaining the irrigation rate to keep drainage light pink✓ 正解維持沖洗速率以保持引流液呈淡粉色
- CChecking the tubing for kinks regularly✓ 正解定期檢查管路是否有扭曲
- DEmptying the drainage bag only once per 24 hours每 24 小時僅排空一次引流袋
- EAssessing the client for bladder spasms✓ 正解評估病人是否有膀胱痙攣
— Explanation · 中文詳解 —
CBI 的目的是防止血塊堵塞導管（常規用於經尿道前列腺切除術後）。護理師需監測血塊與顏色，確保引流順暢，並定時觀察是否有膀胱痙攣。D 錯誤：引流袋應頻繁排空以利觀察量與質，且避免重量過重造成拉扯，不可一天只排一次。
Essential care for continuous bladder irrigation includes monitoring for clots, maintaining the irrigation rate to keep drainage light pink, checking tubing for kinks, and assessing for bladder spasms. The drainage bag must be emptied frequently to accurately measure output and prevent backflow, rather than just once every 24 hours.
✦ 台美臨床差異
美台 CBI 的照護原則完全一致，且皆需護理師具備高度的調整與監測能力。