一位經尿道攝護腺切除術（TURP）後接受連續膀胱沖洗（CBI）的病人。護理師發現排液停止了。護理師應首先採取哪項措施？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notes that the drainage has stopped. Which action should the nurse take first?
- APalpate the client's bladder for distention.觸診病人膀胱是否有脹滿
- BNotify the healthcare provider immediately.立即通知醫療提供者
- CCheck the drainage tubing for kinks or clots.✓ 正解檢查引流管是否有扭結或血塊
- DIncrease the rate of the irrigation fluid.增加灌洗液的流速
CBI 的目的是防止術後血塊阻塞尿管。當排液停止時，表示系統出現阻塞，這會導致沖洗液在膀胱內蓄積，造成膀胱過度擴張與劇痛。護理的首要步驟是尋找最簡單且可立即排除的原因：檢查管路。查看是否有管路摺疊（Kinks）或明顯的血塊阻塞。調快沖洗速度（D）只會讓膀胱脹得更快，加劇風險。通知醫師（B）是在嘗試初步排除故障無效後的動作。雖然觸診膀胱（A）能確認是否有張力，但不能解決「為何排液停止」的問題，檢查管路才是能直接介入並解決問題的首選動作。
When continuous bladder irrigation stops, the priority is to check the drainage tubing for kinks or clots to restore flow and prevent bladder distention. Troubleshooting mechanical obstructions is the fastest intervention, whereas increasing the irrigation rate or notifying the provider without addressing the blockage could worsen the situation.
在美國，護理師通常有 Standing order 可以進行手動沖洗（Manual irrigation）來移除血塊；台灣則需視醫院常規，有些需醫師執行。但兩國在考試邏輯上，第一步永遠是「檢查管路（Check for kinks）」。