— 安全與感染控制 · MEDIUM · SATA —
留置導尿管的病人出現哪些跡象提示可能有尿路感染?(選所有適合的)
Which assessment findings in a client with an indwelling urinary catheter suggest a potential urinary tract infection? (Select all that apply.)
- ACloudy urine✓ 正解尿液混濁
- BFoul-smelling urine✓ 正解尿液有異味
- CLow-grade fever✓ 正解低燒
- DPink-tinged urine尿液呈粉紅色
- EClient reports suprapubic discomfort✓ 正解病人報告恥骨上不適
— Explanation · 中文詳解 —
長期留置導尿管(Indwelling urinary catheter)會增加導管相關尿路感染(CAUTI)的風險。常見臨床表現為發炎反應與細菌代謝產物導致的尿液性狀改變。護理師需評估全身性與局部症狀,包含發燒、恥骨上疼痛、混濁尿液及異味,這些都是提示尿路發炎的關鍵指標,應立即通報醫師並執行尿液培養。
Signs of a catheter-associated urinary tract infection include cloudy and foul-smelling urine due to bacterial presence, along with systemic responses like low-grade fever. Local symptoms such as suprapubic discomfort also indicate bladder irritation, necessitating prompt notification of the provider for further evaluation.