護理師照護一位接受經尿道前列腺切除術（TURP）並進行連續膀胱沖洗（CBI）的病人，發現引流液變成鮮紅色且有大血塊。哪項是優先護理措施？
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). The nurse notices the drainage has turned bright red with large clots. Which is the priority nursing action?
- AAdminister an ordered analgesic給予處方止痛藥
- BPerform a manual bladder irrigation執行徒手膀胱沖洗
- CNotify the surgeon immediately立即通知外科醫師
- DIncrease the flow rate of the CBI✓ 正解增加連續膀胱沖洗（CBI）的流速
TURP 術後出現鮮紅色引流液與血塊，表示活動性出血。首要步驟是加速 CBI 流速以沖刷血塊，防止阻塞導致膀胱擴張與痙攣。若加速流速後情況未改善，再評估是否執行徒手沖洗或通知醫師。止痛藥無法解決物理性的阻塞問題，因此非優先事項。
Bright red drainage with clots after TURP indicates active bleeding, so the priority action is to increase the continuous bladder irrigation (CBI) flow rate to flush out clots and prevent catheter obstruction. Manual irrigation or notifying the surgeon are subsequent steps if increasing the flow rate does not resolve the issue. Analgesics do not address the physical blockage.
美國護理師常有獨立執行 CBI 流速調整權限；台灣臨床多半先執行徒手沖洗再通報。