— 生理適應 · MEDIUM · MCQ —
護理師照護一位攝護腺手術後使用持續膀胱沖洗（CBI）導尿管的病人時，應採取何項措施？
Which action should the nurse take when caring for a client with a continuous bladder irrigation (CBI) catheter after prostate surgery?
- AAdjust the flow rate to maintain light pink urine✓ 正解調整流速以維持尿液呈淺粉紅色
- BIncrease the flow rate if the drainage is bright red with clots若引流液為鮮紅色並伴有血塊，則增加流速
- CEmpty the drainage bag once per shift每班排空引流袋一次
- DStop the irrigation immediately if the client has bladder spasms若病人出現膀胱痙攣，立即停止沖洗
— Explanation · 中文詳解 —
攝護腺手術後執行持續膀胱沖洗（CBI）的主要目的是預防血塊形成導致導尿管阻塞。護理師需透過調整沖洗速度來維持引流尿液的顏色，目標是呈現淺粉紅色（light pink）。若尿液顏色變深，代表出血量增加，需調快速度，而非直接停止沖洗。膀胱痙攣通常因管路阻塞或氣球壓迫引起，處理需循序漸進，優先檢查管路通暢度。
The nurse should adjust the continuous bladder irrigation (CBI) flow rate to maintain light pink, clear urine, which is the primary goal to prevent clot formation and catheter obstruction. Stopping irrigation during bladder spasms can worsen clot accumulation, and the drainage bag must be emptied frequently based on output rather than just once per shift.