— 降低風險 · HARD · SATA —
護理師照護一位攝護腺切除術後進行連續膀胱沖洗的病人，哪些發現需要立即介入？（選所有適合的）
A nurse is caring for a client with a continuous bladder irrigation (CBI) following a transurethral resection of the prostate (TURP). Which findings indicate a need for immediate intervention? (Select all that apply.)
- AUrine output is bright red with large clots✓ 正解尿液呈鮮紅色並有大血塊
- BThe client reports bladder spasms病人主訴膀胱痙攣
- CThe drainage tubing has no output despite irrigation running✓ 正解儘管沖洗持續進行，引流管卻無排出液
- DThe urine is light pink color尿液呈淡粉紅色
- EThe client complains of suprapubic pain✓ 正解病人抱怨恥骨上疼痛
— Explanation · 中文詳解 —
TURP 術後出現鮮紅色血尿並伴隨大血塊（A）、沖洗液持續輸入但引流液停止（C）、以及恥骨上疼痛（E）均為阻塞徵象。膀胱痙攣（B）為術後常見反應，需評估但非立即停止輸注的危機；淺粉紅色尿液（D）為預期術後過程，無需緊張。
Bright red urine with clots, lack of drainage despite irrigation, and suprapubic pain indicate catheter obstruction or hemorrhage requiring immediate intervention. Bladder spasms and light pink urine are expected postoperative findings.
✦ 台美臨床差異
在美國，這類照護多由護理師獨立進行滴速調整；台灣則更依賴醫師開立沖洗速率醫囑。