— 降低風險 · EASY · MCQ —
護理師護理一位經尿道前列腺切除術（TURP）後進行連續膀胱沖洗的病人。哪項臨床發現應回報醫師？
A nurse is providing care to a client with a continuous bladder irrigation (CBI) following a TURP. Which clinical finding should the nurse report to the provider?
- AClient reports a sense of needing to void病人報告有解尿感
- BThe inflow rate of irrigation fluid is adjusted to keep urine clear調整沖洗液流入速率以保持尿液清澈
- CThe urine in the drainage bag is light pink引流袋中的尿液呈淡粉紅色
- DUrine output is bright red with large blood clots✓ 正解尿液呈鮮紅色並伴有大量血塊
— Explanation · 中文詳解 —
經尿道前列腺切除術（TURP）術後進行連續膀胱沖洗（CBI）是為了防止血塊阻塞導尿管。若引流液呈現鮮紅色（Bright red）並伴隨大量血塊，這通常意味著嚴重的活動性出血（Arterial or venous bleeding），可能導致導尿管阻塞，進而引發膀胱痙攣或膀胱過度膨脹，這是必須立即處置的緊急狀況。
Bright red urine with large blood clots suggests active hemorrhage that may obstruct the catheter, causing bladder distention and spasms, and requires immediate provider intervention. In contrast, light pink urine, bladder spasms, and adjusting the irrigation rate to maintain clarity are expected findings or standard nursing actions following a TURP.