護理師照護一位經尿道攝護腺切除術（TURP）後使用連續膀胱沖洗（CBI）的病人，哪項評估發現顯示有潛在併發症？
A nurse is caring for a client with a continuous bladder irrigation (CBI) system following a transurethral resection of the prostate (TURP). Which assessment finding indicates a potential complication?
- ALight pink drainage color引流液呈淡粉紅色
- BClient reporting a strong urge to void客戶報告有強烈的排尿慾望
- CPresence of small blood clots in the drainage tubing引流管中有少量血塊
- DDrainage output is significantly less than irrigation input✓ 正解引流輸出量顯著少於灌洗輸入量
經尿道攝護腺切除術（TURP）後使用連續膀胱沖洗（CBI）旨在防止血塊阻塞尿管。當輸出量（urine output）明顯少於注入量（irrigation input）時，表示發生了阻塞（obstruction），這會導致膀胱內積存大量液體，引發嚴重的膀胱痙攣（bladder spasms）與劇烈疼痛，長期阻塞更可能導致滲漏、出血或甚至膀胱穿孔。護理師應立即檢查管路是否有扭曲或血塊，並根據醫囑執行手動沖洗（manual irrigation）。
A significant discrepancy where drainage output is much less than irrigation input suggests a blockage in the continuous bladder irrigation system. This obstruction can lead to bladder distention, severe spasms, and potential complications, requiring immediate assessment of the tubing for kinks or clots and possible manual irrigation.