護理師照護一位經尿道攝護腺切除術（TURP）後進行連續膀胱沖洗（CBI）的病人，發現引流液呈現鮮紅色並含有大量血塊，護理師應優先採取何種行動？
A nurse is providing care to 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. What is the priority nursing action?
- AIncrease the flow rate of the irrigation solution✓ 正解增加沖洗溶液的流速
- BDeflate the catheter balloon to facilitate drainage放氣導尿管球囊以利引流
- CAdminister an ordered analgesic for bladder spasms給予處方止痛藥以緩解膀胱痙攣
- DNotify the surgeon immediately立即通知外科醫師
TURP 術後出現鮮紅色血尿與大血塊，代表可能有動脈出血或阻塞風險。優先步驟是加速沖洗速度以維持引流管通暢，防止血塊阻塞造成膀胱過度膨脹，若加速後仍無法排除血塊，才考慮通知醫師或進行手動沖洗。不可洩除氣球，以免導尿管脫落。
Bright red drainage with large clots after a TURP indicates potential hemorrhage or catheter obstruction, which is a priority concern. Increasing the irrigation flow rate helps flush out clots and maintain patency of the urinary catheter. This immediate action prevents bladder distention and allows for assessment of whether further interventions, such as notifying the surgeon, are required.
手動沖洗與調整速度在兩國皆為護理師職責，但需嚴格監測血壓脈搏以防失血性休克。