一位病人接受開顱手術後，護理師應立即向外科醫師報告下列哪種情況？
A nurse is caring for a client who is post-operative following a craniotomy. Which finding should the nurse immediately report to the surgeon?
- AThe surgical dressing is slightly damp with serosanguinous fluid手術敷料有少量血清血性滲出
- BThe client requests pain medication for a headache病人因頭痛要求止痛藥
- CDrainage on the head dressing is positive for glucose✓ 正解頭部敷料滲出液葡萄糖檢測呈陽性
- DThe client is drowsy but awakens easily when spoken to病人嗜睡但呼喚時可輕易喚醒
開顱手術（Craniotomy）後，腦脊髓液（CSF）外漏是嚴重的術後併發症。CSF 含有葡萄糖（Glucose），若敷料出現滲出液且測試為葡萄糖陽性，代表腦膜缺損，這將導致腦部與外界相通，大幅增加顱內感染（如腦膜炎）的風險。護理師必須立即報告外科醫師，以評估是否需要進一步縫合或使用特殊引流裝置，以保護病人神經系統的安全。
Drainage on the head dressing that tests positive for glucose indicates a potential cerebrospinal fluid (CSF) leak, which is a serious complication requiring immediate surgical evaluation. CSF contains glucose, unlike other bodily fluids, so its presence suggests a breach in the meninges that increases the risk of intracranial infection. Other findings like slight serosanguinous drainage, expected headaches, or reversible drowsiness are typical post-operative observations.