A patient has a chest tube connected to a water-seal drainage system. Continuous bubbling is seen in the water-seal chamber. What should the nurse do first?
Correct answer: B. Check the tubing and connections for an air leak
- A. Clamp the chest tube for 30 minutes
- B. Check the tubing and connections for an air leak
- C. Increase wall suction to the maximum setting
- D. Remove the water-seal chamber from the system
Explanation
Continuous bubbling in the water-seal chamber usually indicates an air leak in the system or from the patient. The nurse first checks the tubing, connections and dressing, rather than routinely clamping or disconnecting the system.
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About Respiratory Nursing
Covers nursing assessment and management of asthma, chronic obstructive pulmonary disease, pneumonia, tuberculosis, pleural disorders and respiratory failure. Key areas include breath sounds, oxygen therapy, airway suctioning, inhaled medicines, arterial blood gases and the difference between hypoxia, hypoxemia and carbon dioxide retention.
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