Physiological Integrity第 85 / 120 题
The LPN/LVN is caring for a client with a chest tube. The nurse notes continuous bubbling in the water-seal chamber. What is the appropriate action?
a.Check the tubing and connections for an air leak and notify the RN
b.Clamp the chest tube for the rest of the shift
c.Strip the tubing vigorously and continuously
d.Raise the drainage system above the chest
解析
Continuous bubbling in the water-seal chamber may indicate an air leak in the system that should be investigated and reported. Clamping a chest tube can cause a tension pneumothorax. The system is kept below the chest.
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