護理師評估一位裝有胸管引流系統的病人，發現水封瓶持續冒泡。護理師應採取的第一優先措施為何？
A nurse is assessing a client who has a chest tube connected to a closed chest drainage system. The nurse observes continuous bubbling in the water seal chamber. What is the nurse's priority action?
- AClamp the chest tube immediately立即夾住胸管
- BIncrease the suction pressure增加抽吸壓力
- CEmpty the drainage collection chamber排空引流收集室
- DCheck the system for an air leak✓ 正解檢查系統是否有漏氣
水封瓶持續冒泡通常意味著系統存在空氣洩漏。處理原則是從引流管接頭處開始逐步檢查，確認管路完整性。絕對不能隨意夾住胸管，否則會導致壓力堆積造成張力性氣胸。增加吸引力無法解決洩漏，而清空引流瓶與空氣洩漏無關。
Continuous bubbling in the water seal chamber typically indicates an air leak in the system. The principle of management is to systematically check the tubing connections to ensure system integrity. The chest tube must never be clamped, as this can lead to pressure buildup and tension pneumothorax. Increasing suction does not resolve a leak, and emptying the drainage chamber is unrelated to an air leak.
美台臨床對於胸管護理均強調嚴禁任意夾管，但美國護理師常需單獨完成系統排漏檢查，台灣臨床常要求先通知住院醫師再進行處理。