護理師照顧一名帶有胸管的病人，發現胸管引流液突然停止。護理師應採取的第一個行動是什麼？
A nurse is caring for a client who has a chest tube and finds that the drainage has stopped unexpectedly. What is the nurse's first action?
- AClamp the chest tube to check for air leaks夾閉胸管以檢查是否有漏氣
- BNotify the healthcare provider通知醫療保健提供者
- CStrip or milk the tubing擠壓或捋順引流管
- DAssess the tubing for kinks or loops✓ 正解檢查引流管是否有扭曲或打結
胸管引流停止應先確認機械性障礙。檢查管路是否有折疊、受壓或過度扭曲是物理排除法，這是護理師評估的第一步。擠壓管路（stripping）因會產生過大負壓而具危險性，應避免；通知醫師需在確認機械因素後；夾管僅在更換引流瓶或醫師醫囑下執行。
When chest tube drainage stops, the nurse should first rule out a mechanical obstruction. Checking the tubing for kinks, compression, or excessive twisting is a physical exclusion step and is the nurse's first assessment action. Stripping or milking the tubing is potentially dangerous because it generates excessive negative pressure and should be avoided. Notifying the provider should occur only after mechanical causes have been ruled out, and clamping is performed only when changing the drainage unit or under a provider's order.
台灣病房常規護理習慣不同，有些單位仍保留擠壓管路習慣，但在護理執照考試中，此舉已被視為錯誤。