護理師照護一位放置胸管的病人，下列哪些護理措施是正確的？（選所有適合的）
A nurse is providing care to a client with a chest tube. Which interventions are appropriate for the nurse to perform? (Select all that apply.)
- AKeep the drainage system below the level of the client's chest✓ 正解將引流系統保持在病人胸腔水平之下
- BStrip the chest tube to ensure patency擠壓胸管以確保管路暢通
- CClamp the chest tube if the client is being transported若病人需搬運，則夾住胸管
- DAssess for bubbling in the water seal chamber✓ 正解評估水封室是否有氣泡
- EEncourage the client to use an incentive spirometer✓ 正解鼓勵病人使用誘發性肺量計
胸管照護首重防止倒流與阻塞。胸管系統必須低於胸腔平面以利引流。水封瓶應觀察波動或氣泡，持續性氣泡暗示漏氣需回報。鼓勵誘發性肺量計使用有助肺擴張。條狀擠壓（stripping）胸管會產生過大負壓損傷胸膜，且夾住胸管極易導致張力性氣胸，非必要不可輕易執行。
Chest tube care focuses on preventing reflux and obstruction. The drainage system must be kept below the level of the chest to allow gravity drainage. The water-seal chamber should be observed for tidaling or bubbling; continuous bubbling suggests an air leak that must be reported. Encouraging use of an incentive spirometer promotes lung expansion. Stripping the chest tube generates excessive negative pressure that can damage pleural tissue, and clamping the chest tube can easily lead to tension pneumothorax and must not be performed unless absolutely necessary.
美國醫院臨床多強調嚴格禁忌擠壓管路，台灣部分臨床單位仍有護理師習慣為了排除血塊而擠壓，需特別強調實證護理。