一位胸管留置的病人，其水封瓶持續冒泡。護理師應優先採取哪項措施？
A client with a chest tube has continuous bubbling in the water seal chamber. Which intervention is the nurse's priority?
- AClamp the chest tube close to the insertion site在插入部位附近夾住胸管
- BIncrease the suction pressure增加抽吸壓力
- CNotify the physician immediately立即通知醫師
- DCheck the entire tubing system for air leaks✓ 正解檢查整個管路系統是否有漏氣
胸管系統的水封瓶（Water seal chamber）若持續冒泡（Continuous bubbling），通常代表系統有漏氣（Air leak）。護理師必須先檢查整個管道系統，確認連接處是否鬆脫或導管是否受損。若排除外在漏氣，則需評估病人是否有持續的氣胸（Pneumothorax）。在未確認漏氣來源前，不可輕易夾住管路，以免導致張力性氣胸（Tension pneumothorax）。
Continuous bubbling in the water seal chamber of a chest tube system usually indicates an air leak in the system. The nurse must first inspect the entire tubing system to determine whether the connections are loose or the tube is damaged. If an external leak is ruled out, the client should be evaluated for an ongoing pneumothorax. The tube should not be clamped before the source of the leak is identified, as clamping may precipitate a tension pneumothorax.