護理師照護一位使用密閉式胸腔引流系統的病人，發現水封瓶持續有氣泡冒出。護理師應優先採取的行動為何？
A nurse is caring for a client who has a chest tube connected to a closed-chest drainage system. The nurse observes continuous bubbling in the water seal chamber. Which action is the priority?
- AClamp the chest tube immediately立即夾住胸管
- BCheck the system connections for an air leak✓ 正解檢查系統連接處是否有漏氣
- CNotify the provider that the lung has re-expanded通知醫師肺部已復張
- DIncrease the suction pressure增加吸引壓力
水封瓶持續冒泡（Continuous bubbling）通常代表系統中有空氣洩漏。護理師應順著管路檢查連接處是否有脫落或鬆脫，以維持系統密閉性。直接夾住管路（Clamp）會導致張力性氣胸風險，增加吸引力無法解決洩漏，通知醫師需在確認無法排除洩漏後才進行。
Continuous bubbling in the water-seal chamber generally indicates an air leak in the system. The nurse should follow the tubing and inspect the connections for disconnection or loose fittings to maintain a closed system. Clamping the tube can cause a tension pneumothorax, increasing suction does not resolve the leak, and the physician should only be notified after the nurse has been unable to correct the leak.
美台臨床對於胸管護理標準相似，皆嚴禁在未經醫師指示下夾管，需緊急處理則依照單位 Protocol 進行。