護理師照護一位裝有胸管的病人，應採取哪些措施以降低併發症風險？（選所有適合的）
A nurse is providing care for a client who has a chest tube. Which actions should the nurse perform to reduce the risk of complications? (Select all that apply.)
- AKeep the drainage system below the level of the chest✓ 正解保持引流系統低於胸腔水平
- BCoil the excess tubing on the bed to prevent loops將多餘的管路盤繞在床上以防纏繞
- CStrip the tubing every 2 hours to maintain patency每兩小時擠壓管路以保持通暢
- DEnsure all connections are secured with tape✓ 正解確保所有連接處都已用膠帶固定
- ECheck for water seal fluctuation with respirations✓ 正解確認水封瓶隨呼吸出現波動
胸管護理重點在於維持引流系統的完整與密閉。保持引流瓶低於胸腔位以防逆流、確認接頭密閉穩固、觀察水封瓶隨呼吸波動，均能確保引流有效且防止氣胸復發。禁止對管路進行擠壓（stripping），因這會產生負壓傷害胸腔組織。將管路盤繞於床上可能因拉扯造成管路脫落或壓迫，正確做法是讓管路順垂。
Chest tube care focuses on maintaining the integrity and closure of the drainage system. Keeping the drainage system below the level of the chest to prevent backflow, ensuring that all connections are secure, and observing fluctuations of fluid levels in the water seal chamber with respiration all help ensure effective drainage and prevent recurrence of pneumothorax. Stripping the tubing is prohibited because it generates negative pressure that may injure intrathoracic tissues. Coiling the tubing on the bed may cause the line to be dislodged or compressed; the correct technique is to let the tubing hang freely downward.
台灣醫院目前多已禁止進行擠壓（stripping）胸管，與美國護理準則趨於一致。