護理師照護一位放置胸管的術後病人，觀察到水封瓶出現持續性氣泡。護理師首要採取的行動為何？
A nurse is caring for a postoperative client who has a chest tube. The nurse observes continuous bubbling in the water seal chamber. What is the priority nursing action?
- ADocument the finding in the chart將發現記錄於病歷中
- BIncrease the suction pressure增加抽吸壓力
- CClamp the chest tube immediately立即夾住胸管
- DCheck the entire tubing system for air leaks✓ 正解檢查整個管路系統是否有漏氣
水封瓶出現持續性氣泡（continuous bubbling）通常代表系統存在漏氣（air leak）。首先應順著管路檢查連接處是否鬆脫或有裂縫。若排除管路問題，則需通知醫師。夾住管子（C）有導致張力性氣胸的風險，除非醫師有明確醫囑測試漏氣位置，否則不可自行操作。增加負壓（B）或僅做紀錄（A）皆無法解決潛在的氣胸惡化問題。
Continuous bubbling in the water seal chamber typically indicates an air leak in the system. The nurse should first inspect the tubing for loose connections or cracks. If tubing problems are ruled out, the provider should be notified. Clamping the tube (C) risks causing a tension pneumothorax and must not be performed independently without a specific provider order to localize the leak. Increasing suction (B) or simply documenting (A) does not resolve the underlying potential worsening of pneumothorax.
在美國臨床，護理師常需自行排查管路連接處及敷料密閉性；台灣臨床則常由醫師或專科護理師執行，護理師多負責觀察並報告。