— 降低風險 · MEDIUM · SATA —
護理師照護一位放置胸管的病人，哪些發現顯示系統運作正常？（選所有適合的）
A nurse is caring for a client with a chest tube. Which findings indicate the system is working correctly? (Select all that apply.)
- AFluctuation of water in the water seal chamber with respirations✓ 正解水封瓶內水位隨呼吸波動
- BContinuous bubbling in the water seal chamber水封瓶內持續冒泡
- CGentle bubbling in the suction control chamber✓ 正解吸引控制室有輕微冒泡
- DDrainage in the collection chamber is dark red✓ 正解收集瓶內引流液呈暗紅色
- EThe chest tube is secured with occlusive dressing✓ 正解胸管以封閉式敷料固定
— Explanation · 中文詳解 —
胸管系統（Chest tube system）的運作評估是術後照護重點。水封瓶（Water seal chamber）的波動反映了胸內壓與大氣壓的平衡，隨呼吸波動代表胸管通暢；而負壓吸引室（Suction control chamber）的輕微冒泡是正常設定；引流液觀察及敷料維護則是防止感染與監測出血量的必要手段。
Assessing the chest tube system is central to postoperative care. Water-seal chamber tidaling reflects intrathoracic pressure changes with respiration—tidaling means the tube is patent. Gentle bubbling in the suction-control chamber confirms active suction. Monitoring drainage characteristics and the occlusive dressing helps prevent infection and detect bleeding.