護理師照護一位帶有胸管的病人，發現水封瓶中有持續性的氣泡，護理師應優先採取何種措施？
A nurse is caring for a client with a chest tube. The nurse observes continuous bubbling in the water seal chamber. Which action should the nurse take first?
- ARemove the chest tube immediately立即拔除胸管
- BCheck the entire length of the tubing for air leaks✓ 正解檢查整段管路是否有漏氣
- CClamp the chest tube close to the insertion site在插入部位附近夾住胸管
- DIncrease the suction pressure增加抽吸壓力
水封瓶持續冒氣泡通常代表系統有漏氣（air leak）。護理師首先應循著管路檢查是否有鬆脫或漏氣點。若無法立即找到漏氣點，應通知醫師。選項 A 為嚴重禁忌；選項 C 只有在醫師指示下或緊急更換設備時短暫進行，不可隨意封閉，以免導致張力性氣胸。
Continuous bubbling in the water-seal chamber usually indicates an air leak in the system. The nurse should first follow the tubing to check for any disconnection or leak. If the leak cannot be located immediately, the physician should be notified. Option A is a strict contraindication; Option C may be performed only briefly under physician's orders or during emergency equipment replacement and must not be done arbitrarily, lest a tension pneumothorax develop.
美國胸腔照護依賴標準化的胸管系統，台灣部分醫院仍使用傳統三瓶式引流瓶，維護難度較高。