護理師照護一位放置胸管的病人，發現水封瓶持續冒泡。應採取哪項最適當措施？
A nurse is caring for a client with a chest tube. The nurse notes continuous bubbling in the water seal chamber. What is the most appropriate action?
- AClamp the chest tube immediately立即夾閉胸管
- BAssess the tubing system for air leaks✓ 正解評估管路系統是否有漏氣
- CEncourage the client to cough and deep breathe鼓勵病人咳嗽和深呼吸
- DIncrease the suction pressure增加吸引壓力
水封瓶持續冒泡（Continuous bubbling）通常代表系統出現氣體滲漏（Air leak）。正常的運作應為呼吸時隨之波動（Tidaling）或在強行咳嗽時短暫冒泡。持續冒泡表示胸腔或管路系統有空氣進入，必須順著管路逐段檢查連接處是否鬆脫或有破損，並確認穿刺部位敷料是否密合。
Continuous bubbling in the water-seal chamber typically indicates an air leak in the system. Normal operation should show tidaling with respiration or brief bubbling with forceful coughing. Continuous bubbling indicates that air is entering the chest cavity or the tubing system, and the connections along the tubing must be inspected segment by segment for loosening or damage, and the dressing at the insertion site checked for proper seal.
美國護理師對胸管照護的授權度較高，可自行執行系統完整性檢查；台灣護理師亦同，但胸管護理多由專科護理師或醫師指導下執行。