一位插有胸管的病患，其水封瓶（water seal chamber）出現持續性氣泡。護理師應優先採取什麼行動？
A client with a chest tube has continuous bubbling in the water seal chamber. What is the priority action for the nurse?
- ACheck the tubing connections for an air leak✓ 正解檢查管路連接處是否有漏氣
- BDocument the findings in the chart在病歷中記錄發現
- CIncrease the suction pressure增加吸引壓力
- DClamp the chest tube immediately立即夾住胸腔引流管
水封瓶內的「持續性」氣泡代表系統中存在氣體洩漏（air leak）。若此氣泡是非預期的，護理師應先依序檢查管路接頭是否鬆脫或有裂縫。嚴禁在未確定位置前貿然夾住管路，以免氣體無法排出造成張力性氣胸。此狀況需排除技術性問題，若非管路問題則須評估病患呼吸音及氣管位置。
Continuous bubbling in the water seal chamber indicates an air leak somewhere in the system. If the bubbling is unexpected, the nurse should first systematically check the tubing connections for looseness or cracks. The tube must never be clamped before the source is identified, because air may then have no exit and tension pneumothorax could develop. After ruling out technical problems, if the issue is not in the tubing, the client's breath sounds and tracheal position should be assessed.
台美對胸管護理的教育一致，皆強調嚴禁無故夾住管路（除非更換系統時）。