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生理適應 · MEDIUM · MCQ

護理師照護一位胸管引流病人,哪項觀察結果提示潛在併發症?

A nurse is caring for a client with a chest tube. Which observation indicates a potential complication?

  • AConstant bubbling in the water seal chamber✓ 正解
    水封瓶內持續冒泡
  • BIntermittent bubbling in the water seal chamber
    水封瓶內間歇性冒泡
  • CThe chest tube is secured with tape
    胸管已用膠帶固定
  • DContinuous bubbling in the suction control chamber
    抽吸控制室內持續冒泡
Explanation · 中文詳解

胸管引流系統中的水封瓶(Water seal chamber)是用來監測氣胸復原狀況的重要指標。正常的氣胸病人,當肺部尚未完全擴張時,水封瓶會出現「間歇性冒泡」,這代表胸腔內的空氣正在排出。若出現「持續性冒泡」,則強烈提示系統存在漏氣(Air leak),可能是胸管鬆脫、傷口處封閉不全或系統破裂,需立即檢查並處理。

The water seal chamber of a chest tube drainage system is an important indicator for monitoring resolution of a pneumothorax. In a client with a pneumothorax whose lung has not yet fully reexpanded, intermittent bubbling in the water seal chamber is normal and indicates that air is being expelled from the pleural space. Continuous bubbling strongly suggests an air leak in the system, which may be due to a loose chest tube, an incompletely sealed wound, or a break in the system; it requires immediate inspection and intervention.

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