— 生理適應 · MEDIUM · SATA —
胸管病人出現哪些發現，表示肺部已重新擴張？（選所有適合的）
Which findings in a client with a chest tube indicate the lung has re-expanded? (Select all that apply.)
- ACessation of bubbling in the water seal chamber✓ 正解水封瓶內停止冒泡
- BReturn of the water level oscillation水位波動恢復
- CImproved breath sounds on the affected side✓ 正解患側呼吸音改善
- DIncreased chest tube drainage胸管引流增加
- EAbsence of subcutaneous emphysema無皮下氣腫
— Explanation · 中文詳解 —
胸管（Chest tube）引流系統是用於移除胸腔內積氣或積液。當氣胸改善、肺部重新擴張時，水封瓶（Water seal chamber）內的氣泡會停止（代表空氣洩漏已停止），且病人聽診呼吸音會恢復。臨床護理師需監測此過程，並確保引流管路通暢，避免扭曲或阻塞，同時觀察有無皮下氣腫（Subcutaneous emphysema）以評估是否氣體滲漏至皮下組織。
Signs that the lung has re-expanded include the cessation of bubbling in the water seal chamber, indicating the air leak has resolved, and improved breath sounds on the affected side, confirming air entry into the lung tissue. Oscillation may persist even after re-expansion, and increased drainage or subcutaneous emphysema are not immediate indicators of successful re-expansion.