— 生理適應 · HARD · MCQ —
一位胸管病人發現水封瓶中有持續性氣泡（Bubbling）。護理師的優先處置為何？
A client with a chest tube has persistent bubbling in the water-seal chamber. What is the nurse's priority action?
- AClamp the chest tube夾住胸管
- BCheck for air leaks along the tubing system✓ 正解檢查管路系統是否有漏氣
- CIncrease the suction pressure增加抽吸壓力
- DDocument the finding記錄此發現
— Explanation · 中文詳解 —
在水封瓶（Water-seal）中，持續性氣泡通常代表胸管系統某處有漏氣（Air leak），若排除胸腔內仍有殘存氣體（氣胸未癒），則需立刻檢查連接處是否鬆脫或破裂。直接夾住胸管會導致張力性氣胸，是非常危險的動作。
Persistent bubbling in the water-seal chamber of a chest tube system typically indicates an air leak within the tubing or connections. The nurse's priority is to inspect the entire system for loose fittings or cracks, as clamping the tube is dangerous and may lead to tension pneumothorax.
✦ 台美臨床差異
美台對胸管照護的準則極為一致，皆強調嚴禁夾管及漏氣檢查。