— 生理適應 · HARD · MCQ —
一位帶有胸腔引流管的病患，其水封瓶室出現持續性氣泡。護理師應先採取哪項行動？
A client with a chest tube drainage system suddenly shows continuous bubbling in the water-seal chamber. What is the nurse's initial intervention?
- AIncrease the suction pressure增加抽吸壓力
- BCheck the entire tubing system for air leaks✓ 正解檢查整個管路系統是否有漏氣
- CClamp the chest tube close to the insertion site在插入部位附近夾住胸腔引流管
- DNotify the healthcare provider immediately立即通知醫療提供者
— Explanation · 中文詳解 —
胸腔引流系統（Chest tube system）的水封瓶室（Water-seal chamber）出現持續氣泡，代表系統內有空氣洩漏（Air leak）。護理師應採取循序漸進的檢查方式，從病人端開始沿著管路檢查所有連接處是否鬆脫，以找出洩漏點。嚴禁隨意夾住胸管，以免空氣無法排出導致張力性氣胸（Tension pneumothorax）。
Continuous bubbling in the water-seal chamber indicates an air leak within the chest tube drainage system. The nurse’s initial intervention is to systematically inspect the entire tubing setup for loose connections or dislodgments to identify and address the source of the leak.