A client has a chest tube connected to a water-seal drainage system for a pneumothorax. The nurse observes continuous bubbling in the water-seal chamber. What is the best nursing action?

Question

Accepted Answer

C. Assess the system for an air leak (connections, tubing, dressing) and notify the provider per protocol — Continuous bubbling in the water-seal chamber indicates an air leak. The nurse should troubleshoot the system (connections/tubing/dressing) and escalate per protocol. Routine clamping is avoided unless specifically ordered for troubleshooting.

Answer

A. Document the finding as expected in the first 24 hours

Answer

B. Increase suction to stop the bubbling

Answer

D. Clamp the chest tube immediately