A nurse is assigned to monitor the chest tube drainage system of a client with pneumothorax. The nurse would immediately call the RN if which of the following observations are noted?
  1. Intermittent bubbling in the water seal chamber
  2. Oscillation in the water seal chamber is observed
  3. Volume in the drainage system increases from 100 to 300 ml in an hour
  4. Volume in the drainage system increases from 100 to 150 ml in an hour
Explanation
Answer: C - An increase of more than 100 ml in the drainage system should be notified to the RN. The other observations are normal and expected.
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