NCLEX-RN

Category - Physiological

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A nurse monitoring a client with a chest tube drainage system observes intermittent bubbling in the water seal compartment. What is the most appropriate nursing intervention?

Notify the physician
Assess for an air leak
Clamp the tubing
Document the findings

Explanation

Answer: D - Intermittent bubbling in the water seal compartment is normal and indicates that the drainage system does its purpose: to remove air from the pleural space and allow lung re-expansion. Continuous bubbling during inspiration and expiration suggests an air leak.

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