A client has a chest tube. What assessment findings require immediate intervention from the nurse? (Select all that apply.)
a. Intermittent bubbling in the water seal chamber in the client with a pneumothorax
b. "Silent chest" in the client with a pneu-mothorax
c. Tidaling in the water seal chamber in a client with a pneumothorax
d. Bloody drainage in the tubing of a client with a hemothorax
e. Tracheal deviation in a client after chest trauma
f. No drainage in the chest tube of a client with a pneumothorax
g. Constant bubbling in the water seal chamber in a client post chest surgery
B, E, G
The client with a silent chest could have a mucous plug, the client with tracheal deviation could have a collapsed lung or tension pneumothorax, and the client with constant bubbling in the wa-ter seal could have an air leak. All of these assessments require intervention. The others are nor-mal for the condition stated.
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