A patient with a water-sealed chest tube unit is connected to suction. Patient care is correct if the nurse takes which action?

a. Monitors the bubbling of sterile water in the water-seal chamber
b. Strips the tube every 2 hours for 15 seconds to prevent clots
c. Clamps the chest tube when transporting the patient
d. Keeps two toothed clamps at the bedside for an emergency


A
Intermittent bubbling is normal during expiration when the air is being evacuated from the pleural cavity. Continuous bubbling during both inspiration and expiration indicates a leak in the system. Stripping the tube increases negative pressure within the tube and is generally not recommended. The chest tube system is kept unclamped when transporting the patient. The clamps must be toothless or have guards on them to prevent puncture of the chest tube or tubing.

Nursing

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