The nurse assesses the client's chest tube drainage system. Which of the following findings should be reported to the physician?
A)
serosanguinous drainage in the collection chamber
B)
bubbling in the water seal chamber when the client coughs
C)
bubbling in the suction control chamber
D)
fluid in the water seal chamber that rises and falls with respirations
B
Explanation:
A)
This indicates a leak in the closed drainage system. Serosanguinous drainage is normal. Options C and D are normal or expected findings.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
B)
This indicates a leak in the closed drainage system. Serosanguinous drainage is normal. Options C and D are normal or expected findings.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
C)
This indicates a leak in the closed drainage system. Serosanguinous drainage is normal. Options C and D are normal or expected findings.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
D)
This indicates a leak in the closed drainage system. Serosanguinous drainage is normal. Options C and D are normal or expected findings.
Application
Assessment
Physiological Integrity: Reduction of Risk Potential
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