Biology · Chest Tube Management
A nurse is caring for a patient with an intercostal chest drain connected to a closed water-seal drainage system. During normal respiration, the nurse notes intermittent fluctuations (tidaling) in the water-seal chamber. What is the most appropriate action?
Verified Solution4 OptionsUpdated: October 2026👁️1 View
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- 1Clamp the chest tube immediately to check for kinks.
- 2Continue to observe the patient, as this is a normal finding indicating patency.✓
- 3Check the entire system for a massive external air leak.
- 4Immediately notify the physician as it indicates an emergency.
Correct answer
Continue to observe the patient, as this is a normal finding indicating patency.
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