Saunders Respiratory Practice

If a nurse observes constant bubbling in the water-seal chamber of a closed drainage system, what should be the nurse’s first action?

1. Notify the healthcare provider

2. Inspect chest tube connections

3. Measure the output of drainage

4. Assess the client’s respiratory status

The correct answer is: Inspect chest tube connections

In the context of a closed drainage system for chest tubes, constant bubbling in the water-seal chamber typically indicates a potential air leak. The first action a nurse should take is to inspect the connections of the chest tube. This is crucial because identifying the source of the leak can help ensure that the system is functioning properly and that the patient is not at risk for complications such as pneumothorax or diminished lung expansion. Inspecting chest tube connections allows the nurse to determine if there are any loose fittings, disconnections, or damages to the tubing that may be causing the air leak. This step is essential prior to taking further actions like notifying a healthcare provider or measuring drainage output, as addressing the source of the bubbling is fundamental to maintaining the integrity of the chest drainage system. Assessing the patient’s respiratory status is important but would come after ensuring the mechanical system is secure and functioning correctly.