Difficulty: Medium
Average Score: 91%
Simulated
A nurse is caring for a client with a chest tube. Which of the following findings should the nurse report immediately?
Correct answer
A
Rationale
The correct answer is A: Continuous bubbling in the water seal chamber. This finding indicates an air leak in the system, which can lead to lung collapse. Immediate reporting is crucial for prompt intervention. Choice B is incorrect as securing the chest tube with tape is appropriate. Choice C is within normal limits for drainage. Choice D is incorrect as mild pain at the insertion site is expected.