Difficulty: Medium
Average Score: 85%
Simulated
The client had a right-sided chest tube inserted two (2) hours ago for a pneumothorax. Which action should the nurse implement if there is no fluctuation (tidaling) in the water-seal compartment?
Correct answer
C
Rationale
No tidaling suggests obstruction; checking for kinks/clots (C) is the first step. CXR (A), suction increase (B), and SpO2 (D) follow if unresolved.