Difficulty: Medium
Average Score: 73%
Simulated
The nurse is caring for a client with a left pneumothorax and a water-seal chest tube. Which of the following indicates a need for further action by the nurse? Select all that apply.
Correct answer
B,D
Rationale
Trendelenburg position can impair breathing, and constant bubbling in the water seal after clamping indicates a leak. Semi-Fowler's, gentle suction bubbling, and tidaling are normal.