问题 单项选择题

A client with a pneumothorax receives a chest tube attached to a Pleur-evac. The nurse notices that the fluid of the second chamber of the Pleur-evac isn't bubbling. Which nursing assumption would be most invalid

A.The tubing from the client to the chamber is blocked.

B.There is a leak somewhere in the tubing system.

C.The client's affected lung has reexpanded.

D.The tubing needs to be cleared of fluid.

答案

参考答案:B

解析:Bubbling in the second chamber of a Pleur-evac system signifies that air is moving from the collection chamber to the water seal chamber. It's normal for bubbling to occur during inspiration, but continuous bubbling signifies a leak in the closed system. Absence of bubbling in the second chamber signifies a block in the system. It can also mean that the affected lung has reexpanded.

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