Which action would be appropriate based on this assessment?
Nurse Maureen has assisted a physician with the insertion of a chest tube. The nurse monitors the client and notes fluctuation of the fluid level in the water seal chamber after the tube is inserted.
The presence of fluctuation of the fluid level in the water seal chamber indicates a patent drainage system. With normal breathing. the water level rises with inspiration and falls with expiration. Fluctuation stops if the tube is obstructed. if a dependent loop exists. if the suction is not working properly. or if the lung has reexpanded. Options A. C. and D are incorrect.
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