Camilla, patient’s daughter asks the nurse “why are there bubbling in some of the bottles?” Nurse Zoey gives the correct information about drainage system by stating that*1 pointA. “Intermittent bubbling occurs in the water-seal bottle with respiratory effort and continuous gentle bubbling occurs in the third bottle as this facilitates suctioning”B. “There must be no bubbling present in any of the bottles”C. “The bubbling in the bottles is expected in the first few hours of chest tube therapy but should be gone after a while”D. “I will report this to the physician as this needs further assessment”
Question
Camilla, patient’s daughter asks the nurse “why are there bubbling in some of the bottles?” Nurse Zoey gives the correct information about drainage system by stating that*1 pointA. “Intermittent bubbling occurs in the water-seal bottle with respiratory effort and continuous gentle bubbling occurs in the third bottle as this facilitates suctioning”B. “There must be no bubbling present in any of the bottles”C. “The bubbling in the bottles is expected in the first few hours of chest tube therapy but should be gone after a while”D. “I will report this to the physician as this needs further assessment”
Solution
The correct answer is A. “Intermittent bubbling occurs in the water-seal bottle with respiratory effort and continuous gentle bubbling occurs in the third bottle as this facilitates suctioning”. This is because the water-seal bottle is designed to allow air to escape from the pleural space and prevent it from returning. The bubbling indicates that air is being expelled. The third bottle is the suction control bottle, and the bubbling in this bottle helps to regulate the amount of suction applied.
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