The nurse is caring for a patient with a chest tube. Which of the following observations requires an immediate intervention by the nurse?

1. The suction regulator is set at 100 mm Hg
2. Drainage in the collection chamber is greater than 100 ml/hr
3. Constant bubbling in the suction control chamber
4. Tidaling in the water seal drainage

Answer 2

Rationale

1. Incorrect-Regulator is set between 80-120 mm Hg or until gentle bubbling occurs.
2. Correct-Excessive amount of drainage and should be reported to the MD
3. Incorrect-Normal finding
4. Incorrect-Normal Finding

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