Before the nurse’s shift ended, the water seal bottle is observed to have an intermittent suctioning.. Make sure that the bottle is at least 2-3 feet below the level of the chest

Before the nurse’s shift ended, the water seal bottle is observed to have an intermittent suctioning. The nurse should do which of the following?
a.    Check for an air leak
b.    Check for kinks in the tube
c.    Inform the physician immediately
d.    Make sure that the bottle is at least 2-3 feet below the level of the chest

Answer: D.
A water seal bottle is expected to be observed for intermittent bubbling. Therefore, the nurse should only make sure that bottle is at least 2-3 feet below the chest. Checking for an air leak would be the nurse’s action if the water seal has continuous bubbling. Kinks should be check for possible obstruction if no bubbling is noted in the water seal bottle.
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