Final answer:
Continuous bubbling in the water-seal chamber of a disposable three-chamber chest tube system should alert the nurse of a potential complication, such as a system leak or ongoing air leak in the pleural space, which could lead to a collapsed lung.
Step-by-step explanation:
When caring for a client with a three-chamber chest tube system, it is critical that nurses are able to recognize signs of complications. One potential complication is indicated by continuous bubbling in the water-seal chamber, which could signify an air leak in the pleural space or system. While occasional bubbling in the water-seal chamber is normal and indicates intermittent escape of air from the pleural space, continuous bubbling could point to a problem. On the other hand, constant bubbling in the suction-control chamber is expected if the suction is connected and working properly, and it helps maintain the prescribed level of negative pressure within the pleural space. Fluctuations in the fluid level in the water-seal chamber, also known as tidaling, are normal movements that occur with breathing.
In summary, the nurse should be alarmed when there is continuous bubbling in the water-seal chamber as it may indicate an abnormal presence of air which signifies a system leak or ongoing air leakage from the lung or pleural space, posing a risk for lung collapse and other complications. This is essential for ensuring patient safety and requires immediate attention to assess the cause of the continuous bubbling and to take the necessary actions to rectify the situation.