What is a possible complication if a client has constant bubbling in the water seal chamber of a chest tube?

When a client exhibits constant bubbling in the water seal chamber of a chest tube, it typically indicates a potential air leak in the system. The bubbling suggests that air is entering the water seal chamber, which can occur if there is a break in the drainage system, such as a loose connection or a defect in the tube itself. This air leak could compromise the effectiveness of the chest tube, potentially leading to inadequate drainage of air or fluid from the pleural space.

Assessing for air leaks is crucial in monitoring a client with a chest tube placement, as undiscovered leakage can result in retained air or fluid, adverse respiratory effects, or even complications such as re-accumulation of pneumothorax. Therefore, constant bubbling is a significant indication that there may be an issue with the drainage system requiring immediate attention and corrective actions to ensure patient safety and effective treatment.