The Nurse Is Performing an Initial Assessment of a Patient

The nurse is performing an initial assessment of a patient with a chest tube placed in the eighth intercostal space.Which of the following findings would the nurse need to assess further?

A) Respiratory rate of 18 breaths per minute
B) Continuous bubbling in the water-seal chamber
C) The presence of subcutaneous emphysema
D) Complaints of pain at the insertion site
E) Serous drainage on the chest tube dressing the size of a bean