The nurse is caring for a client with a pneumothorax who has a chest tube connected to a closed drainage system with suction. Which of the following actions should the nurse include in the plan of care?

A. Continuous bubbling in a suction chest tube can indicate an air leak. In a properly functioning wet suction system, intermittent bubbling is normal in the water seal chamber, but bubbling in the suction chamber itself is not always required. Monitoring for air leaks is important, but the presence of suction bubbling is not the primary focus for patient care monitoring. B. Suction levels are prescribed by the healthcare provider and should not be increased based on decreased drainage. Drainage may decrease naturally as the pneumothorax resolves. Changing suction settings independently can cause lung trauma or excessive negative pressure. C. Monitoring drainage amount and color is a primary nursing responsibility. It provides information about ongoing bleeding, air leaks, or resolution of the pneumothorax. Sudden increases or changes in drainage can indicate complications that require prompt intervention. D. Chest tube removal is not time-dependent; it is based on clinical assessment, radiographic evidence of lung re-expansion, and absence of significant air leaks or drainage. Premature removal could lead to recurrence of the pneumothorax.