Author Question: On palpating the neck region of a patient on a mechanical ventilator, you notice a crackling sound ... (Read 123 times)

TFauchery · **on:** Jul 16, 2018

On palpating the neck region of a patient on a mechanical ventilator, you notice a crackling sound and sensation. What is the most likely cause of this observation?

a. Subcutaneous emphysema
b. Upper bronchial obstruction
c. Pneumonia of the upper lobes
d. Atelectasis of the upper lobes

Question 2

Which of the following represent proper chest auscultation technique?

1. The practitioner should begin auscultation at the lung bases.
2. The patient should be instructed to breathe through an open mouth.
3. The patient should be placed in a comfortable upright position.
4. The patient should avoid deeply inhaling because it can mask certain lung sounds.
a. 1 and 4 only
b. 1, 2, and 3 only
c. 3 only
d. 1, 2, and 4 only

rosiehomeworddo · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

ANS: A
Subcutaneous emphysema is caused by air trapped in the subcutaneous tissues and is usually due to an air leak from the lung.

Answer to Question 2

ANS: B
When possible, the patient should be sitting upright in a relaxed position. Instruct the patient to breathe a little more deeply than normal through an open mouth. Inhalation should be active, with exhalation passive. Place the bell or diaphragm directly against the chest wall when possible, because clothing may produce distortion. The tubing must not be allowed to rub against any ob-jects, because this may produce extraneous sounds, which could be mistaken for adventitious lung sounds.