While palpating the anterior chest, the nurse notes crackling in ...

[xroflmao]

While palpating the anterior chest, the nurse notes crackling in the skin around the patient's chest tube insertion site. The nurse recognizes this finding is:
 
  a. Tactile fremitus
  b. Egophony
  c. Bronchophony
  d. Crepitus

Question 2

The nurse is invited to a childcare center for a safety class. An employee comes running into the class and says to the nurse, I think one of the children swallowed a poisonous chemical from our storage area.
 
   What is the first action by the nurse?
  a. Identify the poison then call 911 or the local emergency number.
  b. Assess for signs and symptoms then call 911 or the local emergency number.
  c. Call 911 immediately, even if the child has no symptoms.
  d. Induce vomiting on the child then call 911.

[nikmaaacs]

Answer to Question 1

D
The nurse should document this finding as crepitus, crackling skin caused by air leaking into the subcutaneous tissues. Tactile fremitus involves palpating for vibrations as the client says 99, which indicates the presence of fluid in the chest. Bronchophony is present if the words 1, 2, 3 are clearly heard over the lungs as the nurse listens while the patient says those words. Egophony is present if the sound heard is ay when the nurse listens over the lung fields as the patient says eee.

Answer to Question 2

C
In all cases of suspected poisoning, call 911 or the local emergency number first. Even if the person is having no symptoms, call as soon as possible. The most appropriate treatment is usually dependent on the poison ingested. For most poisonings, the most effective intervention is professional administration of activated charcoal orally or via a gastric tube. Never induce vomiting when the ingested material is acidic or caustic to the esophagus. Although the American Academy of Pediatrics no longer recommends inducing emesis, some practitioners may still do so.