Before the suctioning of a patient, auscultation reveals coarse ...

[BRWH]

Before the suctioning of a patient, auscultation reveals coarse breath sounds during both inspira-tion and expiration.
 
  After suctioning, the coarseness disappears, but expiratory wheezing is heard over both lung fields. What is most likely the problem?
  a. Secretions are still present and the patient should be suctioned again.
  b. The patient has hyperactive airways and has developed bronchospasm.
  c. A pneumothorax has developed and the patient needs a chest tube.
  d. The patient has developed a mucous plug and should undergo bronchoscopy.

Question 2

Which of the following can help to minimize the likelihood of mucosal trauma during suctioning?
 
  1. Use as large a catheter as possible.
  2. Rotate the catheter while withdrawing.
  3. Use as rigid a catheter as possible.
  4. Limit the amount of negative pressure.
  a. 1 and 2 only
  b. 2 and 4 only
  c. 3 and 4 only
  d. 1, 2, and 4 only

[momo1250]

Answer to Question 1

ANS: B
The bronchospastic response may be particularly strong in patients with hyperactive airway dis-ease. These patients should be assessed for the development of wheezes associated with suction-ing.

Answer to Question 2

ANS: B
To avoid this problem, limit the amount of negative pressure used and always rotate the catheter while withdrawing.