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Question
a nurse is caring for a client who has a chest tube in place that is attached to a water seal drainage system. which of the following findings should the nurse recognize as an indication of subcutaneous emphysema? diminished lung sounds on the affected side a dry, crackling sound at the insertion site when palpated absence of drainage in the collection chamber hyperresonance when percussing the affected lung
Subcutaneous emphysema occurs when air leaks into the subcutaneous tissue. When palpating the area, a dry, crackling sound (crepitus) can be heard due to the presence of air in the tissues. Diminished lung sounds are more related to lung - related issues like atelectasis or pneumothorax. Absence of drainage in the collection chamber is related to blockage or lack of fluid/air production. Hyperresonance on percussion is associated with air - filled spaces like pneumothorax.
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B. A dry, crackling sound at the insertion site when palpated