Before the suctioning of a patient, auscultation reveals coarse breath sounds during both inspiration 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

Quizplus · Accepted Answer

The bronchospastic response may be particularly strong in patients with hyperactive airway disease. These patients should be assessed for the development of wheezes associated with suctioning.

Before the Suctioning of a Patient, Auscultation Reveals Coarse Breath