The Nurse Is Concerned That an Intubated Patient Is Experiencing

The nurse is concerned that an intubated patient is experiencing a cuff leak. Which assessment data would support the nurse's concern?. Select all that apply.

A) Increased temperature
B) The patient saying, "My neck hurts"
C) Edema of the upper extremities
D) A hissing sound heard over the trachea on expiration
E) Bubbling secretions at the corner of the patient's mouth