The nurse who is assessing a client's chest tube insertion site notices a fine crackling sound and feeling upon palpating the area.What action should the nurse take?

Question

Quizplus · Accepted Answer

The presence of fine crackling sounds and palpable crepitus (a crunchy feeling) around a chest tube insertion site may indicate subcutaneous emphysema, which is the result of air escaping into the tissues. This may be a serious complication and requires collaboration with the client's physician for further evaluation and management. It is not necessary to discontinue the chest tube suction or remove the tube unless specifically ordered by the physician. Reinforcing the chest tube dressing may be done as needed, but is not the priority action in this situation.

The Nurse Who Is Assessing a Client's Chest Tube Insertion