While palpating the anterior chest, the nurse notes crackling in the skin around the patient's chest tube insertion site. The nurse recognizes this finding is:
a. Tactile fremitus
b. Egophony
c. Bronchophony
d. Crepitus
D
The nurse should document this finding as crepitus, crackling skin caused by air leaking into the subcutaneous tissues. Tactile fremitus involves palpating for vibrations as the client says "99," which indicates the presence of fluid in the chest. Bronchophony is present if the words "1, 2, 3" are clearly heard over the lungs as the nurse listens while the patient says those words. Egophony is present if the sound heard is "ay" when the nurse listens over the lung fields as the patient says "eee."
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