U0138 Honda Element is defined as Knock Sensor Circuit Range Performance (Bank 1 or Single Sensor). This refers to camshaft timing, which in this case is over-retarded. Any code that causes the vehicle's engine to die while running should be fixed as soon as possible, as it can be dangerous for both the vehicle and the passengers of the vehicle.
Possible Causes :
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It should be pretty close to battery voltage (12 volts). If not, then this is the circuit that has the problem. With the valve disconnected, the red voltmeter lead should be attached to the IMRC valve power wire and the black voltmeter lead connected to ground. If the engine displays a miss and there wasn't a code, determine which cylinder is misfiring. If the exhaust manifold is visible, spay or pour a small amount of water on each cylinder exhaust port. Water will evaporate immediately on good cylinders and slowly on the missing cylinder. If this can't be accomplished pull the plugs and check the condition.
Diagnostic trouble code U0138 Honda Element is not difficult to diagnose and repair. Thus, it always pays to have a qualified technician to look after your vehicle should this error code arise.
Diagnosing this code requires the engine to be in good running shape, without unmetered air entering the engine. If other codes that relates to misfiring condition, lean running or air entering the engine is present, then you must first fix those error codes before U0138 Honda Element.
Fortunately, U0138 Honda Element is a fairly common OBD code, meaning that it applies to all makes and models of vehicles made after 1996.