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NCLEX-RN · Question #62

Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

The correct answer is A. Distant breath sounds. (A) Distant breath sounds are found in clients with emphysema owing to increased anteroposterior chest diameter, overdistention, and air trapping. (B) Deceased heart sounds arepresent because of the increased anteroposterior chest diameter. (C) A barrel- shaped chest is…

Physiological Integrity: Physiological Adaptation

Question

Which of the following would the nurse expect to find following respiratory assessment of a client with advanced emphysema?

Options

  • ADistant breath sounds
  • BIncreased heart sounds
  • CDecreased anteroposterior chest diameter
  • DCollapsed neck veins

How the community answered

(27 responses)
  • A
    93% (25)
  • C
    4% (1)
  • D
    4% (1)

Explanation

(A) Distant breath sounds are found in clients with emphysema owing to increased anteroposterior chest diameter, overdistention, and air trapping. (B) Deceased heart sounds arepresent because of the increased anteroposterior chest diameter. (C) A barrel- shaped chest is characteristic of emphysema. (D) Increased distention of neck veins is found owing to right-sided heart failure, which may be present in advanced emphysema.

Topics

#emphysema assessment#breath sounds#barrel chest#auscultation

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