NCLEX-RN Question #62: Real Exam Question with Answer & Explanation

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 character

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

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.

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