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Exam NCLEX-RN topic 1 question 88 discussion

Actual exam question from Test Prep's NCLEX-RN
Question #: 88
Topic #: 1
[All NCLEX-RN Questions]

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

  • A. Distant breath sounds
  • B. Increased heart sounds
  • C. Decreased anteroposterior chest diameter
  • D. Collapsed neck veins
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Suggested Answer: A 🗳️
(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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