A 23-year-old patient who has had bronchiectasis since childhood is likely to have which of the following:

A. Barrel-shaped chest
B. Clubbing
C. Pectus excavatum
D. Prolonged capillary refill


ANS: B
In bronchiectasis, there is usually a history of chronic, productive cough. Sputum is typically mucopurulent and produced in increased amounts. Other common findings include shortness of breath, wheezing, fatigue, and possibly hemoptysis. Physical examination reveals rhonchi and/or wheezing. In advanced disease, clubbing and cyanosis may be present.

Nursing

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