A 25-year-old cystic fibrosis client presents to the clinic in obvious respiratory distress. Following physical exam, the health care provider suspects bronchiectasis based on which of the following findings? Select all that apply
A) Crushing, substernal chest pain
B) Copious amounts of foul-smelling purulent sputum
C) Neck vein distention
D) Blood-tinged sputum
E) Wheezing throughout the lung fields
Ans: B, D, E
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Bronchiectasis is usually manifested by a chronic productive cough, often with several 100 mL of foul-smelling, purulent sputum a day. Hemoptysis is common. Dyspnea and wheezing occur in about 75% of clients. Crushing substernal chest pain and next vein distention are more suggestive of pulmonary emboli or myocardial infarction with right-sided heart failure.
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