All of the following chest assessment findings may be seen in a patient with cystic fibrosis EXCEPT:
a. decreased tactile and vocal fremitus.
b. dull percussion note.
c. diminished breath sounds.
d. decreased heart sounds.
B
Due to the airway obstruction and retained secretions, the following chest assessment findings would be expected: decreased or increased tactile and vocal fremitus, hyperresonant percussion note, diminished breath sounds, diminished heart sounds, and bronchial breath sounds (over atelectasis). A hyperresonant percussion note would be expected with the hyperinflation of alveoli, not a dull percussion note.
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