Which clinical manifestation would the nurse expect when assessing an adult obese patient with bibasilar atelectasis?
A) Diminished chest expansion
B) Intercostal retractions on inspiration
C) Diminished breath sounds in all lung fields
D) Barrel-shaped chest
A) Diminished chest expansion
Explanation: A) The clinical presentation of atelectasis includes dyspnea, shortness of breath, tachypnea, tachycardia, and diminished chest expansion; a respiratory infection may follow. Cyanosis may be present. In very young children and thin adults who experience severe atelectasis, intercostal retractions (retraction of muscles between the ribs) may be visible during inspiration. On physical exam, breath sounds will be diminished or absent in the area of atelectasis.
B) The clinical presentation of atelectasis includes dyspnea, shortness of breath, tachypnea, tachycardia, and diminished chest expansion; a respiratory infection may follow. Cyanosis may be present. In very young children and thin adults who experience severe atelectasis, intercostal retractions (retraction of muscles between the ribs) may be visible during inspiration. On physical exam, breath sounds will be diminished or absent in the area of atelectasis.
C) The clinical presentation of atelectasis includes dyspnea, shortness of breath, tachypnea, tachycardia, and diminished chest expansion; a respiratory infection may follow. Cyanosis may be present. In very young children and thin adults who experience severe atelectasis, intercostal retractions (retraction of muscles between the ribs) may be visible during inspiration. On physical exam, breath sounds will be diminished or absent in the area of atelectasis.
D) The clinical presentation of atelectasis includes dyspnea, shortness of breath, tachypnea, tachycardia, and diminished chest expansion; a respiratory infection may follow. Cyanosis may be present. In very young children and thin adults who experience severe atelectasis, intercostal retractions (retraction of muscles between the ribs) may be visible during inspiration. On physical exam, breath sounds will be diminished or absent in the area of atelectasis.
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