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Exam NCLEX-PN topic 6 question 87 discussion

Actual exam question from Test Prep's NCLEX-PN
Question #: 87
Topic #: 6
[All NCLEX-PN Questions]

A nurse is teaching a client newly diagnosed with Emphysema about the disease process. Which of the following statements best explains the problems associated with emphysema and could be adapted for use in the nurses discussion with the client?

  • A. Hyperactivity of the medium-sized bronchi caused by an inflammatory response leads to wheezing and tightness in the chest.
  • B. Larger than normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways.
  • C. Vasodilation, congestion, and mucosal edema cause a chronic cough and sputum production.
  • D. Chloride is not being transported properly, producing excess absorption of water and sodium, and thick viscous mucus.
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Suggested Answer: B 🗳️
Larger-than-normal air spaces and loss of elastic recoil cause air to be trapped in the lung and collapse airways. Emphysema is a breakdown of the elastin and fiber network of the alveoli where the alveoli enlarge or the walls are destroyed. This alveolar destruction leads to the formation of larger-than-normal air spaces.
Emphysema is one of a group of pulmonary diseases of a chronic nature characterized by increased resistance to airflow; the entity is part of chronic obstructive pulmonary disease (COPD). Physiological Adaptation

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