CHAPTER 27 - ACUTE RESPIRATORY DISTRESS SYNDROME
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS BRAND NEW EXAM ALREADY
GRADED A+
Which assessment finding would the nurse expect to observe in a patient
diagnosed with acute respiratory distress syndrome in the exudative
phase? Select all that apply.
a. Decreased heart rate
b. Increased respiratory rate
c. Respiratory alkalosis
d. Increased cardiac output
e. Productive cough Correct Answers b. Increased respiratory rate
c. Respiratory alkalosis
d. Increased cardiac output
Which finding in the patient's history should the nurse rule out as a
contributing factor in the development of acute respiratory distress
syndrome?
a. Pulmonary embolism
b. Recurrent pneumonia
c. Left-sided heart failure
d. Drug/alcohol overdose Correct Answers c. Left-sided heart failure
A nurse is caring for a patient diagnosed with acute respiratory distress
syndrome on mechanical ventilation. Which ventilator setting should the
nurse question?
,a. High tidal volume
b. High positive-end expiratory pressure
c. High-frequency oscillating ventilation
d. Airway pressure release ventilation Correct Answers a. High tidal
volume
The nurse is caring for a patient being treated for refractory hypoxemia
for acute respiratory distress syndrome. Which intervention should the
nurse anticipate next?
a. Apply a non-rebreather mask
b. Prepare for chest tube placement
c. Place on mechanical ventilation
d. Prepare for bedside bronchoscopy Correct Answers c. Place on
mechanical ventilation
When caring for a patient diagnosed with acute respiratory distress
syndrome who is on mechanical ventilation, the nurse should place the
patient in which position to improve oxygenation?
a. Fowler's
b. Semi-Fowler's
c. Trendelenburg's
d. Prone Correct Answers d. Prone
This or That? - ARDS
Respiratory Assessment:
, a. Auscultate heart sounds
b. Monitor pulse oximetry Correct Answers b. Monitor pulse oximetry
Rationale: Hypoxemia refractory to the administration of oxygen
therapy is common in patients who are diagnosed with ARDS; therefore,
the priority nursing action is to monitor pulse oximetry readings. A
decrease in pulse oximetry readings from the baseline occurs due to
intrapulmonary shunting. While auscultating heart sounds may be
required, it is more appropriate to auscultate lung sounds as crackles
may be present due to fluid buildup or lung sounds may be diminished
due to atelectasis and fibrotic changes in the lungs.
This or That? - ARDS
Vital Signs:
a. Monitor for bradycardia
b. Monitor for tachypnea Correct Answers b. Monitor for tachypnea
Rationale: When providing care to a patient who is diagnosed with
ARDS, the nurse should monitor vital signs closely. Symptoms of
ARDS include an increased respiratory rate, or tachypnea, so the
patient's breathing must be monitored. The hypoxemia associated with
ARDS causes tachycardia, not bradycardia. Additionally, the nurse
should monitor the patient's blood pressure, as hypotension is anticipated
due to the increased intrathoracic pressure and decreased venous return
associated with positive end-expiratory pressure (PEEP).
This or That? - ARDS
QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS BRAND NEW EXAM ALREADY
GRADED A+
Which assessment finding would the nurse expect to observe in a patient
diagnosed with acute respiratory distress syndrome in the exudative
phase? Select all that apply.
a. Decreased heart rate
b. Increased respiratory rate
c. Respiratory alkalosis
d. Increased cardiac output
e. Productive cough Correct Answers b. Increased respiratory rate
c. Respiratory alkalosis
d. Increased cardiac output
Which finding in the patient's history should the nurse rule out as a
contributing factor in the development of acute respiratory distress
syndrome?
a. Pulmonary embolism
b. Recurrent pneumonia
c. Left-sided heart failure
d. Drug/alcohol overdose Correct Answers c. Left-sided heart failure
A nurse is caring for a patient diagnosed with acute respiratory distress
syndrome on mechanical ventilation. Which ventilator setting should the
nurse question?
,a. High tidal volume
b. High positive-end expiratory pressure
c. High-frequency oscillating ventilation
d. Airway pressure release ventilation Correct Answers a. High tidal
volume
The nurse is caring for a patient being treated for refractory hypoxemia
for acute respiratory distress syndrome. Which intervention should the
nurse anticipate next?
a. Apply a non-rebreather mask
b. Prepare for chest tube placement
c. Place on mechanical ventilation
d. Prepare for bedside bronchoscopy Correct Answers c. Place on
mechanical ventilation
When caring for a patient diagnosed with acute respiratory distress
syndrome who is on mechanical ventilation, the nurse should place the
patient in which position to improve oxygenation?
a. Fowler's
b. Semi-Fowler's
c. Trendelenburg's
d. Prone Correct Answers d. Prone
This or That? - ARDS
Respiratory Assessment:
, a. Auscultate heart sounds
b. Monitor pulse oximetry Correct Answers b. Monitor pulse oximetry
Rationale: Hypoxemia refractory to the administration of oxygen
therapy is common in patients who are diagnosed with ARDS; therefore,
the priority nursing action is to monitor pulse oximetry readings. A
decrease in pulse oximetry readings from the baseline occurs due to
intrapulmonary shunting. While auscultating heart sounds may be
required, it is more appropriate to auscultate lung sounds as crackles
may be present due to fluid buildup or lung sounds may be diminished
due to atelectasis and fibrotic changes in the lungs.
This or That? - ARDS
Vital Signs:
a. Monitor for bradycardia
b. Monitor for tachypnea Correct Answers b. Monitor for tachypnea
Rationale: When providing care to a patient who is diagnosed with
ARDS, the nurse should monitor vital signs closely. Symptoms of
ARDS include an increased respiratory rate, or tachypnea, so the
patient's breathing must be monitored. The hypoxemia associated with
ARDS causes tachycardia, not bradycardia. Additionally, the nurse
should monitor the patient's blood pressure, as hypotension is anticipated
due to the increased intrathoracic pressure and decreased venous return
associated with positive end-expiratory pressure (PEEP).
This or That? - ARDS
