NR
NR 572/ NR572 MIDTERM EXAM: ADVANCED
ACUTE CARE MANAGEMENT GUIDE| QUESTIONS &
ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)(NEW 2025/ 2026 U PDATE) -
CHAMBERLAIN
1. Adult respiratory distress syndrome (ARDS): RF due to
severe hypoxemia, resulting in lung parenchyma inflammation,
a clinical syndrome of the lungs
2. ARDS cause: an inflammatory response associated with
capillary endothelial injury and diffuse alveolar damage in
lungs. blood and plasma are leaked into the airspaces,
hypoxemia ensues.
3. systemic inflammation due to ARDS: Inflammation in the
lung may also lead to dysfunction, or shock to the kidneys,
heart, and/or muscles.
4. survivors of ARDS: varying degrees of pulmonary artery
vasoconstriction and subsequent pulmonary hypertension as
long-term complications for
5. three distinctive phases of ARDS: exudative, proliferative,
and fibrotic phases are the
NR 572
, 6. Exudative Stage: Occurs 5-7 day(systemic inflammation),
increased permeability of the alveolar-capillary barrier,
formation of protein-rich, hyalin membranes along the alveolar
walls, accumulation of high protein alveolar exudate within the
alveolar airspaces represents noncardiogenic pulmonary
edema, Extravasation of neutrophils migrate to the lung
parenchyma leading to extensive alveolar damage and diffuse
alveolar hemorrhage what stage
7. Proliferative Phase: 7-21 days, Fibroblast proliferation,
collagen deposition, and early fibrotic changes are observed
within the pulmonary interstitial as the alveolar exudate and
hyalin membranes are absorbed what phase
8. Fibrotic Phase: within several weeks, May lead to pulmonary
fibrosis
¼ of those will have significant fibrotic lung disease, restrictive
ventilatory defect on
PFTs, pulmonary fibrosis due to ARDS correlates with increased
mortality risk
9. Etiology and Risk Factors of ARDS: common cause is
infection, intrapulmonary (ex: pneumonia) or systemic (ex:
sepsis), aspiration of gastric contents, trauma, multiple blood
transfusions, severe trauma, near-drowning, lung or stem cell