ARDS Nursing Sem 4 (Lewis) Questions with Correct Answers
Question 1:
Which diagnostic test will provide the nurse with the most specific information to evaluate the
effectiveness of interventions for a patient with ventilatory failure?
A. Chest x-ray
B. O2 saturation
C. Arterial blood gas analysis
D. Central venous pressure monitoring
Answer:
C. Arterial blood gas analysis
Question 2:
While caring for a patient who has been admitted with a pulmonary
embolism, the nurse notes a change in the patient's oxygen saturation (SpO2) from 94% to
88%. Which action should the nurse take?
A. Suction the patient's oropharynx.
B. Increase the prescribed O2 flow rate.
C. Instruct the patient to cough and deep breathe.
D. Help the patient to sit in a more upright position.
Answer:
B. Increase the prescribed O2 flow rate.
Question 3:
The nurse is caring for a patient with pulmonary fibrosis. Which is the appropriate nursing
intervention included in respiration therapy? lateral rotation therapy
hemodynamic monitoring red blood cell transfusion
crystalloid fluid administration lateral rotation therapy
A patient with acute respiratory
Answer:
lateral rotation therapy
Question 4:
Gentamicin, which is one of the aminoglycoside antibiotics, is potentially nephrotoxic, and the
nurse should clarify the drug and dosage with the health care provider before administration.
The other drugs are appropriate for the patient with ARDS.
What is the arterial oxygen/fraction of expired oxygen (PaO2/FIO2) ratio in ARDS? less than 200
greater than 400
, greater than 300
between 200 and 300 ANS A
Less than 200.
Answer:
less than 200
Question 5:
maintain the cardiac output? Select all that apply. Administer diuretics.
Administer inotropic drugs. Administer crystalloid or colloid fluids.
Increase the level of hemoglobin in the blood. Lower the positive end-expiratory pressure
(PEEP).
Answer:
B, C, E
Question 6:
(PEEP) is lowered to maintain the same balance as that of the cardiac output. Patients
undergoing nutritional therapy are placed on fluid restriction and diuretics. The oxygen-carrying
capacity of the blood is measured by the number of red blood
cells. Transfusion of packed red blood cells
increases hemoglobin and in turn increases the oxygen carrying capacity of the blood.
A patient with acute respiratory
distress syndrome (ARDS) develops multiple organ dysfunction
Answer:
cells. Transfusion of packed red blood cells
Question 7:
Acute respiratory distress syndrome (ARDS) is a systemic injury that involves multiple organs.
The lungs are affected first; they are the most sensitive to inflammation. The liver is affected by
shock states in ARDS. Kidney dysfunctions are caused by a renal failure. The intestines are
compromised after the vital organs like kidneys, liver, and heart are affected
A nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and
high levels of positive end-expiratory
A. The patient's PaO2 is 50 mm Hg and the SaO2 is 88%.
B. The patient has subcutaneous emphysema on the upper thorax.
C. The patient has bronchial breath sounds in both the lung fields.
D. The patient has a first-degree atrioventricular heart block with a rate of 58 beats/min.
Answer:
B. The patient has subcutaneous emphysema on the upper thorax.
Question 1:
Which diagnostic test will provide the nurse with the most specific information to evaluate the
effectiveness of interventions for a patient with ventilatory failure?
A. Chest x-ray
B. O2 saturation
C. Arterial blood gas analysis
D. Central venous pressure monitoring
Answer:
C. Arterial blood gas analysis
Question 2:
While caring for a patient who has been admitted with a pulmonary
embolism, the nurse notes a change in the patient's oxygen saturation (SpO2) from 94% to
88%. Which action should the nurse take?
A. Suction the patient's oropharynx.
B. Increase the prescribed O2 flow rate.
C. Instruct the patient to cough and deep breathe.
D. Help the patient to sit in a more upright position.
Answer:
B. Increase the prescribed O2 flow rate.
Question 3:
The nurse is caring for a patient with pulmonary fibrosis. Which is the appropriate nursing
intervention included in respiration therapy? lateral rotation therapy
hemodynamic monitoring red blood cell transfusion
crystalloid fluid administration lateral rotation therapy
A patient with acute respiratory
Answer:
lateral rotation therapy
Question 4:
Gentamicin, which is one of the aminoglycoside antibiotics, is potentially nephrotoxic, and the
nurse should clarify the drug and dosage with the health care provider before administration.
The other drugs are appropriate for the patient with ARDS.
What is the arterial oxygen/fraction of expired oxygen (PaO2/FIO2) ratio in ARDS? less than 200
greater than 400
, greater than 300
between 200 and 300 ANS A
Less than 200.
Answer:
less than 200
Question 5:
maintain the cardiac output? Select all that apply. Administer diuretics.
Administer inotropic drugs. Administer crystalloid or colloid fluids.
Increase the level of hemoglobin in the blood. Lower the positive end-expiratory pressure
(PEEP).
Answer:
B, C, E
Question 6:
(PEEP) is lowered to maintain the same balance as that of the cardiac output. Patients
undergoing nutritional therapy are placed on fluid restriction and diuretics. The oxygen-carrying
capacity of the blood is measured by the number of red blood
cells. Transfusion of packed red blood cells
increases hemoglobin and in turn increases the oxygen carrying capacity of the blood.
A patient with acute respiratory
distress syndrome (ARDS) develops multiple organ dysfunction
Answer:
cells. Transfusion of packed red blood cells
Question 7:
Acute respiratory distress syndrome (ARDS) is a systemic injury that involves multiple organs.
The lungs are affected first; they are the most sensitive to inflammation. The liver is affected by
shock states in ARDS. Kidney dysfunctions are caused by a renal failure. The intestines are
compromised after the vital organs like kidneys, liver, and heart are affected
A nurse is caring for a patient with ARDS who is being treated with mechanical ventilation and
high levels of positive end-expiratory
A. The patient's PaO2 is 50 mm Hg and the SaO2 is 88%.
B. The patient has subcutaneous emphysema on the upper thorax.
C. The patient has bronchial breath sounds in both the lung fields.
D. The patient has a first-degree atrioventricular heart block with a rate of 58 beats/min.
Answer:
B. The patient has subcutaneous emphysema on the upper thorax.
