ARDS nclex questions with correct answers graded A+ passed

ARDS nclex questions Which S&S distinguish hypoxemia from hypercapnic respiratory failure? SATA a. Cyanosis b. Tachypnea c. Morning headache d. Paradoxical breathing e. Use of pursed lip breathing - correct answer A, B, D A: Cynosis is a late sign of hypoxemia B: Tachypnea is a sign of hypoxemia D: Paradoxical breathing is a late sign of hypoxmeia C & E are S&S of Hypercapnia A nurse is reviewing the health records of five clients. Which of the following clients are at risk for developing ARDS? (SATA) a. A client who experienced a near drowning b. A client following coronary artery bypass graft surgery c. A client who has a hemoglobin of 15.1 mg/dL d. A client who has dysphagia E. A client who experienced acute drug toxicity - correct answer A: CORRECT - near drowning incident is at risk for developing ARDS due to trauma to lungs and cerebral edema. B: CORRECT - at risk for developing ARDS due to trauma to chest C: NO - hemoglobin of 15.1 is within expected range. Client with low hemoglobin as at risk for ARDS D: CORRECT - difficulty swallowing and risk for aspiration E: CORRECT - damage to central nervous system An important consideration in selecting an 02 delivery device for the patient with acute hypoxemic respiratory failure is to a. Always start with noninvasive positive pressure ventilation b. Apply a low flow device, such as a nasal cannula or face mask c. Be able to correct the PaO2 to a normal level as quickly as possible d. Base the selection on the patients condition and amount of FIO2 needed - correct answer D The most common early manifestations of ARDS that the nurse may see are a. Dyspnea and tachypnea b. Cyanosis and apprehension c. Respiratory distress and frothy sputum d. Bradycardia and increased work of breathing - correct answer A Interventions used in managing the patient with ARDS includes SATA a. IV injection of surfactant b. Aggressive IV fluid resuscitation c. Giving adequate analgesia and sedation d. Elevating the HOB 30-45 degrees when supine e. Monitoring hemodynamic parameters and daily weights - correct answer C, D, E - keep pt dry - IV injection - could cause bleeding WHich intervention is most likely to prevent or limit volutrauma in the pt with ARDS who is mechanically ventilated? a. Increasing PEEP b. Increasing the inspiratory flow rate c. Use of low tidal volume ventilation d. Suctioning the patient via endotracheal tube hourly - correct answer C - pt with ARDS are ventilated with a low VT of 4-8 ml/Kg - low VT ventilation has reduced mortality and risk for volutrauma