ARDS Pearson NCLEX questions well answered 2024

ARDS Pearson NCLEX questionsA client is diagnosed with acute respiratory distress syndrome (ARDS). The client's spouse asks the nurse what caused ARDS. Which etiology of indirect injury to the lungs should the nurse include in the response? (Select all that apply.) - correct answer Systemic sepsis Multiple blood transfusions Pancreatitis Rationale: Pancreatitis, systemic sepsis, and multiple blood transfusions are causes of indirect injury to the lungs. Smoke inhalation and fat embolisms are causes of direct injury to the lungs. The nurse is caring for a client with suspected acute respiratory distress syndrome (ARDS). Which symptom of ARDS should the nurse anticipate will appear within 24 to 48 hours after the initial insult? (Select all that apply.) - correct answer Shortness of breath Chest x-ray clear of infiltrates Rapid breathing Rationale: Rapid breathing and shortness of breath are two early symptoms of ARDS that manifest in the first day or two after the initial injury. On chest x-ray, no infiltrates will be noted in the early stages and lung sounds will be clear. Fluid imbalance and abnormal arterial blood gas levels will be noted later in the disease process. The nurse is caring for a client who had an episode of near-drowning 5 days ago. This morning, the nurse noted rhonchi in the lower lung lobes on auscultation. Which action by the nurse is best? - correct answer Notify the healthcare provider Rationale: Changes in lung sounds after a pulmonary injury, like near-drowning, can indicate that the client is developing acute respiratory distress syndrome (ARDS). The nurse should notify the healthcare provider of the change in the client's condition. Intubation is not necessary unless the client is in respiratory distress. Rhonchi on auscultation are not a normal finding and require the nurse to take action. It is not appropriate for the nurse to simply monitor the client without taking action to prevent a worsening of the client's condition.