ARDS NCLEX Style Questions well answered

The client diagnosed with ARDS is transferred to the intensive care department and placed on a ventilator. Which intervention should the nurse implement first? 1. Confirm that they ventilator settings are correct 2. Verify that the ventilator alarms are functioning properly 3. Assess the respiratory status and pulse oximeter reading. 4. Monitor the client's arterial blood gas results 3. Assessment is the first part of the nursing process and is the first intervention the nurse should implement when caring for a client on a ventilator. Never check the machine first. The nurse suspects the client may be developing ARDS. Which assessment data confirm the diagnosis of ARDS? 1. Low arterial oxygen when administering high concentration of oxygen 2. The client has dyspnea and tachycardia and feels anxious 3. Bilateral breath sounds clear and pulse oximeter reading is 95% 4. The client has JVD and frothy sputum 1. The classic signs of ARDS is decreased arterial oxygen level (PaO2) while administering high levels of oxygen; the oxygen is unable to cross the alveolar membrane. The client who smokes two packs of cigarettes a day develops ARDS after a near-drowning. The client asks the nurse, "What is happening to me? Why did I get this?" Which statement by the nurse is most appropriate? 1. Most people who almost drown end up developing ARDS 2. Platelets and fluid enter the alveoli due to permeability instability. 3. Your lungs are filling up with fluid, causing breathing problems 4. Smoking has caused your lungs to become weakened, so you got ARDS 3. This is the basic terms explanation of ARDS and explains why the client is having trouble breathing.