RELIAS (Lippincott 11ed - Ch. 3 Test 4 - The Client
with Acute Respiratory Distress Syndrome (ARDS) -
Exam 1) ASSESSMENT GUIDE 2025
|MOST COMMON QUESTIONS(THE LATEST QUIZ)
WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
135. The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS)
in prone position for 30 minutes. Which of the following would require the nurse to discontinue
prone positioning and return the client to the supine position? Select all that apply.
1. The family is coming in to visit.
2. The client has increased secretions requiring frequent suctioning.
3. The SpO2 and PO2 have decreased.
4. The client is tachycardic with drop in blood pressure.
5. The face has increased skin breakdown and edema. - 3, 4, 5
3. The SpO2 and PO2 have decreased.
4. The client is tachycardic with drop in blood pressure.
5. The face has increased skin breakdown and edema.
The prone position is used to improve oxygenation, ventilation, and perfusion. The importance
of placing clients with ARDS in prone positioning should be explained to the family. The
positioning allows for mobilization of secretions and the nurse can provide suctioning. Clinical
judgment must be used to determine the length of time in the prone position. If the client's
hemodynamic status, oxygenation, or skin is compromised, the client should be returned to the
, supine position for evaluation. Facial edema is expected with the prone position, but the skin
breakdown is of concern.
136. The nurse has calculated a low PaO2/FIO2 (P/F) ratio less than 150 for a client with acute
respiratory distress syndrome (ARDS). The nurse should place the client in which position to
improve oxygenation, ventilation distribution, and drainage of secretions?
1. Supine.
2. Semi-Fowler's.
3. Lateral side.
4. Prone. - 4. Prone.
Prone positioning is used to improve oxygenation in clients with ARDS who are receiving
mechanical ventilation. The positioning allows for recruitment of collapsed alveolar units,
improvement in ventilation, reduction in shunting, mobilization of secretions, and improvement
in functional reserve capacity (FRC). When the client is supine, side-to-side repositioning should
be done every 2 hours with the head of the bed elevated at least 30 degrees.
137. A client with acute respiratory distress syndrome (ARDS) has fine crackles at lung bases and
the respirations are shallow at a rate of 28 breaths/min. The client is restless and anxious. In
addition to monitoring the arterial blood gas results, the nurse should do which of the
following? Select all that apply.
1. Monitor serum creatinine and blood urea nitrogen levels.
2. Administer a sedative.
3. Keep the head of the bed at.
4. Administer humidifed oxygen.
5. Auscultate the lungs. - 1, 4, 5
1. Monitor serum creatinine and blood urea nitrogen levels.
4. Administer humidifed oxygen.
5. Auscultate the lungs.
with Acute Respiratory Distress Syndrome (ARDS) -
Exam 1) ASSESSMENT GUIDE 2025
|MOST COMMON QUESTIONS(THE LATEST QUIZ)
WITH CORRECTLY
VERIFIED ANSWERS|ALREADY A+
GRADED|GUARANTEED PASS
135. The nurse has placed the intubated client with acute respiratory distress syndrome (ARDS)
in prone position for 30 minutes. Which of the following would require the nurse to discontinue
prone positioning and return the client to the supine position? Select all that apply.
1. The family is coming in to visit.
2. The client has increased secretions requiring frequent suctioning.
3. The SpO2 and PO2 have decreased.
4. The client is tachycardic with drop in blood pressure.
5. The face has increased skin breakdown and edema. - 3, 4, 5
3. The SpO2 and PO2 have decreased.
4. The client is tachycardic with drop in blood pressure.
5. The face has increased skin breakdown and edema.
The prone position is used to improve oxygenation, ventilation, and perfusion. The importance
of placing clients with ARDS in prone positioning should be explained to the family. The
positioning allows for mobilization of secretions and the nurse can provide suctioning. Clinical
judgment must be used to determine the length of time in the prone position. If the client's
hemodynamic status, oxygenation, or skin is compromised, the client should be returned to the
, supine position for evaluation. Facial edema is expected with the prone position, but the skin
breakdown is of concern.
136. The nurse has calculated a low PaO2/FIO2 (P/F) ratio less than 150 for a client with acute
respiratory distress syndrome (ARDS). The nurse should place the client in which position to
improve oxygenation, ventilation distribution, and drainage of secretions?
1. Supine.
2. Semi-Fowler's.
3. Lateral side.
4. Prone. - 4. Prone.
Prone positioning is used to improve oxygenation in clients with ARDS who are receiving
mechanical ventilation. The positioning allows for recruitment of collapsed alveolar units,
improvement in ventilation, reduction in shunting, mobilization of secretions, and improvement
in functional reserve capacity (FRC). When the client is supine, side-to-side repositioning should
be done every 2 hours with the head of the bed elevated at least 30 degrees.
137. A client with acute respiratory distress syndrome (ARDS) has fine crackles at lung bases and
the respirations are shallow at a rate of 28 breaths/min. The client is restless and anxious. In
addition to monitoring the arterial blood gas results, the nurse should do which of the
following? Select all that apply.
1. Monitor serum creatinine and blood urea nitrogen levels.
2. Administer a sedative.
3. Keep the head of the bed at.
4. Administer humidifed oxygen.
5. Auscultate the lungs. - 1, 4, 5
1. Monitor serum creatinine and blood urea nitrogen levels.
4. Administer humidifed oxygen.
5. Auscultate the lungs.
