ARDS NCLEX Guías de estudio, Notas de estudios & Resúmenes

NUR 210 (M1) - ARDS, Mechanical Vent (Invasive, CPAP, BIPAP), OSAThe nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse should assess for which earliest sign of acute respiratory distress syndrome? 1. Bilateral wheezing 2. Inspiratory crackles 3. Intercostal retractions 4. Increased respiratory rate - correct answer 4. Increased respiratory rate Rationale:The earliest detectable sign of acute respiratory distress s...

Management of the ARDS PatientARDS - 3 stages - correct answer 1. Exudative - Interstitium expands with macrophages (exudative -stuff coming out) 2. Fibroproliferative - connective tissue proliferate, formation of hyaline membrane 3. Recovery - heal and repair, can take months Definition of ARDS - correct answer 1. acute restrictive disease 2. diminishing FRC and hypoxia 3. injury to alveolar membrane resulting in: a) alveolar transudates b) decreased surfactant c) atelec...

SIRS, Sepsis, Septic Shock & ARDSWhat is SIRS? Systemic inflammatory response syndrome What is the pathophysiology for SIRS? Tissue injury secondary to activation of inflammatory system that may officer with non-infectious disorder What are the signs and symptoms of SIRS? 1) Temperature of above 38 degrees or below 36 degrees 2) Respiratory rate of >20 3) PaCO2 of below 4.3 kpa (hyperventilating) 4) White blood cell count of >1200/mm3 or <4000/mm3 or >10% ...

Resp. Failure and ARDS - Questions The nurse is caring for a 27-yr-old man with multiple fractured ribs from a motor vehicle crash. Which clinical manifestation, if experienced by the patient, is an early indication that the patient is developing respiratory failure? A. Tachycardia and pursed lip breathing B. Kussmaul respirations and hypotension C. Frequent position changes and agitation D. Cyanosis and increased capillary refill time - correct answer ANS: C A change in mental status i...

ARDS MedicationsDrugs used in treating respiratory failure depend on the underlying cause of the failure and the need for intubation and mechanical ventilation - correct answer Beta-adrenergic (sympathomimetic) or anticholinergic medications may be administered by inhalation to promote bronchodilation Box 37. B Neuromuscular Blockers (Nondepolarizing neuromuscular blockers) - correct answer atracurium besylate (Tracrium) cisatracurium (Nimbex) pancuronium bromide (Pavulon) rocuronium (...

ARDSWhat is the histopathologic counter part of ARDS? What does it demonstrate? - correct answer Diffuse alveolar damage Demonstrates diffuse damage to the alveolar-capillary interface, resulting in exudative edema and hyaline membrane formation What is the major cause of death in patients with ARDS? - correct answer Multi-organ failure What is a common complication of ARDS a couple weeks into the illness? Why? - correct answer PTX -- ARDS involves destruction of lung tissue -- 2nd week i...

Pearson - ARDS - NCLEXA. Multiple blood transfusions B. Systemic sepsis D. Pancreatitis - correct answer A 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.) A. Multiple blood transfusions B. Systemic sepsis C. Fat embolism D. Pancreatitis E. Smoke inhalation A. Shortness of breath B. R...

Exam 2: ARDS/RF (NCLEX)The nurse is assessing a client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse should assess for which earliest sign of acute respiratory distress sysndrome? a. Bilateral wheezing b. Inspiratory crackles c. Intercostal retractions d. Increased respiratory rate - correct answer D When assessing a 22-year-old patient who required emergency surgery and multiple transfusions 3 days ago, the nurse finds that the patien...

Med/Surg: ARDSARDS - correct answer sudden, progressive form of acute respiratory failure Most common precipitating injuries of ARDS - correct answer sepsis, gastric aspiration, severe massive trauma What happens to the alveoli in ARDS - correct answer Alveolar capillary membrane becomes damaged and more permeable to intravascular fluid, capillary membrane that surrounds the alveolar sac starts to leak fluid, leads to gas exchange where it shouldn't be occurring, leads to hypoxemia How...

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 imple...