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Resp Failure & ARDS NCLEXWhich is a proper nursing action for a patient in acute respiratory failure? A. Administer 100% oxygen to an intubated patient until the pathology has resolved. B. Provide chest physical therapy for patients who produce more than 30 mL of sputum per day. C. Use continuous positive airway pressure (CPAP) if the patient has weak or absent respirations. D. Administer packed red blood cells to maintain the hemoglobin level at 7 g/dL or higher. - correct answer B. Provide...

Acute Respiratory Distress Syndrome (ARDS)Does ARDS only occur in adults? - correct answer No, it has been found to occur in children as well Three alternative names of ARDS - correct answer 1. *non-cardiogenic pulmonary edema* 2. increased-permeability pulmonary edema 3. acute lung injury Define ARDS - correct answer an acute condition characterized by *bilateral pulmonary infiltrates* and *severe hypoxemia* in the absence of evidence for cardiogenic pulmonary edema (CHF) within hours t...

ARDS, Acute Respiratory Failure, ABGs1.) You're providing care to a patient who is being treated for aspiration pneumonia. The patient is on a 100% non-rebreather mask. Which finding below is a HALLMARK sign and symptom that the patient is developing acute respiratory distress syndrome (ARDS)?* A. The patient is experiencing bradypnea. B. The patient is tired and confused. C. The patient's PaO2 remains at 45 mmHg. D. The patient's blood pressure is 180/96. - correct answer The answer is C...

ARDS NCLEX Question PracticeImpaired mental status (correct answer) Insulin resistance (correct answer) Seizures (correct answer) Rationale: Re-feeding syndrome occurs as the body's response when a person is fed or given nutrients after a period of starvation. When a patient is extremely malnourished and then receives TPN with its significant nutrient formulation, the body has to adjust to receiving nutrients again, which causes shifts in electrolytes in the body. As a result, the patient m...

Lewis Ch 67 - ARDS ANS: C Arterial blood gas (ABG) analysis is most useful in this setting because ventilatory failure causes problems with CO2 retention, and ABGs provide information about the PaCO2 and pH. The other tests may also be done to help in assessing oxygenation or determining the cause of the patient's ventilatory failure. - correct answer Which diagnostic test will provide the nurse with the most specific information to evaluate the effectiveness of interventions for a patient...

Unit 5 IGGY study guide (ARDS/Ventilation)Which are extrapulmonary causes of ventilatory failure? Select all that apply a. Stroke b. Use of opioid analgesics c. Pulmonary edema d. Chronic obstructive pulmonary disease e. Massive Obesity f. Increased intracranial pressure - correct answer A,B,E,F Ventilatory failure is the result of what processes? Select all that apply a. Hematologic disease b. Defect in the respiratory control center of the brain c. Physical problem of the lungs d....

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...