ACUTE RESPIRATORY DISTRESS SYNDROME NUR 2712C
EXAM QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS BRAND NEW EXAM ALREADY
GRADED A+
A patient with acute respiratory distress syndrome (ARDS) and acute
kidney injury has the following medications ordered.
Which medication should the nurse discuss with the health care provider
before giving?
a. Pantoprazole (Protonix) 40 mg IV
b. Gentamicin (Garamycin) 60 mg IV
c. Sucralfate (Carafate) 1 g per nasogastric tube
d. Methylprednisolone (Solu-Medrol) 60 mg IV Correct Answers ANS:
B
Gentamicin, which is one of the aminoglycoside antibiotics, is
potentially nephrotoxic, and the nurse should clarify the drug and
dosage with the health care provider before administration.
The other medications are appropriate for the patient with ARDS.
A patient develops increasing dyspnea and hypoxemia 2 days after heart
surgery.
,To determine whether the patient has acute respiratory distress
syndrome (ARDS) or pulmonary edema caused by heart failure, the
nurse will plan to assist with
a. obtaining a ventilation-perfusion scan.
b. drawing blood for arterial blood gases.
c. insertion of a pulmonary artery catheter.
d. positioning the patient for a chest x-ray. Correct Answers ANS: C
Pulmonary artery wedge pressures are normal in the patient with ARDS
because the fluid in the alveoli is caused by increased permeability of
the alveolar-capillary membrane rather than by the backup of fluid from
the lungs (as occurs in cardiogenic pulmonary edema.
The other tests will not help in differentiating cardiogenic from
noncardiogenic pulmonary edema.
A nurse is caring for a patient with ARDS who is being treated with
mechanical ventilation and high levels of positive end-expiratory
pressure (PEEP).
Which assessment finding by the nurse indicates that the PEEP may
need to be reduced?
a. The patients PaOz is 50 mm Hg and the SaOz is 88%.
b. The patient has subcutaneous emphysema on the upper thorax.
c. The patient has bronchial breath sounds in both the lung fields.
, d. The patient has a first-degree atrioventricular heart block with a rate
of 58. Correct Answers ANS: B
The subcutaneous emphysema indicates barotrauma caused by positive
pressure ventilation and PEEP.
Bradycardia, hypoxemia, and bronchial breath sounds are all concerns
and will need to be addressed, but they are not specific indications that
PEEP should be reduced.
Which statement by the nurse when explaining the purpose of positive
end-expiratory pressure (PEEP) to the family members of a patient with
ARDS is accurate?
a. PEEP will push more air into the lungs during inhalation.
b. PEEP prevents the lung air sacs from collapsing during exhalation.
c. PEEP will prevent lung damage while the patient is on the ventilator.
d. PEEP allows the breathing machine to deliver 100% oxygen to the
lungs. Correct Answers ANS: B
By preventing alveolar collapse during expiration, PEEP improves gas
exchange and oxygenation.
PEEP will not prevent lung damage (e.g., fibrotic changes that occur
with ARDS), push more air into the lungs, or change the fraction of
inspired oxygen (FIO) delivered to the patient.
EXAM QUESTIONS WITH DETAILED VERIFIED AND 100%
ACCURATE ANSWERS BRAND NEW EXAM ALREADY
GRADED A+
A patient with acute respiratory distress syndrome (ARDS) and acute
kidney injury has the following medications ordered.
Which medication should the nurse discuss with the health care provider
before giving?
a. Pantoprazole (Protonix) 40 mg IV
b. Gentamicin (Garamycin) 60 mg IV
c. Sucralfate (Carafate) 1 g per nasogastric tube
d. Methylprednisolone (Solu-Medrol) 60 mg IV Correct Answers ANS:
B
Gentamicin, which is one of the aminoglycoside antibiotics, is
potentially nephrotoxic, and the nurse should clarify the drug and
dosage with the health care provider before administration.
The other medications are appropriate for the patient with ARDS.
A patient develops increasing dyspnea and hypoxemia 2 days after heart
surgery.
,To determine whether the patient has acute respiratory distress
syndrome (ARDS) or pulmonary edema caused by heart failure, the
nurse will plan to assist with
a. obtaining a ventilation-perfusion scan.
b. drawing blood for arterial blood gases.
c. insertion of a pulmonary artery catheter.
d. positioning the patient for a chest x-ray. Correct Answers ANS: C
Pulmonary artery wedge pressures are normal in the patient with ARDS
because the fluid in the alveoli is caused by increased permeability of
the alveolar-capillary membrane rather than by the backup of fluid from
the lungs (as occurs in cardiogenic pulmonary edema.
The other tests will not help in differentiating cardiogenic from
noncardiogenic pulmonary edema.
A nurse is caring for a patient with ARDS who is being treated with
mechanical ventilation and high levels of positive end-expiratory
pressure (PEEP).
Which assessment finding by the nurse indicates that the PEEP may
need to be reduced?
a. The patients PaOz is 50 mm Hg and the SaOz is 88%.
b. The patient has subcutaneous emphysema on the upper thorax.
c. The patient has bronchial breath sounds in both the lung fields.
, d. The patient has a first-degree atrioventricular heart block with a rate
of 58. Correct Answers ANS: B
The subcutaneous emphysema indicates barotrauma caused by positive
pressure ventilation and PEEP.
Bradycardia, hypoxemia, and bronchial breath sounds are all concerns
and will need to be addressed, but they are not specific indications that
PEEP should be reduced.
Which statement by the nurse when explaining the purpose of positive
end-expiratory pressure (PEEP) to the family members of a patient with
ARDS is accurate?
a. PEEP will push more air into the lungs during inhalation.
b. PEEP prevents the lung air sacs from collapsing during exhalation.
c. PEEP will prevent lung damage while the patient is on the ventilator.
d. PEEP allows the breathing machine to deliver 100% oxygen to the
lungs. Correct Answers ANS: B
By preventing alveolar collapse during expiration, PEEP improves gas
exchange and oxygenation.
PEEP will not prevent lung damage (e.g., fibrotic changes that occur
with ARDS), push more air into the lungs, or change the fraction of
inspired oxygen (FIO) delivered to the patient.
