ARDS Quiz

Which of the following would lead the nurse to suspect that a client with a fracture of the right femur may be developing a fat embolus?

Acute respiratory distress syndrome

A firefighter who was involved in extinguishing a house fire is being treated for smoke inhalation. He develops severe hypoxia 48 hours after the incident, requiring intubation and mechanical ventilation. Which of the following conditions has he most likely developed?

Acute respiratory distress syndrome (ARDS)

CHECK ALL THAT APPLY: Which of the following are the 5 characteristics of ARDS? Dyspnea Myasthenia Gravis Refractory hypoxemia Cyanosis Dense pulmonary infiltrates on CXR Decreased pulmonary compliance Non-cardiac pulmonary edema Chest pain

DYSPNEA REFRACTORY HYPOXEMIA DENSE PULMONARY INFILTRATES ON CXR DECREASED PULMONARY COMPLIANCE NON-CARDIAC PULMONARY EDEMA

CHECK ALL THAT APPLY: Which of the following are early s/sx of ARDS? Retractions - not always (tissues between ribs and above sternum pull in) Dyspneic Non-productive cough Accessory muscle used Pallor or cyanosis Significant CXR changes; pulmonary infiltrates Restlessness CXR clear Respiratory alkalosis Respiratory acidosis

DYSPNEIC NON-PRODUCTIVE COUGH RESTLESSNESS CXR CLEAR RESPIRATORY ALKALOSIS

During the Fibrotic Phase of ARDS, ____________________ .

Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.

During the Acute Exudate Phase of ARDS, ____________________

Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance

A nurse is assessing a female client with multiple trauma who is at risk for developing acute respiratory distress syndrome. The nurse assesses for which earliest sign of acute respiratory distress syndrome?

Increased respiratory rate

A male client suffers acute respiratory distress syndrome as a consequence of shock. The client's condition deteriorates rapidly, and endotracheal (ET) intubation and mechanical ventilation are initiated. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to check for the cause. Which condition triggers the high-pressure alarm?

Kinking of the ventilator tubing

A black male client with asthma seeks emergency care for acute respiratory distress. Because of this client's dark skin, the nurse should assess for cyanosis by inspecting the:

Mucous membranes

Acute Respiratory Distress Syndrome (ARDS) can be defined as _____________________________.

Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2

A nurse is taking pulmonary artery catheter measurements of a male client with acute respiratory distress syndrome. The pulmonary capillary wedge pressure reading is 12mm Hg. The nurse interprets that this readings is:

Normal and expected

CHECK ALL THAT APPLY: Which of the following are advanced s/sx of ARDS? Retractions - though not always (tissues between ribs and above sternum pull in) Dyspneic Non-productive cough Accessory muscle used Pallor or cyanosis Significant CXR changes; pulmonary infiltrates Restlessness CXR clear Respiratory alkalosis Respiratory acidosis

RETRACTIONS ACCESSORY MUSCLE USED PALLOR OR CYANOSIS SIGNIFICANT CXR CHANGES; PULMONARY INFILTRATES RESPIRATORY ACIDOSIS

A male client has been admitted with chest trauma after a motor vehicle accident and has undergone subsequent intubation. A nurse checks the client when the high-pressure alarm on the ventilator sounds, and notes that the client has absence of breathe sounds in right upper lobe of the lung. The nurse immediately assesses for other signs of:

Right pneumothorax

True or False: Management of ARDS are usually only supportive, there is little we can do to reverse the process

TRUE

During the Proliferative Phase of ARDS, ____________________

The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.