A nurse is assessing a patient who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?
Impaired carbon dioxide elimination due to shunting.
Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch.
Hypoxemia due to dead space.
Decreased pulmonary compliance due to stiffness.
Correct Answer : A,D
Choice A rationale
In ARDS, impaired carbon dioxide elimination due to shunting can occur. Shunting refers to the diversion of blood from areas of the lung that are ventilated to areas that are not, leading to impaired gas exchange.
Choice B rationale
Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch is not a typical finding in ARDS3.
Choice C rationale
Hypoxemia due to dead space is not a typical finding in ARDS. Dead space refers to areas of the lung that are ventilated but not perfused.
Choice D rationale
Decreased pulmonary compliance due to stiffness is a typical finding in ARDS. The lungs become stiff and less compliant due to the accumulation of fluid and inflammatory cells in the alveoli and interstitial space.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Negligence refers to conduct that falls below the standard established by law for the protection of others against unreasonable risk of harm. A nurse leaving her shift early without notifying the charge nurse could be considered negligent if it results in harm to a patient.
Choice B rationale
Battery refers to the intentional and offensive or harmful touching of another person without their consent. This does not apply to the scenario provided.
Choice C rationale
Slander involves making false spoken statements that damage a person’s reputation. This does not apply to the scenario provided.
Choice D rationale
Libel involves making false written statements that damage a person’s reputation. This does not apply to the scenario provided.
Correct Answer is D
Explanation
Choice A rationale
Propranolol is sometimes used to prevent migraines, so a history of migraines would not typically be a contraindication.
Choice B rationale
Hypothyroidism is not typically a contraindication for propranolol. However, propranolol can affect the metabolism of thyroid hormones and may mask signs of hyperthyroidism.
Choice C rationale
Propranolol is often used to treat hypertension, so a history of hypertension would not typically be a contraindication.
Choice D rationale
Propranolol is a non-selective beta-blocker, which means it blocks beta receptors in both the heart and the lungs. This can potentially cause bronchoconstriction and exacerbate asthma symptoms, so it should be used with caution in patients with a history of bronchial asthma.
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