A patient has been diagnosed with acute respiratory distress syndrome (ARDS). For what other health condition should the healthcare professional assess this patient for as the priority?
Pneumonia
Heart failure
Pulmonary emboli
Acute pulmonary edema
The Correct Answer is A
A. Pneumonia: Pneumonia is a common cause of acute respiratory distress syndrome (ARDS) and is associated with significant inflammation and alveolar damage. Assessing for pneumonia is a priority as it can exacerbate ARDS and lead to further respiratory compromise. Early identification and treatment of pneumonia can significantly improve the patient's outcome.
B. Heart failure: While heart failure can contribute to respiratory distress, ARDS is primarily a non-cardiogenic condition. Assessing for heart failure is important, but pneumonia is more directly linked to the development of ARDS and should be prioritized.
C. Pulmonary emboli: Although pulmonary embolism can cause acute respiratory distress, it is not the primary concern when dealing with ARDS. Assessing for embolism is important, but pneumonia is a more common and immediate concern in the context of ARDS.
D. Acute pulmonary edema: Acute pulmonary edema is usually associated with cardiac issues and is not the underlying cause of ARDS. While monitoring for pulmonary edema is necessary, pneumonia is the more relevant condition to assess in a patient diagnosed with ARDS.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtaining a STAT electrocardiogram: While obtaining an electrocardiogram (ECG) can be important in evaluating a patient's cardiac status, it is not the highest priority in the context of suspected AAA rupture. Immediate management focuses on stabilizing the patient and addressing potential hemorrhagic shock.
B. Inserting an indwelling urinary catheter: Inserting a urinary catheter may be necessary for monitoring urine output, but it is not the immediate priority when managing a suspected AAA rupture. The focus should be on life-threatening conditions first.
C. Increasing cardiac contractility: Increasing cardiac contractility may be relevant in some clinical situations, but it does not directly address the urgent need to maintain hemodynamic stability and prevent shock in a patient with suspected AAA rupture.
D. Maintaining blood pressure: Maintaining blood pressure is the highest priority intervention in this scenario. Patients with a suspected AAA rupture are at high risk for hypovolemic shock due to internal bleeding. Ensuring adequate blood pressure is critical to perfusing vital organs and stabilizing the patient before surgical intervention.
Correct Answer is A
Explanation
A. Actually, people who have the latent form of the disease won't be sick and can't spread it either: This response is accurate because individuals with latent tuberculosis infection (LTBI) do not exhibit symptoms and are not infectious. They carry the bacteria in their body, but it remains dormant and does not spread to others. Only those with active tuberculosis disease are capable of transmitting the infection through respiratory droplets.
B. Many people do manage to fight off the infection, but you are right: they can still spread it by coughing or sneezing: This statement is misleading because it implies that individuals with LTBI can spread the disease, which is not the case. Only those with active TB are contagious.
C. There isn't any real risk of them spreading it, but we would like to vaccinate everyone who's had any contact with it in the past: This response downplays the importance of understanding the difference between latent and active TB and could create confusion. Vaccination for tuberculosis (BCG vaccine) is not routinely given in the United States, and exposure alone does not necessitate vaccination.
D. If someone has been previously exposed to tuberculosis, they are particularly infectious because they are often unaware of the disease: This statement is incorrect, as individuals who have been exposed but have LTBI are not infectious. It is only those with active TB who pose a risk of spreading the infection.
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