Patient presents with dyspnea rapid, shallow breathing, inspiratory crackles, decreased lung compliance and hypoxemia. Tests reveal a fulminant form of respiratory failure characterized by acute lung inflammation and diffuse alveolocapillary injury. Which of the following is the most likely diagnosis the nurse will observe on the chart?
Acute respiratory distress syndrome ARDS
Sarcoidosis
Post operative respiratory failure
Malignant respiratory failure
The Correct Answer is A
Acute respiratory distress syndrome (ARDS) is the most likely diagnosis based on the patient's symptoms and test results. ARDS is a serious condition that can develop in response to a variety of lung injuries, including pneumonia, sepsis, and trauma. The hallmark of ARDS is diffuse alveolocapillary injury, which leads to decreased lung compliance, hypoxemia, and respiratory distress. The symptoms of ARDS typically develop rapidly and include dyspnea, rapid, shallow breathing, inspiratory crackles, and hypoxemia. Treatment for ARDS typically involves supportive care, including oxygen therapy, mechanical ventilation, and treatment of the underlying cause of the lung injury.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Orthostatic hypotension is a drop in blood pressure that occurs when a person stands up from a sitting or lying down position. To check for orthostatic hypotension, the nurse typically takes the patient's blood pressure and heart rate while the patient is lying down, then has the patient stand up for a few minutes and takes the blood pressure and heart rate again. If the blood pressure drops significantly (usually a drop of 20 mm Hg or more) and the heart rate increases, it may indicate orthostatic hypotension.
Correct Answer is D
Explanation
Tachycardia refers to a heart rate that is faster than the normal range, which is typically considered to be between 60 and 100 beats per minute in adults. A heart rate of 110 beats per minute is above the normal range and is considered tachycardia.
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