You are providing care to a patient who is being treated for aspiration pneumonia. The client is on a 100% non-rebreather mask. Which finding below is a HALLMARK sign and symptom that the client is developing acute respiratory distress syndrome (ARDS)?
The client is experiencing bradypnea.
The client's PaCO2 is 50 mmHg.
The client's blood pressure is 170/96.
The client's PaO2 remains at 40 mmHg
The Correct Answer is D
A. Bradypnea is not a hallmark sign of ARDS; ARDS typically involves tachypnea or rapid breathing.
B. An elevated PaCO2 indicates hypercapnia but is not specific to ARDS.
C. Elevated blood pressure is not a specific indicator of ARDS.
D. A persistently low PaO2 despite receiving high-flow oxygen (such as from a non-rebreather mask) is a hallmark sign of ARDS, indicating severe hypoxemia and impaired gas exchange.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. High-dose corticosteroid therapy can lead to hypokalemia (low potassium levels) as corticosteroids can increase potassium excretion.
B. Hypomagnesemia (low magnesium) is not a typical result of corticosteroid use; magnesium levels are not commonly affected in this context.
C. Hyperkalemia (high potassium) is less likely with corticosteroids, which usually lead to potassium loss.
D. Hypermagnesemia (high magnesium) is not related to corticosteroid therapy and is less relevant to the condition being treated.
Correct Answer is C
Explanation
A. Fresh fruits and vegetables can be contaminated with bacteria and should be avoided or thoroughly washed to prevent infections in clients with neutropenia.
B. The client should monitor their temperature daily, not just weekly, as an elevated temperature can indicate an infection.
C. Avoiding crowds is important for clients with neutropenia to reduce the risk of exposure to infectious agents.
D. While mild exercise can be beneficial, the priority for clients with neutropenia is to avoid potential sources of infection, which includes avoiding public places where infections might be more prevalent.
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