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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Positioning the client in a high-Fowler's position might not be appropriate immediately after a spinal fusion due to potential strain on the surgical site; the position should be adjusted based on specific postoperative orders.
B. The knee-chest position is not typically used postoperatively for a laminectomy with spinal fusion and could cause discomfort or complications.
C. Monitoring sensory perception of the lower extremities is crucial after spinal surgery to assess for potential complications such as nerve damage or compromised circulation.
D. Strict bed rest is not generally required for the entire first 48 hours; mobility and positioning should be based on the surgeon's recommendations and the client's tolerance.

A. Hirsutism B. Purple striations C. Hyperpigmentation D. Intention tremors

Correct Answer is C

Explanation

A. Hirsutism is more commonly associated with Cushing's syndrome due to excess androgen production. Addison's disease, on the other hand, involves insufficient production of adrenal hormones.
B. Purple striations, or striae, are a characteristic finding in Cushing's syndrome as a result of prolonged exposure to high levels of cortisol, not typically seen in Addison's disease.
C. Hyperpigmentation, particularly in areas exposed to friction or sun, is a hallmark of Addison's disease. This occurs due to increased levels of ACTH, which also stimulates melanocytes.
D. Intention tremors are typically associated with neurological disorders such as multiple sclerosis, and are not a characteristic finding in Addison's disease.

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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)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative following a laminectomy with spinal fusion. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client who is admitted for elective surgery and has a history of Addison's disease. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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