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 A

Explanation

A. Postmenopausal bleeding is a common symptom of endometrial cancer and is often one of the first signs reported by clients. It is important for the nurse to identify this symptom as it is a key indicator of potential malignancy in the endometrial lining.

B. Extreme abdominal pain with intercourse is more commonly associated with pelvic inflammatory disease or other gynecological issues rather than endometrial cancer specifically.

C. Green, malodorous vaginal discharge is more indicative of an infection, such as bacterial vaginosis or trichomoniasis, rather than endometrial cancer.

D. Unilateral swelling on the posterior of the vulva may indicate issues such as a Bartholin's gland cyst or other localized conditions, but it is not a typical manifestation of endometrial cancer.

A. Decrease in the urinary output from 50 mL to 30 mL per hour. B. Increase in the heart rate from 88 to 110/min. C. Decrease in the respiratory rate from 20 to 16/min. D. Increase in the temperature from 37.5° C (99.5° F) to 38.6° C (101.5° F).

Correct Answer is B

Explanation

A. A decrease in urinary output can be a sign of decreased blood volume but is less immediate than changes in heart rate.
B. An increase in the heart rate is a common compensatory response to hypovolemia as the body attempts to maintain adequate perfusion to vital organs.
C. A decrease in the respiratory rate is not typically associated with hypovolemic shock; rather, respiratory rate may increase due to compensatory mechanisms.
D. An increase in temperature is not a specific indicator of hypovolemic shock; it could be related to infection or inflammation rather than immediate hypovolemia.

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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 middle adult client who has just received the diagnosis of endometrial cancer. In taking a nursing history, which of the following manifestations is likely to be reported by this client?

Correct Answer is A

Explanation

A nurse is caring for a client who returns to the nursing unit from the recovery room after a sigmoid colon resection for adenocarcinoma. The client had an episode of intraoperative bleeding. Which finding indicates to the nurse that the client may be developing hypovolemic shock?

Correct Answer is B

Explanation

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