1) A client who was admitted for sepsis with vasopressors infusing NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. Registered Nurse, Free Care Plans, Free NCLEX Review, Nurse Salary, and much more. 6. A nurse is caring for a client who was brought into the ED complaining of chest pain and difficulty breathing. Let’s begin by discussing what shock is. A nurse in the ICU is caring for a client that has been ventilated for 2 weeks due to Acute Respiratory Distress Syndrome (ARDS). 1. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. Learn More A nurse is caring for a client with ARDS. Enter your email address below and hit "Submit" to receive free email updates and nursing tips. ANSWER D. The most common feature of all types of pneumonia is an inflammatory pulmonary response to the offending organism or agent. The results are back. What finding on the chest x-ray is indicative of ARDS? The answer is C. A hallmark sign and symptom found in ARDS is refractory hypoxemia. A pulmonary catheter is “wedged” with a balloon in the pulmonary arterial branch to measure the pressure. Therefore, the pulmonary edema is due to damage to the alveolar capillary membrane leaking fluid into the alveolar sac….NOT a heart problem ex: heart failure. Want 6,000+ more practice questions? Therefore, sepsis (infection…as long as it is outside the lungs), blood transfusion, and pancreatitis are INDIRECT causes. Select below all the INDIRECT causes of ARDS: The answers are: C, D, F Indirect causes are processes that can cause inflammation OUTSIDE of the lungs….so the issue arises somewhere outside the lungs. A pulmonary artery wedge pressure is obtained. Platelets and fluid enter the alveoli due to permeability instability. A presumptive diagnosis is made based on a tuberculin skin test, a sputum smear that is positive for acid-fast bacteria, a chest x-ray, and histological evidence of granulomatous disease on biopsy. So while you’re studying for the NCLEX, don’t forget to be sure you have an understanding of how shock manifests within the human body and how to care for shock patients. ", followed by 14654 people on Pinterest. The patient is on a 100% non-rebreather mask. A nurse must position the client prone after a diagnosis of acute respiratory distress syndrome (ARDS). ARDS (acute respiratory distress syndrome) is a type of respiratory failure that occurs when the alveolar capillary membrane leaks fluid into the alveolar sac. c. decreased transfer of oxygen into the blood because of thickening of the alveoli. “This condition develops because the exocrine glands start to work incorrectly leading to thick, copious mucous to collect in the alveoli sacs.”, B. The answer is C. Sepsis is the MOST common cause of ARDS because of systemic inflammation experienced. NCLEX Review on ARDS. Answer: A. 2) A client who was admitted for respiratory distress with normal saline infusing and a respiratory rate of 20 A nurse is using a non-rebreather mask to administer oxygen to an adult client who is in respiratory distress. Yes, the patient can be tired and confused from a low oxygen level BUT this question wants to know the HALLMARK sign and symptom. As the nurse you know that prone positioning can be beneficial for some patients with this condition. You can view your scores and the answers to all the questions by clicking on the SHOW RESULT red button at the end of the questions. When the high-pressure alarm on the mechanical ventilator sounds, the nurse starts to … Which finding below is a HALLMARK sign and symptom that the patient is developing acute respiratory distress syndrome (ARDS)? American Journal of Respiratory and Critical Care Medicine, 195(9), 1253-1263. doi: 10.1164/rccm.201703-0548ST Find interesting Nursing Courses Notes, Nursing Diagnoses, Practice with our Free NCLEX Questions, and get different nursing care plans for different medical conditions. We strive for 100% accuracy, but nursing procedures and state laws are constantly changing. b. incomplete filling of the alveoli with air because of reduced respiratory ability. When a patient is diagnosed with pulmonary fibrosis, the nurse will teach the patient about the risk for poor oxygenation because of a. too-rapid movement of blood flow through the pulmonary blood vessels. IV Flow Rate Calculations. Oncology Nursing Quiz. ARDS (acute respiratory distress syndrome) NCLEX Questions. The answer is B. Surfactant decreases surface tension in the lungs. The client is on a ventilator and requires 80 percent FiO2. Select all that apply. Select all that apply. All our NCLEX Practice questions are taken from reliable sources like Lippincott, Saunders, Kaplan … An Official American Thoracic Society/European Society of Intensive Care Medicine/Society of Critical Care Medicine Clinical Practice Guideline: Mechanical Ventilation in Adult Patients with Acute Respiratory Distress Syndrome. Musculoskeletal (NCLEX Practice Questions) question1. You’re precepting a nursing student who is assisting you care for a patient on mechanical ventilation with PEEP for treatment of ARDS. This condition can be deadly and usually develops secondary to another condition like sepsis, pneumonia, etc. Drowning, aspiration, and pneumonia are issues that arise in the lungs (therefore, they are DIRECT causes of lung injury). We designed them to simulate the real exam provided by the National Council of State Boards of Nursing (NCSBN). This quiz contain ARDS NCLEX questions.ARDS (acute respiratory distress syndrome) is a type of respiratory failure that occurs when the alveolar capillary membrane leaks fluid into the alveolar sac.This condition can be deadly and usually develops secondary to another condition like sepsis, pneumonia, etc. This quiz contain ARDS NCLEX questions. Therefore, the alveoli sacs will stay stable when a person exhales (hence the sac won’t collapse). 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