Question 1

A client asks why asthma medication is needed even though the client's last attack was several months ago.Which response by the nurse is appropriate?
A)"The medication needs to be taken or your lungs will be severely damaged and we will not be able to prevent an acute attack."
B)"The medication needs to be taken indefinitely according to your doctor,so you should discuss this with him."
C)"The medication is still needed to decrease inflammation in your airways and help prevent an attack."
D)"The medication needs to be taken for at least a year;then,if you have not had an acute attack,you can stop it."

Accepted Answer

The correct response is to explain that the medication is still needed to decrease inflammation in the airways and help prevent an attack, even if the last attack was several months ago. This will help the client understand the ongoing nature of asthma management and the importance of continued medication use. Option A may cause unnecessary anxiety and fear, while option B and D are not accurate or complete explanations.

Question 2

The nurse is providing care to a client with ARDS who has a tracheostomy.The nurse will monitor the client for complications related to the loss of which protective mechanism?
A)The ability to cough
B)Filtration and humidification of inspired air
C)Decrease in oxygen-carrying capacity of the trachea
D)The sneeze reflex initiated by irritants in the nasal passages

Accepted Answer

Filtration and humidification of inspired air are lost with a tracheostomy, which can lead to complications such as dry mucous membranes, increased risk of infection, and difficulty clearing secretions from the airway. The ability to cough is also important for airway clearance, but this can be managed with suctioning and chest physiotherapy. Decrease in oxygen-carrying capacity of the trachea is not a protective mechanism, and the sneeze reflex is not directly related to the tracheostomy.

Question 3

A nurse is teaching environmental control to the parents of a child with asthma.Which statement by the parents indicates effective teaching?
A)"We'll be sure to use the fireplace often to keep the house warm in the winter."
B)"We will replace the carpet in our child's bedroom with tile."
C)"We'll keep the plants in our child's room dusted."
D)"We're glad the dog can continue to sleep in our child's room."

Accepted Answer

Carpet can trap dust, pollen, and other allergens that can trigger asthma symptoms, so replacing it with tile or another hard surface flooring option is recommended for children with asthma. Using the fireplace and allowing a dog to sleep in the child's room can introduce smoke and pet dander, which can also trigger asthma symptoms. Dusting plants can help reduce dust buildup but may not be enough to eliminate all potential allergens in the room.

Question 4

The nurse is instructing a client who is prescribed ipratropium bromide (Atrovent)for asthma.Which should be included in this client's teaching? Select all that apply.
A)Take no more than the prescribed number of doses each day.
B)Rinse the mouth after taking this medication.
C)Take on an empty stomach.
D)Take with meals or a full glass of water.
E)Use hard candy or drink extra fluids to help with a dry mouth.

Accepted Answer

A) Appropriate teaching for a client prescribed ipratropium bromide (Atrovent) includes only taking the prescribed number of doses each day to prevent a drug overdose and the use of hard candy or extra fluids to decrease dry mouth. The mouth does not need to be rinsed after taking this medication. This medication does not need to be taken with meals or a full glass of water, or on an empty stomach.
B) Appropriate teaching for a client prescribed ipratropium bromide (Atrovent) includes only taking the prescribed number of doses each day to prevent a drug overdose and the use of hard candy or extra fluids to decrease dry mouth. The mouth does not need to be rinsed after taking this medication as this medication is not a corticosteroid, but an anticholinergic agent. This medication does not need to be taken with meals or a full glass of water, or on an empty stomach.
C) Appropriate teaching for a client prescribed ipratropium bromide (Atrovent) includes only taking the prescribed number of doses each day to prevent a drug overdose and the use of hard candy or extra fluids to decrease dry mouth. The mouth does not need to be rinsed after taking this medication is not a corticosteroid, but an anticholinergic agent. This medication does not need to be taken with meals or a full glass of water, or on an empty stomach.
D) Appropriate teaching for a client prescribed ipratropium bromide (Atrovent) includes only taking the prescribed number of doses each day to prevent a drug overdose and the use of hard candy or extra fluids to decrease dry mouth. The mouth does not need to be rinsed after taking this medication as this medication is not a corticosteroid, but an anticholinergic agent. This medication does not need to be taken with meals or a full glass of water, or on an empty stomach.
E) Appropriate teaching for a client prescribed ipratropium bromide (Atrovent) includes only taking the prescribed number of doses each day to prevent a drug overdose and the use of hard candy or extra fluids to decrease dry mouth. The mouth does not need to be rinsed after taking this medication is not a corticosteroid, but an anticholinergic agent. This medication does not need to be taken with meals or a full glass of water, or on an empty stomach.

Question 5

A client admitted with smoke inhalation injuries develops signs and symptoms of acute respiratory distress syndrome (ARDS).The nurse anticipates the healthcare provider will prescribe which course of action with regard to oxygenation?
A)Oxygen via a nasal cannula
B)Mechanical ventilation
C)Oxygen via a face mask
D)Oxygen via a Venturi mask

Accepted Answer

ARDS is a severe form of respiratory distress that requires mechanical ventilation for oxygenation support. Oxygen via a nasal cannula or face mask may not provide adequate oxygenation, and a Venturi mask may not be able to deliver high enough levels of oxygen. Mechanical ventilation allows for precise control of oxygenation and can also help prevent further damage to the lungs.

Question 6

The nurse is providing care to a client admitted after experiencing an acute asthma attack.Which assessment findings should the nurse identify as signs that the client has progressed to respiratory failure? Select all that apply.
A)Retractions and fatigue
B)Tachycardia and tachypnea
C)Inaudible breath sounds
D)Diffuse wheezing and the use of accessory muscles when inhaling
E)Reduced wheezing and an ineffective cough

Accepted Answer

In respiratory failure, the client's breathing becomes ineffective and insufficient to maintain oxygenation and carbon dioxide elimination. Inaudible breath sounds indicate severely compromised air movement, and reduced wheezing and an ineffective cough suggest a loss of air movement altogether. Retractions, fatigue, tachycardia, and tachypnea are signs of respiratory distress, but not necessarily of respiratory failure. Diffuse wheezing and the use of accessory muscles are common in acute asthma and may persist even as the client is deteriorating towards respiratory failure.

Question 7

A client with acute respiratory distress syndrome (ARDS)is being weaned from ventilatory support.Which nursing actions are appropriate for this client? Select all that apply.
A)Increase percentage of oxygen being provided through the ventilator.
B)Place in the Fowler position.
C)Provide morning care during the weaning procedures.
D)Begin weaning procedures in the morning.
E)Medicate with morphine for pain as needed.

Accepted Answer

A) Weaning a client from ventilatory support should begin in the morning when the client is well-rested. The client should be in the Fowler or high-Fowler position, as this facilitates lung expansion and reduces the work of breathing. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations, as this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The percentage of oxygen is typically reduced during the weaning process.
B) Weaning a client from ventilatory support should begin in the morning when the client is well-rested. The client should be in the Fowler or high-Fowler position, as this facilitates lung expansion and reduces the work of breathing. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations, as this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The percentage of oxygen is typically reduced during the weaning process.
C) Weaning a client from ventilatory support should begin in the morning when the client is well-rested. The client should be in the Fowler or high-Fowler position, as this facilitates lung expansion and reduces the work of breathing. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations, as this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The percentage of oxygen is typically reduced during the weaning process.
D) Weaning a client from ventilatory support should begin in the morning when the client is well-rested. The client should be in the Fowler or high-Fowler position, as this facilitates lung expansion and reduces the work of breathing. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations, as this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The percentage of oxygen is typically reduced during the weaning process.
E) Weaning a client from ventilatory support should begin in the morning when the client is well-rested. The client should be in the Fowler or high-Fowler position, as this facilitates lung expansion and reduces the work of breathing. Activities and care should be limited during the weaning process to reduce the demand for oxygen. The client should not be given any medication known to suppress respirations, as this would interfere with the weaning process. Medicating for pain would be appropriate when the client is back on the ventilator after concluding the weaning procedures. The percentage of oxygen is typically reduced during the weaning process.

Question 8

A client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration.Based on this data,which nursing diagnosis is the most appropriate?
A)Ineffective Airway Clearance
B)Impaired Tissue Perfusion
C)Ineffective Breathing Pattern
D)Activity Intolerance

Accepted Answer

The client's respiratory rate of 28 at rest and audible wheezes upon inspiration indicate difficulty breathing, which is consistent with the nursing diagnosis of Ineffective Breathing Pattern. Ineffective Airway Clearance may also be a possible diagnosis, but it is not the most appropriate choice based on the given data. Impaired Tissue Perfusion and Activity Intolerance are not directly related to the client's respiratory status.

Question 9

The nurse is caring for a woman who is 32 weeks pregnant and requires mechanical ventilation for ARDS.In addition to standard nursing interventions for adult clients with ARDS,what special interventions need to be implemented for this client?
A)Inducing labor
B)Administering nitric oxide and corticosteroids
C)Providing nutritional support
D)Fetal monitoring

Accepted Answer

A)Care for pregnant clients with ARDS who are at least at 20-24 weeks' gestation should include close fetal monitoring for potential emergency delivery. If the ARDS leads to compromised placental oxygen transfer, the neonate should be delivered immediately for the best outcome. However, not all pregnant women with ARDS will need immediate emergency delivery of the neonate. Providing nutritional support and administering nitric oxide and corticosteroids are interventions for all adult clients with ARDS, not only pregnant women.
B)Care for pregnant clients with ARDS who are at least at 20-24 weeks' gestation should include close fetal monitoring for potential emergency delivery. If the ARDS leads to compromised placental oxygen transfer, the neonate should be delivered immediately for the best outcome. However, not all pregnant women with ARDS will need immediate emergency delivery of the neonate. Providing nutritional support and administering nitric oxide and corticosteroids are interventions for all adult clients with ARDS, not only pregnant women.
C)Care for pregnant clients with ARDS who are at least at 20-24 weeks' gestation should include close fetal monitoring for potential emergency delivery. If the ARDS leads to compromised placental oxygen transfer, the neonate should be delivered immediately for the best outcome. However, not all pregnant women with ARDS will need immediate emergency delivery of the neonate. Providing nutritional support and administering nitric oxide and corticosteroids are interventions for all adult clients with ARDS, not only pregnant women.
D)Care for pregnant clients with ARDS who are at least at 20-24 weeks' gestation should include close fetal monitoring for potential emergency delivery. If the ARDS leads to compromised placental oxygen transfer, the neonate should be delivered immediately for the best outcome. However, not all pregnant women with ARDS will need immediate emergency delivery of the neonate. Providing nutritional support and administering nitric oxide and corticosteroids are interventions for all adult clients with ARDS, not only pregnant women.

Question 10

Friends of a client hospitalized with asthma would like to bring the client a gift.Which gift should the nurse recommend for this client?
A)A basket of flowers
B)A stuffed animal
C)Fruit and candy
D)A book

Accepted Answer

A book would be the best choice for a client hospitalized with asthma, as it provides a form of entertainment and distraction from their illness. Flowers and scented items may exacerbate their asthma symptoms. Stuffed animals and candy may not be appropriate for all clients or their dietary restrictions.

Question 11

The nurse working on a pediatric unit is caring for a client newly diagnosed with asthma.Which assessment data indicate impending respiratory failure and the need for immediate intervention? Select all that apply.
A)Shallow respirations
B)Slightly diminished breath sounds
C)Decreased wheezing
D)Increased crackles
E)Increased respiratory rate

Accepted Answer

A)Respiratory status can change rapidly during an acute asthma attack. Slowed, shallow respirations with significantly diminished breath sounds and decreased wheezing may indicate exhaustion and impending respiratory failure. Immediate intervention is necessary. Increased crackles are usually associated with heart failure and are not an indication of respiratory failure. An increased respiratory rate indicates respiratory compromise, but not respiratory failure.
B)Respiratory status can change rapidly during an acute asthma attack. Slowed, shallow respirations with significantly diminished breath sounds and decreased wheezing may indicate exhaustion and impending respiratory failure. Immediate intervention is necessary. Increased crackles are usually associated with heart failure and are not an indication of respiratory failure. An increased respiratory rate indicates respiratory compromise, but not respiratory failure.
C)Respiratory status can change rapidly during an acute asthma attack. Slowed, shallow respirations with significantly diminished breath sounds and decreased wheezing may indicate exhaustion and impending respiratory failure. Immediate intervention is necessary. Increased crackles are usually associated with heart failure and are not an indication of respiratory failure. An increased respiratory rate indicates respiratory compromise, but not respiratory failure.
D)Respiratory status can change rapidly during an acute asthma attack. Slowed, shallow respirations with significantly diminished breath sounds and decreased wheezing may indicate exhaustion and impending respiratory failure. Immediate intervention is necessary. Increased crackles are usually associated with heart failure and are not an indication of respiratory failure. An increased respiratory rate indicates respiratory compromise, but not respiratory failure.
E)Respiratory status can change rapidly during an acute asthma attack. Slowed, shallow respirations with significantly diminished breath sounds and decreased wheezing may indicate exhaustion and impending respiratory failure. Immediate intervention is necessary. Increased crackles are usually associated with heart failure and are not an indication of respiratory failure. An increased respiratory rate indicates respiratory compromise, but not respiratory failure.

Question 12

The nurse is planning care for a young adolescent client diagnosed with asthma.Which evidence-based age-appropriate interventions will the nurse include in the plan of care? Select all that apply.
A)Referring to a peer-led support group
B)Teaching the parents how to administer maintenance medication prior to teaching the client
C)Assessing peer support when planning care
D)Collaborating with teachers for support in the school setting
E)Telling the client to avoid medication while at school

Accepted Answer

A)Age-appropriate, evidence-based interventions for a young adolescent client diagnosed with asthma include referral to a peer-led support group, assessing peer support of the client, and collaborating with teachers to ensure the client has the necessary support in the school setting. While it is appropriate to include the parents in the educational process, the client should be taught how to administer medications prior to teaching the parents. Avoiding medication administration while in school could lead to an acute asthma attack.
B)Age-appropriate, evidence-based interventions for a young adolescent client diagnosed with asthma include referral to a peer-led support group, assessing peer support of the client, and collaborating with teachers to ensure the client has the necessary support in the school setting. While it is appropriate to include the parents in the educational process, the client should be taught how to administer medications prior to teaching the parents. Avoiding medication administration while in school could lead to an acute asthma attack.
C)Age-appropriate, evidence-based interventions for a young adolescent client diagnosed with asthma include referral to a peer-led support group, assessing peer support of the client, and collaborating with teachers to ensure the client has the necessary support in the school setting. While it is appropriate to include the parents in the educational process, the client should be taught how to administer medications prior to teaching the parents. Avoiding medication administration while in school could lead to an acute asthma attack.
D)Age-appropriate, evidence-based interventions for a young adolescent client diagnosed with asthma include referral to a peer-led support group, assessing peer support of the client, and collaborating with teachers to ensure the client has the necessary support in the school setting. While it is appropriate to include the parents in the educational process, the client should be taught how to administer medications prior to teaching the parents. Avoiding medication administration while in school could lead to an acute asthma attack.
E)Age-appropriate, evidence-based interventions for a young adolescent client diagnosed with asthma include referral to a peer-led support group, assessing peer support of the client, and collaborating with teachers to ensure the client has the necessary support in the school setting. While it is appropriate to include the parents in the educational process, the client should be taught how to administer medications prior to teaching the parents. Avoiding medication administration while in school could lead to an acute asthma attack.

Question 13

The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS).The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a decrease of cardiac output secondary to positive pressure ventilation?
A)Blood pressure increases from 88/58 mmHg to 90/60 mmHg
B)Urine output decreases from 30 mL/hr to 25 mL/hr
C)Heart rate drops from 108 bpm to 104 bpm
D)Oxygen saturation increases from 82% to 90%

Accepted Answer

A decrease in urine output indicates a decrease in cardiac output. This is a result of positive pressure ventilation increasing the pressure in the chest, which can impede blood flow back to the heart and decrease cardiac output. The other options do not indicate a decrease in cardiac output.

Question 14

A client receiving treatment for acute respiratory distress syndrome (ARDS)is demonstrating anxiety related to having to stay on the ventilator indefinitely.Which interventions by the nurse are appropriate? Select all that apply.
A)Explain about care areas specifically designed for long-term ventilatory support.
B)Dim the lights and reduce distracting noise,such as the television.
C)Instruct that intubation and ventilation are temporary measures.
D)Encourage family visits and participation in care.
E)Remain with the client as much as possible.

Accepted Answer

A)A critical illness creates anxiety for any client. For the client with ARDS, anxiety is compounded by intubation and mechanical ventilation. To reduce this client's anxiety, the nurse should encourage the family to visit and participate in care. The nurse should also remain with the client as much as possible and instruct that intubation and ventilation are temporary measures to allow the lungs to rest and heal. Explaining that there are care areas designed for long-term ventilatory support could increase the client's anxiety. The nurse should provide distractions such as television or radio and not dim the lights or turn off the television, which could also increase the client's anxiety.
B)A critical illness creates anxiety for any client. For the client with ARDS, anxiety is compounded by intubation and mechanical ventilation. To reduce this client's anxiety, the nurse should encourage the family to visit and participate in care. The nurse should also remain with the client as much as possible and instruct that intubation and ventilation are temporary measures to allow the lungs to rest and heal. Explaining that there are care areas designed for long-term ventilatory support could increase the client's anxiety. The nurse should provide distractions such as television or radio and not dim the lights or turn off the television, which could also increase the client's anxiety.
C)A critical illness creates anxiety for any client. For the client with ARDS, anxiety is compounded by intubation and mechanical ventilation. To reduce this client's anxiety, the nurse should encourage the family to visit and participate in care. The nurse should also remain with the client as much as possible and instruct that intubation and ventilation are temporary measures to allow the lungs to rest and heal. Explaining that there are care areas designed for long-term ventilatory support could increase the client's anxiety. The nurse should provide distractions such as television or radio and not dim the lights or turn off the television, which could also increase the client's anxiety.
D)A critical illness creates anxiety for any client. For the client with ARDS, anxiety is compounded by intubation and mechanical ventilation. To reduce this client's anxiety, the nurse should encourage the family to visit and participate in care. The nurse should also remain with the client as much as possible and instruct that intubation and ventilation are temporary measures to allow the lungs to rest and heal. Explaining that there are care areas designed for long-term ventilatory support could increase the client's anxiety. The nurse should provide distractions such as television or radio and not dim the lights or turn off the television, which could also increase the client's anxiety.
E)A critical illness creates anxiety for any client. For the client with ARDS, anxiety is compounded by intubation and mechanical ventilation. To reduce this client's anxiety, the nurse should encourage the family to visit and participate in care. The nurse should also remain with the client as much as possible and instruct that intubation and ventilation are temporary measures to allow the lungs to rest and heal. Explaining that there are care areas designed for long-term ventilatory support could increase the client's anxiety. The nurse should provide distractions such as television or radio and not dim the lights or turn off the television, which could also increase the client's anxiety.

Question 15

The nurse instructs a client with asthma on bronchodilator therapy.Which statement indicates client understanding of how the drug works?
A)"The medication widens the airways by causing airway muscle contraction."
B)"The medication widens the airways by causing airway muscle relaxation."
C)"The medication widens the airways by decreasing histamine production."
D)"The medication widens the airways by decreasing mucus production."

Accepted Answer

Bronchodilators work by relaxing the airway muscles, which allows for wider airflow and easier breathing. Option A is incorrect because it describes airway muscle contraction, which would narrow the airways. Option C is incorrect because histamine production is not directly related to airway muscle relaxation. Option D is incorrect because bronchodilators do not target mucus production.

Question 16

The nurse educator prepares to speak to a group of nursing students about direct and indirect insults to the lungs that may lead to the development of acute respiratory distress syndrome (ARDS).Which conditions will the nurse include in the teaching session? Select all that apply.
A)Sepsis
B)Viral pneumonia
C)Drug overdose
D)Near drowning in saltwater
E)Fractured humerus

Accepted Answer

A)ARDS is a severe form of acute respiratory failure that occurs in response to pulmonary or systemic insults. Such insults include, but are not limited to, sepsis, pulmonary infections, saltwater inhalation, and drug overdose. A fractured humerus is not a risk factor for the development of ARDS.
B)ARDS is a severe form of acute respiratory failure that occurs in response to pulmonary or systemic insults. Such insults include, but are not limited to, sepsis, pulmonary infections, saltwater inhalation, and drug overdose. A fractured humerus is not a risk factor for the development of ARDS.
C)ARDS is a severe form of acute respiratory failure that occurs in response to pulmonary or systemic insults. Such insults include, but are not limited to, sepsis, pulmonary infections, saltwater inhalation, and drug overdose. A fractured humerus is not a risk factor for the development of ARDS.
D)ARDS is a severe form of acute respiratory failure that occurs in response to pulmonary or systemic insults. Such insults include, but are not limited to, sepsis, pulmonary infections, saltwater inhalation, and drug overdose. A fractured humerus is not a risk factor for the development of ARDS.
E)ARDS is a severe form of acute respiratory failure that occurs in response to pulmonary or systemic insults. Such insults include, but are not limited to, sepsis, pulmonary infections, saltwater inhalation, and drug overdose. A fractured humerus is not a risk factor for the development of ARDS.

Question 17

The client with ARDS who is likely to have the poorest outcome is
A)a Hispanic male with pneumonia.
B)an African American male with sepsis.
C)a Caucasian female with sepsis.
D)an African American female with chest trauma.

Accepted Answer

Sepsis is a known risk factor for the development of ARDS, and African Americans have been found to have a higher incidence of sepsis compared to other racial groups. Therefore, an African American male with sepsis is likely to have the poorest outcome among the given options.

Question 18

The nurse is caring for a client admitted with septic shock.Which early clinical manifestation might indicate the development of ARDS?
A)Intercostal retractions
B)Cyanosis
C)Tachypnea
D)Tachycardia

Accepted Answer

Tachypnea is often an early clinical manifestation of ARDS, indicating the body's attempt to compensate for the oxygen deficit. Intercostal retractions, cyanosis, and tachycardia may also be present, but they are not specific to ARDS and can occur in other conditions such as septic shock.

Question 19

One primary method for preventing ARDS in hospitalized clients is
A)performing postural drainage for clients with respiratory congestion.
B)elevating the head of the bed for clients who are ingesting food.
C)providing smoking cessation literature to clients who smoke.
D)administering oxygen as ordered by the healthcare provider.

Accepted Answer

A)Aspiration of gastric contents is a major risk factor for developing ARDS. Therefore, simple interventions such as elevating the head of the bed for clients who are ingesting food can help prevent ARDS. Performing postural drainage and administering oxygen will not prevent ARDS. Although smoking may increase the risk for ARDS, it is not a direct cause of ARDS, so smoking cessation literature will not prevent ARDS in hospitalized clients.
B)Aspiration of gastric contents is a major risk factor for developing ARDS. Therefore, simple interventions such as elevating the head of the bed for clients who are ingesting food can help prevent ARDS. Performing postural drainage and administering oxygen will not prevent ARDS. Although smoking may increase the risk for ARDS, it is not a direct cause of ARDS, so smoking cessation literature will not prevent ARDS in hospitalized clients.
C)Aspiration of gastric contents is a major risk factor for developing ARDS. Therefore, simple interventions such as elevating the head of the bed for clients who are ingesting food can help prevent ARDS. Performing postural drainage and administering oxygen will not prevent ARDS. Although smoking may increase the risk for ARDS, it is not a direct cause of ARDS, so smoking cessation literature will not prevent ARDS in hospitalized clients.
D)Aspiration of gastric contents is a major risk factor for developing ARDS. Therefore, simple interventions such as elevating the head of the bed for clients who are ingesting food can help prevent ARDS. Performing postural drainage and administering oxygen will not prevent ARDS. Although smoking may increase the risk for ARDS, it is not a direct cause of ARDS, so smoking cessation literature will not prevent ARDS in hospitalized clients.

Question 20

Which data supports the nurse's assessment that a newborn with acute respiratory distress syndrome (ARDS)is improving? A)Increased PaCO₂ B)Oxygen saturation of 92% C)Pulmonary vascular resistance increases D)Thick secretions from the respiratory tract

Accepted Answer

Oxygen saturation is a critical parameter to determine if a newborn with ARDS is improving. An increase in oxygen saturation indicates that the baby's lungs are responding positively to the treatment. Increased PaCO2, elevated pulmonary vascular resistance, and thick secretions from the respiratory tract are all signs of worsening ARDS.

Quiz 15: Oxygenation

A client asks why asthma medication is needed even though the client's last attack was several months ago.Which response by the nurse is appropriate?

The nurse is providing care to a client with ARDS who has a tracheostomy.The nurse will monitor the client for complications related to the loss of which protective mechanism?

A nurse is teaching environmental control to the parents of a child with asthma.Which statement by the parents indicates effective teaching?

The nurse is instructing a client who is prescribed ipratropium bromide (Atrovent) for asthma.Which should be included in this client's teaching? Select all that apply.

A client admitted with smoke inhalation injuries develops signs and symptoms of acute respiratory distress syndrome (ARDS) .The nurse anticipates the healthcare provider will prescribe which course of action with regard to oxygenation?

The nurse is providing care to a client admitted after experiencing an acute asthma attack.Which assessment findings should the nurse identify as signs that the client has progressed to respiratory failure? Select all that apply.

A client with acute respiratory distress syndrome (ARDS) is being weaned from ventilatory support.Which nursing actions are appropriate for this client? Select all that apply.

A client diagnosed with asthma has a respiratory rate of 28 at rest with audible wheezes upon inspiration.Based on this data,which nursing diagnosis is the most appropriate?

The nurse is caring for a woman who is 32 weeks pregnant and requires mechanical ventilation for ARDS.In addition to standard nursing interventions for adult clients with ARDS,what special interventions need to be implemented for this client?

Friends of a client hospitalized with asthma would like to bring the client a gift.Which gift should the nurse recommend for this client?

The nurse working on a pediatric unit is caring for a client newly diagnosed with asthma.Which assessment data indicate impending respiratory failure and the need for immediate intervention? Select all that apply.

The nurse is planning care for a young adolescent client diagnosed with asthma.Which evidence-based age-appropriate interventions will the nurse include in the plan of care? Select all that apply.

The nurse is caring for a client diagnosed with acute respiratory distress syndrome (ARDS) .The client is intubated and placed on mechanical ventilation with positive pressure ventilation.Which assessment finding indicates a decrease of cardiac output secondary to positive pressure ventilation?

A client receiving treatment for acute respiratory distress syndrome (ARDS) is demonstrating anxiety related to having to stay on the ventilator indefinitely.Which interventions by the nurse are appropriate? Select all that apply.

The nurse instructs a client with asthma on bronchodilator therapy.Which statement indicates client understanding of how the drug works?

The nurse educator prepares to speak to a group of nursing students about direct and indirect insults to the lungs that may lead to the development of acute respiratory distress syndrome (ARDS) .Which conditions will the nurse include in the teaching session? Select all that apply.

The client with ARDS who is likely to have the poorest outcome is

The nurse is caring for a client admitted with septic shock.Which early clinical manifestation might indicate the development of ARDS?

One primary method for preventing ARDS in hospitalized clients is

Which data supports the nurse's assessment that a newborn with acute respiratory distress syndrome (ARDS) is improving?