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Author Question: The nurse caring for a client admitted with septic shock is aware of the need to assess for the ... (Read 46 times)

jayhills49

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The nurse caring for a client admitted with septic shock is aware of the need to assess for the development of acute respiratory distress syndrome (ARDS). Which early clinical manifestation would indicate the development of ARDS?
 
  A) Intercostal retractions
  B) Cyanosis
  C) Tachypnea
  D) Tachycardia

Question 2

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) Septic shock
  B) Viral pneumonia
  C) Aspirin overdose
  D) Head injury
  E) Angioplasty



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elyse44

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Answer to Question 1

Answer: C

Dyspnea and tachypnea are early clinical manifestations of ARDS. As the distress progresses, the client would demonstrate an increasing respiratory rate, intercostal retractions, and use of accessory muscles, as well as tachycardia. Cyanosis is a late manifestation.

Answer to Question 2

Answer: A, B, C, 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, hemorrhagic or septic shock, smoke inhalation, aspiration, viral pneumonias, propoxyphene or aspirin overdose, burns, head injuries, pancreatitis, and multiple transfusions. Angioplasty, a percutaneous interventions, does not lead to the development of ARDS. However, undergoing an open heart surgery with cardiopulmonary bypass could lead to the development of ARDS.




elyse44

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