The nurse is providing care to a client with an infected leg wound. The client is exhibiting symptoms of a systemic infection and is receiving intravenous antibiotics. The client states to the nurse, "I am having trouble breathing."
Based on this data, which does the nurse suspect the client is experiencing?
A) Allergic response from antibiotic therapy
B) Deep vein thrombosis
C) Acute respiratory distress syndrome
D) Anemia
Answer: C
Sepsis is the most common cause of acute respiratory distress syndrome (ARDS). The client has a systemic infection, which is sepsis, and is complaining that it is getting hard to breathe. The nurse should suspect the client is developing acute respiratory distress. Deep vein thrombosis, anemia, or allergic response from antibiotic therapy may or may not be associated with a systemic infection from an infected leg wound and are not associated with the development of ARDS.
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