The nurse is providing care to a client admitted to the emergency department with the diagnosis of acute respiratory distress syndrome (ARDS)
When educating the client's family on the disease progress, in which order will the nurse present the material?
A) Initiation of ARDS
B) Onset of pulmonary edema
C) End-stage ARDS
D) Alveolar collapse
Answer: A, B, D, C
ARDS begins with inflammatory cellular responses and biochemical mediators that damage the alveolar-capillary membrane. Increased interstitial pressure and damage to the alveolar membrane allow fluid to enter the alveoli. The inflammatory process damages surfactant-producing cells, leading to a deficit of surfactant, increased alveolar surface tension, and alveolar collapse. Multiple-organ system dysfunction of the kidneys, liver, gastrointestinal tract, central nervous system, and cardiovascular system are the leading causes of death in ARDS.
You might also like to view...
A client has a gastrostomy tube (GT) in place. The health care provider ordered the medication p.o. What action would be appropriate for the nurse to take?
a. Dilute the p.o. medication with water and administer by GT. b. Administer the medication p.o. as ordered. c. Clarify the order with the health care provider who wrote the order. d. Clarify the order with the charge nurse.
An infant has allergies and often develops a pruritic rash when exposed to allergens. The infant's parents ask the nurse about using a topical antihistamine. What should the nurse tell them?
a. Antihistamines given by this route are not absorbed as well in children. b. Applying an antihistamine to the skin can cause toxicity in this age group. c. The child will also need oral medication to achieve effective results. d. Topical medications have fewer side ef-fects than those given by other routes.
A care provider sacrifices an animal and waves an herb-filled sack over a client who is complaining of painful joints and chest pain with exertion. This ritual represents health care during:
a. the prehistoric period. b. early civilization in Egypt. c. the Renaissance. d. the Middle Ages.
What fetal heart rate characteristics can be determined with auscultation?
A. Baseline B. Early decelerations C. Variability