The nurse is caring for a client with acute respiratory distress syndrome (ARDS). What is the most likely diagnostic test ordered in the early stages of this disease?
A) Carboxyhemoglobin level
B) Plasma brain natriuretic peptide (BNP) levels
C) ABG
D) CBC
Ans: B
Feedback: Common diagnostic tests performed in patients with potential ARDS include plasma brain natriuretic peptide (BNP) levels, echocardiography, and pulmonary artery catheterization. The BNP level is helpful in distinguishing ARDS from hemodynamic pulmonary edema. An ABG and a CBC are not diagnostic of ARDS. The carboxyhemoglobin level will be increased in a client with an inhalation injury, which commonly progresses into ARDS.
You might also like to view...
A male patient has been on long-term bicalutamide (Casodex) therapy. In order to assess adverse effects of the drug therapy, the nurse will closely monitor which of the following?
A) Visual function B) Blood counts C) Pap test results D) Liver function
Which does the nurse implement for a peripheral IV site dressing change to prevent accidental dislodgement of the IV catheter?
1. Secures IV catheter until tape is in place 2. Places folded gauze under IV catheter hub 3. Wears clean gloves to remove old dressing 4. Cleanses in circular motion away from site
A 28-year-old with psoriatic arthritis and back pain is receiving etanercept (Enbrel). Which finding is most important for the nurse to report to the health care provider?
a. Crackles are heard in both lung bases. b. Red, scaly patches are noted on the arms. c. Hemoglobin level is 11.1g/dL and hematocrit is 35%. d. Patient reports continued back pain after a week of etanercept therapy.
When visiting a family in the community, the nurse finds that a toddler has some developmental delays
When looking for a cause or contributing factor, which of the following environmental factors would the nurse identify as being the most important to assess? a. presence of asbestos in the home b. animals in the home, particularly in the child's bedroom c. lead in paint and contaminated drinking water d. level of mold and dust mites in the child's play and sleeping areas