A nurse is assessing a patient who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?

Impaired carbon dioxide elimination due to shunting.

Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch.

Hypoxemia due to dead space.

Decreased pulmonary compliance due to stiffness.

Answer and Explanation

Correct Answer : A,D

Choice A rationale

In ARDS, impaired carbon dioxide elimination due to shunting can occur. Shunting refers to the diversion of blood from areas of the lung that are ventilated to areas that are not, leading to impaired gas exchange.

Choice B rationale

Decreased pulmonary arterial pressure due to ventilation-perfusion (V/Q) mismatch is not a typical finding in ARDS3.

Choice C rationale

Hypoxemia due to dead space is not a typical finding in ARDS. Dead space refers to areas of the lung that are ventilated but not perfused.

Choice D rationale

Decreased pulmonary compliance due to stiffness is a typical finding in ARDS. The lungs become stiff and less compliant due to the accumulation of fluid and inflammatory cells in the alveoli and interstitial space.

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Correct Answer is A

Explanation

Choice A rationale

Drinking a full glass of water after taking the medication is a good practice when taking calcium carbonate antacids. This helps to ensure that the medication is fully swallowed and reaches the stomach, where it can neutralize stomach acid.

Choice B rationale

Limiting sodium intake is not directly related to the use of calcium carbonate antacids. While a low-sodium diet may be recommended for other health reasons, it is not a specific recommendation for patients taking this medication.

Choice C rationale

Consuming the medication alongside dairy products to enhance absorption is not recommended. Calcium carbonate antacids can interact with dairy products, potentially leading to an excessive intake of calcium.

Choice D rationale

Reducing dietary fiber to counteract the potential side effect of diarrhea is not a typical recommendation for patients taking calcium carbonate antacids. While calcium carbonate can cause constipation in some people, it does not typically cause diarrhea.

A. Gently reinsert the bowel back into the patient’s wound. B. Place the head of the patient’s bed in the flat position. C. Apply moistened sterile gauze to the site. D. Position the patient on his left side.

Correct Answer is C

Explanation

Choice A rationale

Gently reinserting the bowel back into the patient’s wound is not recommended. This could cause further harm to the patient.

Choice B rationale

Placing the head of the patient’s bed in the flat position is not the best action. This position may not provide the necessary comfort or safety for the patient.

Choice C rationale

Applying moistened sterile gauze to the site is the correct action. This helps to protect the protruding bowel and prevent further contamination until surgical intervention can be performed.

Choice D rationale

Positioning the patient on his left side is not the best action in this situation. It does not directly address the issue of the protruding bowel.

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A nurse is assessing a patient who has acute respiratory distress syndrome (ARDS). Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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