In a patient with ARDS (Acute Respiratory Distress Syndrome), what radiographic finding is typically seen in the later stages of the disease?
Pleural effusion
Ground glass appearance followed by white patches (white out)
Consolidation of the upper lobes only
Honeycombing pattern
The Correct Answer is B
A. Pleural effusion:
Pleural effusion is fluid accumulation in the pleural space and is not a typical finding in ARDS. It may occur secondarily, but it is not the hallmark radiographic feature.
B. Ground glass appearance followed by white patches (white out):
ARDS is characterized by diffuse alveolar damage. Early stages show ground-glass opacities on imaging, progressing to bilateral “white-out” or diffuse infiltrates in later stages due to alveolar flooding and fibrosis.
C. Consolidation of the upper lobes only:
ARDS affects both lungs diffusely and is not limited to any specific lobe. Upper lobe consolidation may indicate other conditions like tuberculosis or pneumonia.
D. Honeycombing pattern:
Honeycombing is typically seen in chronic interstitial lung diseases like idiopathic pulmonary fibrosis, not ARDS.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Provide pamphlets about trafficking in the waiting room:
This is passive and not a direct intervention for a suspected case. It’s better for general education, not for urgent cases.
B. Assess the client's immediate safety risk:
This is the first and most critical step. Ensuring safety and assessing for immediate danger is a priority before further action or disclosure.
C. Ask the client directly if they are being trafficked:
While it may be appropriate later, this can be dangerous or counterproductive if safety is not first ensured or if the trafficker is nearby.
D. Document all findings without further action:
Documentation is essential, but intervention is required in suspected human trafficking - not just charting.
Correct Answer is ["B","C","D","E","H"]
Explanation
A. Antidepressants:
Not indicated in the acute management of ARDS.
B. Anticoagulants:
ARDS patients are often immobile and at risk for thromboembolism, so anticoagulants may be used prophylactically.
C. Bronchodilators:
Help relieve bronchospasm and improve airflow, especially in cases where airway resistance contributes to hypoxemia.
D. Antibiotics:
Used when infection is the underlying cause of ARDS (e.g., sepsis, pneumonia).
E. Diuretics:
Can reduce pulmonary edema, although cautiously, since aggressive diuresis may decrease perfusion.
F. Antidiabetic medications:
May be used for glucose control, but not directly indicated for ARDS treatment.
G. Antiemetics:
Not routinely used in ARDS and do not affect respiratory status.
H. Corticosteroids:
Used selectively to reduce inflammation, particularly in late-phase ARDS or COVID-19-associated ARDS.
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