Which of the following organs are most commonly affected by MODs?
Brain, pancreas, and gallbladder
Colon, small and large intestines, and stomach
Heart, lungs, liver and kidneys
Spleen and bone marrow
The Correct Answer is C
A. Brain, pancreas, and gallbladder:
These are not the primary targets in early MODS. Brain dysfunction may follow later but is not typical initially.
B. Colon, small and large intestines, and stomach:
The GI tract can be affected, but not among the most commonly affected organs in early MODS.
C. Heart, lungs, liver, and kidneys:
These are the primary organs affected in MODS. Lung failure often presents first (as in ARDS), followed by cardiovascular, hepatic, and renal dysfunction.
D. Spleen and bone marrow:
Not typical primary targets in MODS, though immune and hematologic effects may occur.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Supine:
Lying flat can worsen ventilation/perfusion mismatch in ARDS, especially in dependent lung regions.
B. Prone:
Prone positioning improves oxygenation by promoting more even alveolar recruitment and reducing lung compression, enhancing gas exchange in ARDS.
C. Trendelenburg:
This position (head down) increases risk of aspiration and is not helpful in improving oxygenation in ARDS.
D. Sim’s:
This is a recovery position, useful in unconscious patients to prevent aspiration, but not indicated for ARDS.
Correct Answer is A
Explanation
A. ARDS is a progressive form of acute respiratory failure where the alveolar-capillary membrane becomes damaged and more permeable to intravascular fluid:
This is the accurate pathophysiology of ARDS. The damaged alveolar-capillary membrane allows fluid to leak into alveoli, impairing gas exchange.
B. ARDS is a chronic and slowly progressive form of respiratory failure:
ARDS is acute, not chronic, and progresses rapidly, often within 12–48 hours of the triggering event.
C. ARDS is primarily caused by bacterial infections in the lungs:
Although pneumonia can be a trigger, ARDS can result from many causes, including sepsis, trauma, aspiration, and pancreatitis—not only infections.
D. ARDS occurs when the alveolar-capillary membrane becomes less permeable to intravascular fluid:
In ARDS, the membrane becomes more permeable, not less, which leads to non-cardiogenic pulmonary edema.
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