Which of the following statements accurately describes acute respiratory distress syndrome (ARDS)?
Acute respiratory distress syndrome (ARDS) is a progressive form of acute respiratory failure where the alveolar-capillary membrane becomes damaged and more permeable to intravascular fluid.
ARDS is a chronic and slowly progressive form of respiratory failure.
ARDS is primarily caused by bacterial infections in the lungs.
ARDS occurs when the alveolar-capillary membrane becomes less permeable to intravascular fluid.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Providing emotional support to patients and their families during emergencies:
Emotional support is important but is not the definition of triage.
B. Performing surgical procedures on patients with life-threatening injuries:
Surgery is part of treatment, not triage. Triage precedes intervention.
C. Assessing and prioritizing patients based on the severity of their condition:
This is the correct definition of triage. It allows limited resources to be used efficiently by treating the most urgent cases first.
D. Administering medication to patients in critical condition:
Medication administration may be part of treatment, but triage is about assessment and prioritization, not interventions.
Correct Answer is C
Explanation
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.
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