You are providing care to a patient who is being treated for aspiration pneumonia. The client is on a 100% non-rebreather mask. Which finding below is a HALLMARK sign and symptom that the client is developing acute respiratory distress syndrome (ARDS)?

The client is experiencing bradypnea.

The client's PaCO2 is 50 mmHg.

The client's blood pressure is 170/96.

The client's PaO2 remains at 40 mmHg

Answer and Explanation

The Correct Answer is D

A. Bradypnea is not a hallmark sign of ARDS; ARDS typically involves tachypnea or rapid breathing.
B. An elevated PaCO2 indicates hypercapnia but is not specific to ARDS.
C. Elevated blood pressure is not a specific indicator of ARDS.
D. A persistently low PaO2 despite receiving high-flow oxygen (such as from a non-rebreather mask) is a hallmark sign of ARDS, indicating severe hypoxemia and impaired gas exchange.

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Correct Answer is B

Explanation

A. Pain complaints are a common issue in skeletal traction and should be managed with appropriate interventions, but they do not warrant the removal of weights.
B. In a life-threatening situation, such as an acute deterioration in the client's condition, it is appropriate to remove the weights to address the emergency and stabilize the patient.
C. X-ray imaging should be coordinated with the traction team, but weights should not be removed solely for diagnostic procedures.
D. Repositioning in bed should be done carefully while maintaining the traction setup; removing weights is not typically required for this purpose.

A. Laparoscopic appendectomy B. Myringotomy C. Hip arthroplasty D. Cataract extraction

Correct Answer is C

Explanation

A. Laparoscopic appendectomy is a minimally invasive procedure with a lower risk of deep-vein thrombosis compared to more invasive surgeries.
B. Myringotomy is a minor ear surgery and typically does not have a significant risk of deep-vein thrombosis.
C. Hip arthroplasty is a major orthopedic surgery with a higher risk of deep-vein thrombosis due to prolonged immobility and trauma to the veins.
D. Cataract extraction is a relatively minor eye procedure with a minimal risk of deep-vein thrombosis.

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You are providing care to a patient who is being treated for aspiration pneumonia. The client is on a 100% non-rebreather mask. Which finding below is a HALLMARK sign and symptom that the client is developing acute respiratory distress syndrome (ARDS)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who sustained a femur fracture in an automobile accident and is placed into skeletal traction. The nurse may remove the weights from the traction device if which of the following occurs?

Correct Answer is B

Explanation

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Correct Answer is C

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