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 A

Explanation

A. Fresh flowers and potted plants should be avoided in the room of a client with neutropenia because they can harbor bacteria and fungi, which can increase the risk of infection.
B. Oral fluid intake should be encouraged throughout the day to maintain hydration and support overall health, rather than restricting it to between meals.
C. While activities that could result in bleeding should be managed cautiously, the primary concern for a client with neutropenia is the risk of infection, not bleeding.
D. Restricting all visitors is not necessary unless directed by specific protocols; rather, visitors should follow strict hygiene practices to prevent infection.

A. Subcutaneous nodules on the ulnar side of the arm. B. Pitting edema of the hands and fingers. C. A grey colored, non-purpuric papular rash. D. A dry, red rash across the bridge of the nose and on the cheeks.

Correct Answer is D

Explanation

A. Subcutaneous nodules are not typically associated with SLE; they are more characteristic of rheumatoid arthritis.
B. Pitting edema of the hands and fingers is more common in conditions such as heart failure or renal disease, rather than SLE.
C. A grey-colored, non-purpuric papular rash is not characteristic of SLE. SLE rashes are usually different in appearance.
D. A dry, red rash across the bridge of the nose and on the cheeks, commonly referred to as a butterfly rash, is a classic manifestation of SLE.

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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

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Correct Answer is A

Explanation

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Explanation

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