Acute Respiratory Distress Syndrome (ARDS) Nursing Questions

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30 Questions

What is the earliest clinical sign of acute respiratory distress syndrome?

Increased respiratory rate

What is a common clinical manifestation of pulmonary embolism?

Dyspnea

What would a nurse expect to note in a client with acute respiratory distress syndrome?

Low arterial PaO2

Why would a nurse pay special attention to the cardiovascular and respiratory systems during a physical examination?

All of the above

What is a possible complication of acute respiratory distress syndrome?

Pulmonary embolism

What is a characteristic of a client with acute respiratory distress syndrome?

Labored breathing

What is the primary goal of teaching diaphragmatic breathing to a client?

To decrease accessory muscle use and reduce the work of breathing

A client with emphysema may have an inspiratory-expiratory ratio of:

1:4

What is the onset of action of codeine?

30 minutes

What is the common feature of all types of pneumonia?

Inflamed lung tissue

What is the primary purpose of inspiratory resistive breathing?

To increase inspiratory muscle strength and endurance

What is the duration of action of codeine?

4-6 hours

What is a characteristic of a person with COPD?

A barrel-chested appearance with overly developed neck muscles

What is a symptom of heart failure associated with COPD?

Distended neck veins

What is a priority goal for the client with COPD?

Maintaining functional ability

What is a characteristic of COPD?

Diminished chest excursion

What is a goal of care for the client with COPD?

Treating infectious agents

What is a possible complication of COPD?

Heart failure

What is a common cause of exacerbations of COPD?

Respiratory infections

What is characteristic of breath sounds in a client with COPD?

Diminished breath sounds

What is a nursing intervention for a client with crackles in the left posterior base of the lungs?

Repeat auscultation after asking the client to deep breathe and cough

What is the most reliable index to determine the respiratory status of a client?

Listening and feeling for air movement

What is a characteristic of expiration in a client with COPD?

Prolonged expiration

What is a characteristic of chest movement in a client with COPD?

Decreased chest movement

What is a normal physiologic change related to aging in the respiratory system?

Decreased vital capacity

What is the primary nursing diagnosis for a 79-year-old client with pneumonia?

Ineffective airway clearance related to retained secretions

What would a nurse prioritize when assessing a client with pneumonia?

Breath sounds

What is a characteristic of pneumonia?

Infection of the lung parenchyma

What is a consequence of the inflammatory reaction in pneumonia?

Outpouring of exudate into the alveolar spaces

What is a potential complication of pneumonia?

Respiratory failure

Study Notes

Respiratory System

  • In COPD, breath sounds are diminished due to an enlarged antero-posterior diameter of the chest, and expiration becomes prolonged.

Auscultation

  • Crackles in the left posterior base may indicate fluid in the alveoli or hypoventilation, and may clear after a deep breath or cough.

Respiratory Status

  • The most reliable index to determine respiratory status is to listen and feel for air movement next to the client's mouth and nose.

Acute Respiratory Distress Syndrome

  • Earliest clinical sign is an increased respiratory rate, followed by labored breathing, air hunger, retractions, and cyanosis, with a PaO2 lower than 60 mm Hg.

Pulmonary Embolism

  • Common clinical manifestations include tachypnea, tachycardia, dyspnea, and chest pain.

Asthma and Breathing Techniques

  • Inspiratory resistive breathing can increase inspiratory muscle strength and endurance.
  • Diaphragmatic (abdominal) breathing can decrease accessory muscle use and reduce the work of breathing.
  • Pursed-lip breathing mimics a normal inspiratory-expiratory (I:E) ratio of 1:2.

Medication Administration

  • Codeine's onset of action is 30 minutes, with a peak concentration in about 1 hour, a half-life of 2.5 hours, and a duration of action of 4 to 6 hours.

Pneumonia

  • All types of pneumonia share a common feature of inflammatory pulmonary response to the offending organism or agent.
  • A priority goal for the client with pneumonia is to maintain functional ability.

COPD

  • A priority goal for the client with COPD is to manage the symptoms of the disease process to maintain functional ability.
  • Preventing infection is a goal of care for the client with COPD.

Aging and Respiration

  • A normal physiologic change related to aging is a decreased vital capacity.
  • Shallow respirations are a normal finding in the elderly, but are not a sign of respiratory distress.

Nursing Diagnosis

  • Ineffective airway clearance related to retained secretions is a priority nursing diagnosis for a client with pneumonia.

Test your knowledge of acute respiratory distress syndrome (ARDS) with these nursing questions. Learn about the signs, symptoms, and treatment options for this critical condition.

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