A patient who is 72 hours postoperative repair of ...

Adult CCRN/PCCN Certification Practice Test

Question Number 4

A patient who is 72 hours postoperative repair of a bowel obstruction suddenly demonstrates shortness of breath and his respiratory rate increases from 22 to 45/min. His SpO2 went from 95% to 88% acutely. An arterial blood gas sample obtained while the patient is receiving oxygen via a nasal cannula at 6L/min reveals the following results: pH 7.40 pCO2 27 pO2 50 A chest x-ray is obtained and a "ground-glass-like appearance" is reported. Auscultation of the lungs reveals diffuse crackles that were not present previously. The findings described above should lead the nurse to believe that the patient has:

A. Acute respiratory distress syndrome

B. A pulmonary embolus

C. A spontaneous pneumothorax

D. Aspiration pneumonia

✔ Correct Answer:

A. Acute respiratory distress syndrome

Adult CCRN/PCCN Certification Practice Test

Question Number 4

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