NUR 254 TEST 3 Ch.2

NUR 254 TEST 3 Ch.2
1. The nurse would carefully assess a pt with for the development of
ARDS?
Answer
Sepsis ( & aspiration are the most likely to develop ARDS)
2. A pt with ARDS are anxious all morning. They are now less responsive & difficult to
arouse.This is likely due to?
Answer
Hypercapnia (hypercarbia)
=
increase in carbon dioxide in the bloodstream
3. The nurse inspectsthe chest of a patient with ARDS and noticesthe musculature in between
the ribs "dipping in" with breathing.This would be accurately documented as?
Answer
Intercostal retractions
4. What is the reason a pt would receive Rocoronium or Succinylcholine?
Answer
- They are non-sedating, non-amnesic and non-analgesic drugs. Sometimes used in severe
ARDs pt who are mechanically ventilated and who need paralytic agents to prevent barotrauma
and have better respirations with the vent.
**Typically found inRapid Sequence Intubation (RSI) kits and used for initial intubation
5. PEEP isincreased from 5 to 10 for a pt w/ ARDS. What is a major pulmonary complication
the nurse should assess for related to this change?
Answer
Barotrauma (such as pneumothorax)
6. Which clinical manifestation is highly indicative of ARDS (as opposed to some other
complication)?
Answer
Refractory hypoxemia