NUR 423 Exam 3 Study Questions and Correct Answers
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Course
NUR 423
Institution
NUR 423
Which condition is the most common indirect predisposing disorder of ARDS? a. gastric aspiration b. severe trauma c. sepsis d. pneumonia d
The pulmonary edema associated with ARDS is caused by which condition? a. capillary micro embolism b. left ventricular failure c. loss of surfactant d. injured...
NUR 423 Exam 3 Study Questions and
Correct Answers
Which condition is the most common indirect predisposing disorder of ARDS?
a. gastric aspiration
b. severe trauma
c. sepsis
d. pneumonia ✅d
The pulmonary edema associated with ARDS is caused by which condition?
a. capillary micro embolism
b. left ventricular failure
c. loss of surfactant
d. injured alveolar-capillary membrane ✅d
Permissive hypercapnia is contraindicated in which client population?
a. unstable intracranial pressure
b. pts on mechanical ventilation
c. ARDs related to traumatic injury
d. those over age 45 ✅a
Which statement correctly describes the primary purpose of CLRT?
a. prevents pneumonia
b. saves manual turning times
c. prevents decubitus ulcers
d. prevents reduced stasis of fluid and gas ✅d
Mediators that stimulate the local inflammatory response are release from which type of
activated cell?
a. platelets
b. endothelial cells
c. leukocytes
d. bacteria ✅b
How does the endothelium orchedstrate the local inflammatory response?
a. by decreasing capillary permeability
b. by promoting adhesion of WBC
c. by altering local vasomotor tone
d. by inducing thrombin generation
e. by blocking apoptosis ✅b c d
What is the primary benefit of the redness, heat and swelling associated with local
inflammation?
a. it encourages the host to protect the injury site
, b. it destroys the infective organism
c. it alters the pH of the injury area
d. it facilities entry of immune cells into the area of injury ✅d
If the host inflammatory response become generalized, what is the result?
a. a reduction in the secretion of mediators
b. increased pain at the site of injury
c. widespread involvement of endothelial cells
d. localized vasoconstriction and coagulation ✅c
The client is assessed with the following: temp 39.6C (103F), HR 110, RR 12, WBC
15,000 with greater than 10% bands; how many criteria for SIRS does this client
exhibit?
a. 1
b. 2
c. 3
d. 4 ✅c
Which statement about the pathogenesis of SIRS is accurate?
a. it is not associated with MODS
b. it is an abnormal generalized proinflammatory response
c. it is an attempt to limit inflammation
d. it is associated with an excessive anti-inflammatory response ✅b
What are the risk factors for SIRS? select all that apply
a. older age
b. immunosuppression
c. gut hypo perfusion
d. low BMI
e. malnutrition ✅a b c e
What are the most common underlying causes of SIRS? select all that apply?
a. trauma
b. autoimmune d/o
c. acute pancreatitis
d. major surgery
e. infection ✅a c d e
MODS is characterized by the dysfunction of how many organ systems?
a. one
b. two+
c. three+
d. four+ ✅b
Primary MODS can develop in response to which factor?
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