Acute Respiratory Failure And ARDS N180 Stokke

17 Questions | By KimW1234 | Last updated: Mar 21, 2022 | Total Attempts: 1568

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Acute respiratory failure when it occurs can be either hypoxemic or hypersonic. As we just covered acute respiratory failure in class today there will be a text in some time. The quiz below is designed to check what we have covered and help you note areas to polish up on. Give it a try and all the best!

Questions and Answers

1.

Acute Respiratory Failure can be defined as _____________________________.
- A.
  
  Sudden life-threatening deterioration of gas exchange in the lungs
- B.
  
  Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2
- C.
  
  Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2
2.

Which of the following is NOT a type of ARF?
- A.
  
  Ventilatory failure
- B.
  
  Atelectasis
- C.
  
  Oxygenation failure
- D.
  
  None of the above
3.

In ventilatory failure, all of the following are true EXCEPT:
- A.
  
  Perfusion is normal, but ventilation is inadequate
- B.
  
  Air morvement in/out of the lungs is the problem
- C.
  
  Less oxygen in the alveoli
- D.
  
  Low CO2 levels in blood
- E.
  
  None of the above
- F.
  
  All of the above
4.

All of the following are possible causes of Ventilatory failure EXCEPT:
- A.
  
  Pulmonary embolism
- B.
  
  Pneumo/hemothorax
- C.
  
  Kyphoscoliosis
- D.
  
  Damage to the respiratory control center in the brain
- E.
  
  Decreased function of respiratory muscles
- F.
  
  None of the above
5.

All of the following are true of oxygenation failure ARF EXCEPT:
- A.
  
  Movement of air is adequate
- B.
  
  It can be caused by a PE
- C.
  
  Perfusion is inadequate
- D.
  
  None of the above
6.

CHECK ALL THAT APPLY: Which of the following are EARLY signs and symptoms of ARF?
- A.
  
  Confusion
- B.
  
  Lethargy
- C.
  
  Dyspnea
- D.
  
  Anxiety
- E.
  
  Diaphoresis
- F.
  
  Accessory muscle use
- G.
  
  Restlessness
- H.
  
  Tachycardia
- I.
  
  Decreased breath sounds
- J.
  
  Elevated BP
- K.
  
  Cyanosis
- L.
  
  Respiratory arrest/failure
7.

CHECK ALL THAT APPLY: Which of the following are ADVANCED signs and symptoms of ARF?
- A.
  
  Confusion
- B.
  
  Lethargy
- C.
  
  Dyspnea
- D.
  
  Anxiety
- E.
  
  Diaphoresis
- F.
  
  Accessory muscle use
- G.
  
  Restlessness
- H.
  
  Tachycardia
- I.
  
  Decreased breath sounds
- J.
  
  Elevated BP
- K.
  
  Cyanosis
- L.
  
  Respiratory arrest/failure
8.

Acute Respiratory Distress Syndrome (ARDS) can be defined as _____________________________.
- A.
  
  Sudden life-threatening deterioration of gas exchange in the lungs
- B.
  
  Non-cardiac pulmonary edema with increasing hypoxemia despite treatment with O2
- C.
  
  Sudden life-threatening pulmonary edema that causes a deterioration of gas exchange despite treatment with O2
9.

CHECK ALL THAT APPLY: Which of the following are the 5 characteristics of ARDS?
- A.
  
  Dyspnea
- B.
  
  Myasthenia Gravis
- C.
  
  Refractory hypoxemia
- D.
  
  Cyanosis
- E.
  
  Dense pulmonary infiltrates on CXR
- F.
  
  Decreased pulmonary compliance
- G.
  
  Non-cardiac pulmonary edema
- H.
  
  Chest pain
10.

During the Acute Exudate Phase of ARDS, ____________________ .
- A.
  
  Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance
- B.
  
  The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.
- C.
  
  Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.
11.

During the Proliferative Phase of ARDS, ____________________ .
- A.
  
  Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance
- B.
  
  The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.
- C.
  
  Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.
12.

During the Fibrotic Phase of ARDS, ____________________ .
- A.
  
  Fluids shift into the alveoli, the alveoli and bronchii collapse, and lose lung compliance
- B.
  
  The lung starts to repair itself; this is where the patient starts to get better or the condition deteriorates.
- C.
  
  Fibrous tissue forms and lungs don't expand well; the effort to breathe increases O2 demand which causes more effort to breathe.
13.

CHECK ALL THAT APPLY: Which of the following are early s/sx of ARDS?
- A.
  
  Retractions - not always (tissues between ribs and above sternum pull in)
- B.
  
  Dyspneic
- C.
  
  Non-productive cough
- D.
  
  Accessory muscle used
- E.
  
  Pallor or cyanosis
- F.
  
  Significant CXR changes; pulmonary infiltrates
- G.
  
  Restlessness
- H.
  
  CXR clear
- I.
  
  Respiratory alkalosis
- J.
  
  Respiratory acidosis
14.

CHECK ALL THAT APPLY: Which of the following are advanced s/sx of ARDS?
- A.
  
  Retractions - though not always (tissues between ribs and above sternum pull in)
- B.
  
  Dyspneic
- C.
  
  Non-productive cough
- D.
  
  Accessory muscle used
- E.
  
  Pallor or cyanosis
- F.
  
  Significant CXR changes; pulmonary infiltrates
- G.
  
  Restlessness
- H.
  
  CXR clear
- I.
  
  Respiratory alkalosis
- J.
  
  Respiratory acidosis
15.

CHECK ALL THAT APPLY: Which of the following are appropriate management interventions for ARDS?
- A.
  
  O2 therapy
- B.
  
  Maintain IV volume and IV access
- C.
  
  Ambulation
- D.
  
  Treat cause
- E.
  
  Conserve energy
- F.
  
  ABGs
- G.
  
  Monitor vitals
- H.
  
  Glucocorticoids
- I.
  
  Antibiotics
- J.
  
  Pulse Ox
- K.
  
  Turn regularly
16.

Which of the following describes the condition when partial pressure of oxygen in the blood keeps decreasing despite treatment?
- A.
  
  Treatment-resistant hypoxemia
- B.
  
  Refractory hypoxemia
- C.
  
  Refractory Hemo-deoxygenation
17.

True or False: Management of ARDS are usually only supportive, there is little we can do to reverse the process.
- A.
  
  True
- B.
  
  False