Respiratory Question #20


A client was brought into the emergency department for smoke inhalation following a house fire. The nurse will monitor for which early signs of acute respiratory distress syndrome? (Select all that apply)


  1. Low oxygen saturation with oxygen delivery at 80% FiO2.
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  2. Blood tinged mucous and blood gases showing respiratory alkalosis.
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  3. Tachypnea and use of accessory muscles.
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  4. Bluish nail beds and restlessness.
    • Rationale:



Early signs of ARDS include having low oxygen saturation despite oxygen administration, tachypnea, use of accessory muscles with breathing, and bluish nail beds and restlessness. There may be blood in secretions; however, the client will have initial blood gases reflecting respiratory acidosis not alkalosis.

Learning Outcomes

Test Taking Tip

Video Rationale