After a hemicolectomy to remove a colon carcinoma, a 53-year-old man develops respiratory distress. He is intubated and receives mechanical ventilation with 100% oxygen. Three days later, his arterial oxygen saturation decreases. A chest radiograph shows increasing opacification in all lung fields. A transbronchial lung biopsy specimen shows hyaline membranes lining distended alveolar ducts and sacs. Which of the following most likely represents the fundamental mechanism underlying these morphologic changes?

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Question 1 of 5

After a hemicolectomy to remove a colon carcinoma, a 53-year-old man develops respiratory distress. He is intubated and receives mechanical ventilation with 100% oxygen. Three days later, his arterial oxygen saturation decreases. A chest radiograph shows increasing opacification in all lung fields. A transbronchial lung biopsy specimen shows hyaline membranes lining distended alveolar ducts and sacs. Which of the following most likely represents the fundamental mechanism underlying these morphologic changes?

Correct Answer: D

Rationale: Acute respiratory distress syndrome (ARDS) post-surgery involves leukocyte-mediated endothelial injury, leading to hyaline membranes and diffuse alveolar damage.

Question 2 of 5

When engineers brainstorm together as a team, they make sure to

Correct Answer: B

Rationale: Effective brainstorming involves generating many ideas and building on them collaboratively, not criticizing or limiting focus.

Question 3 of 5

What assessment finding would require the nurse to stop the infusion and notify the provider if a client is receiving lidocaine IV for ventricular dysrhythmias?

Correct Answer: B

Rationale: A widened QRS complex indicates potential worsening of the dysrhythmia or toxicity.

Question 4 of 5

How should the nurse respond if a patient taking spironolactone asks if they can use a salt substitute?

Correct Answer: B

Rationale: Salt substitutes often contain potassium, which can lead to hyperkalemia when used with potassium-sparing diuretics like spironolactone.

Question 5 of 5

The human heart acts as a pump.

Correct Answer: A

Rationale: The heart's primary function is to pump blood throughout the circulatory system.

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