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Acute Respiratory Distress (ARDS) · NCLEX Exam

A nurse recognises the importance of fluid management in ARDS. Which strategy is supported by current evidence?

  1. Liberal fluid loading to maximise perfusion regardless of lung status
  2. Conservative fluid balance after adequate initial resuscitation
  3. Strict fluid restriction with no intake until ARDS resolves
  4. Routine first-line diuresis before assessing hemodynamics
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Correct answer: Conservative fluid balance after adequate initial resuscitation

Conservative fluid strategies in ARDS (after initial resuscitation) help reduce lung edema and improve ventilator-free days and outcomes.

Difficulty: Medium Question 10 of 14

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