Final answer:
The nurse should report the finding of bilateral breath sounds with crackles to the provider, as this indicates worsening respiratory function.
Step-by-step explanation:
The nurse should report the finding of bilateral breath sounds with crackles to the provider.
In acute respiratory distress syndrome (ARDS), the lungs become inflamed and filled with fluid, making it difficult for oxygen to be taken in and carbon dioxide to be eliminated. Crackles, which are abnormal lung sounds, are often heard in ARDS due to the presence of fluid in the lungs. This finding indicates worsening respiratory function and should be reported to the provider for further evaluation and intervention.