What key feature should the nurse be aware of when ventilating clients with acute respiratory distress syndrome (ARDS)?

A. High ventilation rates can cause lung injury and are generally avoided in ARDS management. B. Positive end-expiratory pressure (PEEP) is commonly used to keep alveoli open and improve oxygenation in ARDS. C. Trendelenburg position is not recommended as it may impair respiratory mechanics. D. Using low tidal volumes helps prevent ventilator-induced lung injury by minimizing alveolar overdistension in ARDS patients.