Answers | Graded A+ | West Coast University
1. In a scenario where a nurse is caring for multiple patients, how should they
manage their duties to prevent MRSA transmission?
By using standard precautions for all patients without additional
measures.
By limiting patient interactions to only those without infections.
By isolating all patients in private rooms regardless of their infection
status.
By using appropriate personal protective equipment (PPE) and
practicing hand hygiene between patient interactions.
2. What is the normal ejection fraction range in percentage?
55% to 70%
30% to 40%
40% to 50%
70% to 80%
3. In a clinical scenario, if a patient presents with an ejection fraction of 35%,
what nursing interventions might be prioritized?
Monitoring vital signs and administering diuretics.
Encouraging increased physical activity and hydration.
Scheduling the patient for a routine check-up in six months.
Discharging the patient with a prescription for pain medication.
,4. A RN is caring for a client who has an amphetamine overdoes and has
sensory overload. which of the following interventions should the RN
implement?
immediately complete a thorough assessment
put the client in a room with a client who has hearing loss
provide a private room and limit stimuli
5. What is the first step a nurse should take when assessing a nonverbal patient
who shows signs of restlessness and agitation?
Determine the patency of the airway
Administer O2
Suction the oropharynx
Reduce environmental stimuli
6. How could you calculate cardiac output from this graph?
You would need to be given the HR, and you could calculate it as HR
× EDV
SV/ED at any point of interest
You would need to be given the HR, and you could calculate it as HR
× ESV
You would need to be given the HR, and then you could calculate it
as HR × SV
EDV × SV at any point of interest
7. In a patient with heart failure, if preload is significantly increased, what clinical
intervention might be necessary to manage their condition?
, Increase fluid intake to improve preload.
Administer diuretics to reduce fluid overload.
Increase physical activity to strengthen the heart.
Administer vasodilators to decrease afterload.
8. If the nurse learns that the medications prescribed by the tribal leader are
herbal and the patient is experiencing side effects, what should the nurse do
next?
Ignore the side effects as they are not from prescribed medications.
Discuss the side effects with the patient and consider alternative
treatments.
Advise the patient to stop taking the herbal medications immediately.
Suggest the patient take more of the herbal medications.
9. Describe the significance of assessing for hypotension and dizziness in a
client with atrial fibrillation.
Hypotension and dizziness indicate inadequate blood flow and may
suggest hemodynamic instability.
Hypertension and headache are common in all cardiac conditions.
Nausea and vomiting are unrelated to atrial fibrillation.
Flat neck veins suggest fluid overload.
10. Describe the significance of ejection fraction in assessing heart health.
Ejection fraction is significant because it reflects the total blood
volume in the body.
Ejection fraction is significant as it measures the heart's electrical
activity.
, Ejection fraction is significant as it determines the heart rate.
Ejection fraction is significant because it indicates how well the
heart is pumping blood and can help diagnose heart conditions.
11. When setting priorities for a client with a visual alteration which of the
following is the highest priority for a client who presents to the emergency
department (ED) with eye trauma and injury?
Reducing anxiety and preventing further injury to the eye.
Learning self-care restrictions
Understanding proper use of medicated eye drops
Demonstrating understanding of the use of an eye patch.
12. Describe what an ejection fraction of 40% or less reveals about a patient's
cardiac health.
An ejection fraction of 40% or less means the patient is at risk for
stroke.
An ejection fraction of 40% or less reveals that the heart is not
pumping effectively, which can lead to heart failure.
An ejection fraction of 40% or less suggests that the patient has a
healthy heart.
An ejection fraction of 40% or less indicates that the heart is
functioning normally.
13. Which client condition indicates the highest priority for developing a plan of
care?
A client scheduled for OT @ 1300
A client who just had an appendectomy and has pain medication