Nokea
What is the approximate stroke volume of the heart?
- A. Approximately 60 mL of blood per beat
- B. Approximately 70 mL of blood per beat
- C. Approximately 80 mL of blood per beat
- D. Approximately 90 mL of blood per beat
Correct Answer: B
Rationale: The correct answer is B (Approximately 70 mL of blood per beat). The average human stroke volume is around 70 mL. This volume represents the amount of blood ejected by the left ventricle in each contraction. It is important to note that stroke volume can vary depending on factors such as age, fitness level, and cardiac health. Choices A, C, and D are incorrect because they do not align with the typical range of stroke volume in a healthy adult. Option A (60 mL) is slightly below the average, while options C (80 mL) and D (90 mL) are above the typical range. Therefore, the best approximation for stroke volume in the heart is around 70 mL per beat.
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If Mr. Cook does not take his hydrochlorothiazide every day because it causes nocturia, it would be important to first
- A. tell him that you understand but that he must take the medicine as prescribed
- B. discuss the role of diuretics in the treatment of hypertension
- C. ascertain how much medicine he is taking as well as what time of the day he takes his diuretic
- D. encourage more potassium in his diet
Correct Answer: C
Rationale: Understanding the timing and dosage helps tailor interventions.
What is a severe and often sudden allergic reaction that can lead to breathing difficulties and anaphylactic shock?
- A. Anaphylaxis
- B. Allergic rhinitis
- C. Bronchospasm
- D. Asthma attack
Correct Answer: A
Rationale: The correct answer is A: Anaphylaxis. Anaphylaxis is a severe and sudden allergic reaction that can lead to breathing difficulties and anaphylactic shock due to the body's extreme immune response. Allergic rhinitis (B) is a milder allergic reaction affecting the nose and eyes. Bronchospasm (C) is a sudden constriction of the muscles in the airways, often associated with asthma. Asthma attack (D) refers to the exacerbation of asthma symptoms but does not necessarily involve anaphylactic shock.
Which term describes an abnormal heartbeat that can be either too fast or too slow?
- A. Arrhythmia
- B. Bradycardia
- C. Tachycardia
- D. Conductivity
Correct Answer: A
Rationale: The correct answer is A: Arrhythmia. An arrhythmia refers to an abnormal heartbeat rhythm, which can be too fast (tachycardia) or too slow (bradycardia). Arrhythmia encompasses both of these irregularities. Choice B, bradycardia, specifically refers to a slow heartbeat, while choice C, tachycardia, specifically refers to a fast heartbeat. Choice D, conductivity, is not directly related to the speed or rhythm of the heartbeat, making it an incorrect choice.
The client is on digoxin and has severe digoxin toxicity. What is the nursing priority action?
- A. Check the potassium level.
- B. Give Digibind as an antidote.
- C. Change the dosing of digoxin to every other day.
- D. Administer a potassium supplement to decrease digoxin toxicity.
Correct Answer: B
Rationale: The correct answer is B: Give Digibind as an antidote. Digibind is the specific antidote for severe digoxin toxicity. It works by binding to the excess digoxin in the body, preventing it from exerting its toxic effects. This action helps to rapidly reduce the digoxin levels in the body and reverse the toxicity. Checking the potassium level (choice A) is important but not the priority when the client is experiencing severe toxicity. Changing the dosing of digoxin (choice C) or administering a potassium supplement (choice D) would not address the immediate need to counteract the toxicity. The priority is to administer Digibind to quickly neutralize the digoxin and prevent further harm.
What type of therapy delivers high concentrations of oxygen to the lungs?
- A. Oxygen therapy
- B. Ventilator therapy
- C. Mechanical ventilation
- D. CPAP therapy
Correct Answer: A
Rationale: The correct answer is A: Oxygen therapy. This type of therapy delivers high concentrations of oxygen to the lungs to improve oxygen levels in the blood. Ventilator therapy (B) involves mechanical breathing assistance, not just oxygen delivery. Mechanical ventilation (C) is a broader term encompassing various types of mechanical respiratory support beyond just oxygen. CPAP therapy (D) is continuous positive airway pressure used to treat sleep apnea, not specifically for delivering high concentrations of oxygen. Therefore, oxygen therapy is the most direct and specific choice for delivering high concentrations of oxygen to the lungs.