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A nurse is teaching a health class about the heart. Which information from the class members indicates teaching by the nurse is successful for the flow of blood through the heart, starting in the right atrium?

A.

Left atrium, right ventricle, left ventricle

B.

Left atrium, left ventricle, right ventricle

C.

Right ventricle, left atrium, left ventricle

D.

Right ventricle, left ventricle, left atrium

Answer and Explanation

The Correct Answer is A

A. Blood flow starts from the right atrium, moves into the right ventricle, then to the lungs, where it is oxygenated and returns to the left atrium, and then flows into the left ventricle before being pumped into the aorta.  

 

B. This sequence incorrectly places the left atrium before the right ventricle, which is not the correct flow of blood.  

 

C. This sequence starts incorrectly with the right ventricle, skipping the left atrium entirely after blood is oxygenated.  

 

D. This option also incorrectly starts with the right ventricle and does not include the proper sequence of blood flow.


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Correct Answer is B

Explanation

A. Ventricular filling time and diastolic filling time are not formulas used to calculate cardiac output; they pertain to the phases of the cardiac cycle.

B. Cardiac output is calculated by multiplying stroke volume (the amount of blood ejected by the heart with each beat) by heart rate (the number of beats per minute). This formula accurately reflects the overall volume of blood the heart pumps in one minute.

C. Myocardial contractility and myocardial blood flow are important factors in cardiac function but do not directly provide a formula for calculating cardiac output.

D. Preload and afterload are factors that affect stroke volume but are not used to calculate cardiac output directly.

Correct Answer is B

Explanation

A. Increasing activity level may be unrealistic for a patient on strict bed rest due to a pelvic fracture.

B. Repositioning every 2 hours is a realistic and achievable goal for a patient on bed rest to prevent complications such as pressure ulcers and maintain circulation.

C. Using a walker for ambulation may not be feasible immediately after a pelvic fracture.

D. Transferring with a sliding board may not be safe or appropriate in the early stages post-injury, especially if bed rest is required.

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