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A patient has been diagnosed with heart failure and cardiac output is decreased. Which formula can the nurse use to calculate cardiac output?

A.

Ventricular filling time/diastolic filling time

B.

Stroke volume x heart rate

C.

Myocardial contractility x myocardial blood flow

D.

Preload/afterload

Answer and Explanation

The Correct Answer is B

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.


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Correct Answer is A

Explanation

A. The tuberculin test is administered intradermally, and the needle should be inserted at a 15-degree angle to ensure the medication is delivered just under the surface of the skin.

B. A 90-degree angle is used for intramuscular injections, not for intradermal tests like the tuberculin test.

C. A 30-degree angle is commonly used for subcutaneous injections and is too deep for an intradermal injection.

D. A 45-degree angle is also used for subcutaneous injections but is not suitable for intradermal injections.

Correct Answer is B

Explanation

A. Patient-centered care emphasizes understanding the patient’s needs and preferences, but it does not specifically address practice gaps.

B. Quality improvement focuses on identifying and addressing discrepancies between current practices and best practices, aiming to improve patient care outcomes.

C. Teamwork and collaboration involve working effectively with others to provide care, not directly identifying practice gaps.

D. Safety is about preventing harm to patients, but quality improvement is more focused on systematic evaluation and process improvement.

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