A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

Chest physiotherapy

Diuretics

Vasodilators

Intravenous (IV) fluids

Answer and Explanation

The Correct Answer is D

A. Chest physiotherapy is used to mobilize secretions and improve lung function, not specifically for increasing stroke volume or preload.
B. Diuretics would decrease preload by removing excess fluid, which is counterproductive in a patient with inadequate stroke volume related to decreased preload.
C. Vasodilators can further decrease preload and are not appropriate in this scenario where preload needs to be increased.
D. Intravenous (IV) fluids are administered to increase preload and improve stroke volume by enhancing the circulating blood volume.

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Correct Answer is C

Explanation

A. Identifying immobility hazards requires clinical judgment and assessment skills that are beyond the scope of nursing assistive personnel.
B. Determining the level of comfort is a subjective assessment that should be done by a nurse to ensure accurate interpretation of the patient’s condition.
C. Changing the patient's position can be safely delegated to nursing assistive personnel, as it is a straightforward task that does not require advanced clinical judgment.
D. Assessing circulation involves evaluating the patient's vital signs and other parameters, which should be performed by a nurse to ensure comprehensive care and assessment.

A. Give the injection and hold pressure over the site for 3 minutes. B. Administer the injection at a slower rate. C. Withdraw the needle and prepare the injection again. D. Pull the needle back slightly and inject the medication.

Correct Answer is C

Explanation

A. Continuing with the injection after seeing blood return increases the risk of injecting into a blood vessel, which is not safe for IM injections.
B. Administering at a slower rate does not address the issue of possible intravascular injection.
C. If blood is aspirated, the correct procedure is to withdraw the needle, dispose of the medication, and prepare a new dose to prevent intravascular administration, as IM injections are meant to be given into muscle tissue, not into a vein.
D. Pulling the needle back slightly is not recommended because it does not ensure that the needle is completely out of the blood vessel.

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A patient has inadequate stroke volume related to decreased preload. Which treatment does the nurse prepare to administer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient requires repositioning every 2 hours. Which task can the nurse delegate to the nursing assistive personnel?

Correct Answer is C

Explanation

The nurse is giving an intramuscular (IM) injection. Upon aspiration, the nurse notices blood return in the syringe. What should the nurse do?

Correct Answer is C

Explanation

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