A client's ejection fraction is 30. The nurse realizes that this ...

[nummyann]

A client's ejection fraction is 30. The nurse realizes that this measurement will have which of the following effects on the client's perfusion?
 
  1. None, since this is a normal ejection fraction
   2. Adequate perfusion to support minimal activities of daily living
   3. Decreased perfusion and may experience symptoms
   4. Increased perfusion due to increased heart rate

Question 2

A client who is at 67 years of age is asking the nurse how he will afford his hospitalization, which has now been extended and involves extremely expensive drugs. The best response by the nurse is:
 
  1. Don't worry. I'm sure everything will work out okay..
   2. You need to focus on recovering and not worry about finances..
   3. Much of your care will be covered by Medicare..
   4. I'll have someone from the business office come and talk to you about your bill..

[Eunice618]

Answer to Question 1

3. Decreased perfusion and may experience symptoms

Rationale:
Normal ejection fraction ranges from 5070. An ejection fraction of 30 is not normal. The client with an ejection fraction of 30 has a decrease in perfusion and may experience symptoms. This ejection fraction is not adequate to support minimal activities of daily living. Increasing the heart rate for some clients may improve perfusion to an extent but a sustained heart rate of 120 beats per minute could cause the cardiac output to drop leading to a further reduction in perfusion.

Answer to Question 2

3. Much of your care will be covered by Medicare..

Rationale:
The Medicare amendments to the Social Security Act and their subsequent expansions provide a national and state health insurance program that includes extremely expensive hospital care and prescription drug coverage for adults over the age of 65. Ignoring the client's concerns by telling him not to worry is not therapeutic communication and does little, if anything, to confront the client's concerns. Passing the concern to the business office does not address the client's concerns. Nurses should have some knowledge about the payment sources of their clients, especially those who have automatic coverage with Medicare because of their age.

[nummyann]

Thanks for the timely response, appreciate it

[xthemafja]

TYSM