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Exam (elaborations)

NUR 241 Exam -1 Questions with complete verified solutions(GRADED A+)

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NUR 241 Exam -1 Questions with complete verified solutions(GRADED A+)

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NUR 241 Exam #1 Questions with
complete verified
solutions(GRADED A+)
ions - answer The flow of _______ back and forth across the cardiac
cell membrane causes electrical impulses.


more - answer In a resting cardiac cell, there are _______ negative
ions inside the cell than outside the cell. (more or less)


follows - answer Muscle contraction _____________ depolarization.
(precedes or follows)


- slow conduction to allow time for the atria to contract and empty
contents into the ventricles
- function as a secondary pacemaker
- blocks some impulses from being conducted to the ventricles when
the atrial rate is rapid - answer What are the three main functions of
the AV node?


slower - answer The farther away the impulse originates from the
SA node, the _________ the rate. (slower or faster)


- orientation of the heart in the chest
- conduction disturbances
- electrical effects of medications and electrolytes
- mass of cardiac muscle
- presence of ischemic damage - answer An EKG provides
information about...

,0.04 - answer Each small square on an EKG represents _______
seconds.


0.2 - answer Each big square on an EKG represents ______ seconds.


5 - answer Each big square on an EKG is ______ small squares across.


- smooth and round
- positive in deflection
- *0.5 to 2.5 mm in height*
- *0.10 seconds or less in width* - answer Describe the
characteristics of normal P waves. (include range for height and
width)


0.12 (3 small blocks) - answer The QRS complex should be less than
______ seconds.


- round and slightly asymmetrical
- positive in deflection
- *amplitude less than 5 mm* - answer Describe the characteristics
of normal T waves.


0.12 and 0.2 (3 to 5 small blocks) - answer The PR interval should be
between ______ and ______ seconds.


0.12 - answer When measuring the R-R interval, if the measurement
is off by ______ seconds, the rhythm is considered to be irregular.


Count the number of R waves in a 6 second strip and multiply by 10.
- answer How is the R-R interval calculated?

, mitral valve stenosis - answer Which heart condition is associated
with rheumatic fever?


- *left lateral position* (if patient can tolerate)
- supine with HOB raised 30-45 degrees
- sitting - answer Which patient positions are appropriate when
performing a cardiovascular assessment?


at the apex with the diaphragm - answer Where is S1 best heard?


at the left and right second intercostal spaces with the diaphragm -
answer Where is S2 best heard?


at the mitral area with the bell, with patient laying on their left side
- answer Where are S3 and S4 best heard?


- normal: in children or during pregnancy
- abnormal: in adults over age 31 - answer When is S3 considered
normal? Abnormal?


right - answer Blood pressure readings tend to be higher in the
_______ arm. (right or left)


- patient should be sitting or lying supine with HOB elevated 30
degrees
- place the bell of the stethoscope over the artery
- have patient turn their head slightly away from the side being
examined
- ask patient to momentarily hold their breath
- *normally do not hear any sounds* - answer How is the carotid
artery properly auscultated?

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