What is the inherent rate of the AV (atrioventricular) node area?
40 to 60.
20 to 40.
60 to 80.
80 to 100.
The Correct Answer is A
The atrioventricular (AV) node is an essential component of the cardiac conduction system responsible for transmitting electrical impulses from the atria to the ventricles. The inherent rate of the AV node refers to its intrinsic ability to generate electrical impulses in the absence of external influences.
Here's a breakdown of each option:
A) 40 to 60:
Correct. The inherent rate of the AV node is typically 40 to 60 beats per minute (bpm). This rate is slower than that of the sinoatrial (SA) node, which has an inherent rate of 60 to 100 bpm. The AV node acts as a backup pacemaker, ensuring that the ventricles receive electrical impulses even if the SA node fails to function properly.
B) 20 to 40:
This range is not consistent with the typical inherent rate of the AV node. A rate of 20 to 40 bpm would be unusually slow and could indicate significant conduction system abnormalities rather than the normal functioning of the AV node.
C) 60 to 80:
This range is more characteristic of the inherent rate of the SA node rather than the AV node. The SA node is the primary pacemaker of the heart, and its inherent rate is typically 60 to 100 bpm.
D) 80 to 100:
Similar to option C, this range is more consistent with the inherent rate of the SA node rather than the AV node. The SA node typically has a faster intrinsic rate compared to the AV node.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Chronic kidney disease:
Chronic kidney disease (CKD) is a complication of diabetes mellitus (DM), but it typically develops over time due to long-standing hyperglycemia and its effects on the kidneys. While CKD can lead to various complications such as electrolyte imbalances and cardiovascular disease, it is not directly associated with the development of gangrenous toes.
B. Diabetic retinopathy:
Diabetic retinopathy is a complication of diabetes that affects the eyes, specifically the retina. It results from damage to the blood vessels in the retina due to prolonged hyperglycemia. While diabetic retinopathy can lead to vision impairment and blindness if left untreated, it is not directly associated with the development of gangrenous toes.
C. Peripheral neuropathy:
Peripheral neuropathy is a common complication of diabetes that results from damage to the peripheral nerves due to prolonged hyperglycemia. It can lead to sensory, motor, and autonomic nerve dysfunction. Peripheral neuropathy contributes to the development of complications such as diabetic foot ulcers and Charcot arthropathy, which can ultimately lead to gangrene if not properly managed.
D. Hypertension:
Hypertension, or high blood pressure, is a common comorbidity in individuals with diabetes mellitus. While hypertension can exacerbate complications such as diabetic nephropathy and cardiovascular disease, it is not directly associated with the development of gangrenous toes.
Correct Answer is B
Explanation
A) Nerve degeneration due to chronic gastric reflux:
Nerve degeneration due to chronic gastric reflux may lead to conditions such as gastroesophageal reflux disease (GERD) or esophagitis, but it is not directly related to the clinical presentation of intestinal obstruction. Symptoms of GERD or esophagitis typically include heartburn, regurgitation, and dysphagia rather than severe, colicky abdominal pain, nausea, vomiting, and abdominal distention.
B) Volvulus that occurred during an appendectomy:
Correct. Volvulus refers to the twisting of a segment of the intestine around its mesentery, leading to obstruction of the bowel lumen and compromising blood flow to the affected area. In this scenario, the client's clinical presentation of severe, colicky abdominal pain, nausea, vomiting, and abdominal distention is consistent with symptoms of intestinal obstruction, which can occur secondary to volvulus. Volvulus may result from various factors, including prior abdominal surgeries, such as an appendectomy, leading to abnormal positioning or adhesions within the abdomen.
C) Esophagitis due to reflux of gastric contents:
Esophagitis due to reflux of gastric contents can cause symptoms such as heartburn, chest pain, and difficulty swallowing, but it is not typically associated with severe, colicky abdominal pain, nausea, vomiting, and abdominal distention characteristic of intestinal obstruction.
D) A history of having Helicobacter pylori infection:
Helicobacter pylori infection is associated with conditions such as peptic ulcer disease and gastritis, but it is not directly related to the clinical presentation of intestinal obstruction. Symptoms of H. pylori infection may include abdominal pain, nausea, and vomiting, but they are not typically colicky and severe as those seen in intestinal obstruction.
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