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Questions and Answers

What happens when both the SA node and the AV node fail in their pacemaker function?

  • The atria will generate impulses independently from the ventricles.
  • The heart will continue beating at the SA node rate.
  • The heart stops beating completely.
  • The ventricles will spontaneously depolarize at a rate of 30 to 40 impulses per minute. (correct)
  • Which phase of the cardiac action potential is characterized by the plateau due to calcium influx?

  • Phase 2 (correct)
  • Phase 3
  • Phase 1
  • Phase 0
  • During which phase does early cellular repolarization begin as potassium exits the intracellular space?

  • Phase 0
  • Phase 2
  • Phase 4
  • Phase 1 (correct)
  • What initiates the depolarization of the atrial and ventricular myocytes?

    <p>Sodium influx through fast channels.</p> Signup and view all the answers

    Which property differentiates the depolarization of the SA and AV node cells from that of myocytes?

    <p>They depolarize when calcium enters through slow channels.</p> Signup and view all the answers

    What characterizes the resting phase of the cardiac action potential?

    <p>Return of the cell to its resting state before the next depolarization.</p> Signup and view all the answers

    Which structure is involved in transmitting impulses to the Purkinje fibers in the ventricular myocardium?

    <p>AV bundle (bundle of His).</p> Signup and view all the answers

    Which phase of the cardiac action potential is marked by the completion of repolarization?

    <p>Phase 3</p> Signup and view all the answers

    What distinguishes an opening snap from an S3 sound?

    <p>It has a high-pitched, snapping quality.</p> Signup and view all the answers

    What is the cause of a systolic click sound?

    <p>Opening of a rigid and calcified valve.</p> Signup and view all the answers

    Which of the following is NOT a characteristic used to describe murmurs?

    <p>Blood pressure level.</p> Signup and view all the answers

    What is the primary function of the pericardium?

    <p>To encase and support the heart</p> Signup and view all the answers

    During which phase of the cardiac cycle can a friction rub be heard?

    <p>In both systole and diastole.</p> Signup and view all the answers

    Which heart chambers are responsible for receiving blood?

    <p>Left atrium and right atrium</p> Signup and view all the answers

    Where is an opening snap best heard using a stethoscope?

    <p>Medial to the apical area.</p> Signup and view all the answers

    What structure separates the left and right ventricles?

    <p>Interventricular septum</p> Signup and view all the answers

    What causes a murmur to occur?

    <p>Increased blood flow through normal structures.</p> Signup and view all the answers

    What is a common reason for confusion between a friction rub and a murmur?

    <p>Both can be heard in systole and diastole.</p> Signup and view all the answers

    What type of valves separates the atria from the ventricles?

    <p>Atrioventricular valves</p> Signup and view all the answers

    What occurs during myocardial infarction?

    <p>Death of heart muscle due to lack of oxygen</p> Signup and view all the answers

    What condition may lead to the presence of murmurs during normal blood flow?

    <p>Hyperthyroidism.</p> Signup and view all the answers

    Which layer of the heart is responsible for the heart's contraction?

    <p>Myocardium</p> Signup and view all the answers

    What function does the pericardial fluid serve?

    <p>Reduces friction during heart movements</p> Signup and view all the answers

    Which part of the heart initiates the contraction sequence?

    <p>Right atrium</p> Signup and view all the answers

    What is not a function of blood?

    <p>Production of hormones</p> Signup and view all the answers

    Which component is not a characteristic of blood?

    <p>Dark red color in arterial blood</p> Signup and view all the answers

    What is a common finding in patients with cardiac disorders?

    <p>Hemoptysis</p> Signup and view all the answers

    Which of the following statements about plasma is incorrect?

    <p>Plasma contains no proteins</p> Signup and view all the answers

    What do hemocytoblasts develop into after birth?

    <p>Both A and B</p> Signup and view all the answers

    Which organ synthesizes albumin and clotting factors?

    <p>Liver</p> Signup and view all the answers

    Red blood cells are characterized by which of the following?

    <p>Biconcave discs</p> Signup and view all the answers

    Which physiological process is plasma NOT primarily involved in?

    <p>Production of red blood cells</p> Signup and view all the answers

    What does an abnormal lymph node presentation, such as being fixed or hard, typically suggest?

    <p>Cancer</p> Signup and view all the answers

    How is the degree of liver enlargement measured?

    <p>By the number of fingerbreadths it extends below the rib border</p> Signup and view all the answers

    Which skin condition is a common indicator of red blood cell disorders?

    <p>Pallor or pasty skin</p> Signup and view all the answers

    Which hormone is produced by the kidneys in response to hypoxia?

    <p>Erythropoietin</p> Signup and view all the answers

    Where is the best location to assess color changes in individuals with dark skin?

    <p>Sclera and conjunctiva</p> Signup and view all the answers

    What skin finding is most likely associated with bleeding disorders?

    <p>Petechiae</p> Signup and view all the answers

    What is the function of intrinsic factor in relation to vitamin B12?

    <p>It protects vitamin B12 from digestion.</p> Signup and view all the answers

    What happens to RBCs after they live for 120 days?

    <p>They are phagocytized by macrophages in several organs.</p> Signup and view all the answers

    Which of the following is a key component of assessing the cardiovascular system?

    <p>Physical assessment</p> Signup and view all the answers

    How is bilirubin processed after the breakdown of heme from hemoglobin?

    <p>It is excreted by the liver into bile.</p> Signup and view all the answers

    What may cause a purple, mottled appearance on the skin, particularly in the face and fingers?

    <p>Erythrocytosis</p> Signup and view all the answers

    Which statement accurately reflects patients with hematologic disorders?

    <p>They may have significant abnormalities in blood tests.</p> Signup and view all the answers

    How do blood types determine the compatibility in transfusions?

    <p>They indicate the presence of antigens and corresponding antibodies.</p> Signup and view all the answers

    Which type of white blood cells are considered granular?

    <p>Neutrophils</p> Signup and view all the answers

    What role do eosinophils play in the immune response?

    <p>They detoxify foreign proteins during allergic reactions.</p> Signup and view all the answers

    What is the primary function of T cells in the immune system?

    <p>They recognize foreign antigens and destroy them.</p> Signup and view all the answers

    Study Notes

    Nursing Care of At-Risk and Sick Adult Clients

    • This chapter provides an overview of cardiovascular and hematologic system anatomy and physiology, focusing on safe and appropriate care for at-risk and sick adult clients with oxygenation problems.
    • The general objective is for students to understand appropriate nursing care for at-risk and sick adult clients with oxygenation alterations or problems.

    Lesson 1: Overview of Anatomy and Physiology & The Nursing Process

    • This lesson introduces significant concepts about the cardiovascular and hematologic systems.
    • Assessment skills used in dealing with clients having cardiovascular and hematologic problems are highlighted.

    Lesson Objectives

    • Describe the cardiovascular and hematologic systems' parts and functions.
    • Perform proper techniques to assess at-risk and sick adult clients.
    • Differentiate normal and abnormal assessment findings.
    • Identify major symptoms of cardiovascular and hematologic alterations.

    Anatomy of the Heart

    • The heart's function is to maintain homeostasis by pumping blood to deliver oxygen and nutrients, and remove waste.
    • It is located in the mediastinum of the thoracic cavity.
    • The heart has three layers: endocardium (inner layer), myocardium (middle, muscular layer), and epicardium (outer layer).

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