In the conduction system of the heart, which of the following components is stimulated after the sinoatrial node?
Left bundle branch
Purkinje fibers
Right bundle branch
Atrioventricular node
The Correct Answer is D
A. Left bundle branch: The left bundle branch is stimulated after the atrioventricular node and bundle of His, not immediately after the sinoatrial node.
B. Purkinje fibers: The Purkinje fibers are stimulated later in the conduction pathway, after the bundle branches.
C. Right bundle branch: The right bundle branch is also stimulated after the atrioventricular node and bundle of His.
D. Atrioventricular node: After the sinoatrial node initiates the heartbeat, the electrical impulse travels to the atrioventricular node, which then passes the signal to the bundle of His and down to the bundle branches.
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Correct Answer is A
Explanation
A. Subjective: The chief complaint is a patient-reported symptom or concern and is documented in the subjective section of the progress note. This section includes the patient’s personal perspective and descriptions of their symptoms.
B. Objective: The objective section includes measurable or observable data, such as vital signs and physical examination findings, not the patient’s chief complaint.
C. Review of systems: The review of systems is a systematic approach to obtaining information about the functioning of various body systems but is not specifically where the chief complaint is documented.
D. Assessment: The assessment section contains the provider’s diagnostic impressions and conclusions about the patient’s condition, rather than the chief complaint.
Correct Answer is B
Explanation
A. Ask the laboratory to send a link to an electronic version of the patient's report: The laboratory is not responsible for providing electronic versions of reports if paper reports are already received.
B. Scan the report into the patient's electronic health record (EHR): Scanning the report into the EHR ensures that the patient’s records are complete and accessible within the system.
C. Document that the results were delivered to the office in the patient's electronic health record (EHR): While documenting receipt is important, it does not substitute for the actual entry of the report into the EHR.
D. Sign their initials and place in the "to be filed" bin: Simply filing the report without scanning it into the EHR means the information is not integrated into the patient's digital health record.