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The nurse is calculating the rate for a regular rhythm. There are 20 small boxes between each P wave and 20 small boxes between each R wave. What is the ventricular rate?

a. 50 beats/min
b. 75 beats/min
c. 85 beats/min
d. 100 beats/min

1 Answer

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Final answer:

To calculate the ventricular rate, the time between R waves is multiplied by the time each small ECG box represents to get the seconds per beat; then 60 seconds is divided by this value to find the beats per minute, which is 75 beats/min.

Step-by-step explanation:

The ventricular rate can be calculated using the number of small boxes on an electrocardiogram (ECG) between R waves, which represent ventricular depolarizations. Each small box on an ECG represents 0.04 seconds. With 20 small boxes between each R wave, you can determine the time between beats: 20 boxes × 0.04 seconds/box = 0.8 seconds between R waves. To convert this time into a rate, you divide 60 seconds by the time it takes for one beat to occur: 60 seconds / 0.8 seconds/beat = 75 beats per minute. Therefore, the ventricular rate is 75 beats/min.

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