Membrane potentials are electrical gradients across cell membranes caused by differences in ion concentrations inside and outside cells. Sodium and potassium ions create a -70 mV resting potential via selective permeability of the membrane. The sodium-potassium pump maintains this potential by actively transporting ions against their gradients. Membrane potentials allow electrical signaling in excitable cells through action potentials and integration through graded potentials, enabling communication between cells.