The nurse is caring for a 6-month-old infant who has chronic apneic episodes. which intervention should the nurse place in the plan of care?

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Answer 1

The nurse is caring for a 6-month-old infant who has chronic apneic episodes and the intervention which the nurse should place in the plan of care is to place on a cardiopulmonary monitor and do frequent assessments.

The optimal treatments for kids with chronic apnea are hospitalization, frequent monitoring and observation, and parent education. The nurse ought to endlessly monitor the kid on a cardiopulmonary monitor. Ofttimes assess color, respiratory patterns, and effort; and assess tone.

Apenic is a brief cessation of respiration which is reffered to as apnea. Sleep apnea is a condition in the patients in which they stop breathing for some brief periods during their sleep.

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Related Questions

A client has undergone a kidney transplant and voices concerns about organ rejection to the nurse. the most appropriate response by the nurse would be?

Answers

Restrict intake of dietary protein.

Two out of three people who have heart attacks experience warning signs up to a few weeks beforehand. True or false

Answers

This statement is true.

A myocardial infarction, commonly known as a heart attack, occurs when there is insufficient blood supply to part of the heart muscle.The more time passes without treatment to improve blood flow, the greater the damage to the heart muscle.The leading cause of heart attacks is coronary artery disease (CAD). Coronary spasm, a severe, rapid contraction, is a less common cause and can block blood flow to the heart muscle.Chest pain or discomfort is one of the main symptoms of a heart attack. Most heart attacks are characterized by left or central chest pain that lasts longer than a few minutes or subsides before recurring. Painful pressure, pressure, or fullness may be experienced as complaints.

Therefore, the statement is true.

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A person develops asbestosis after repeated exposures to asbestos over 20 years. this is an example of a(n) __________ health effect.

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Any disease that a person can acquire through his occupation are occupational health disorders. Thus, is an example of occupational health effect.

What is asbestosis?

Asbestosis is a type of occupational health disorder in which the lungs of the person are damaged due to inhalation of asbestos particles.

It is a chronic lung disease which means that it is identified years later after its onset. Shortness of breath is the common associated with asbestosis.

Other symptoms include wheezing, prolonged cough, chest pain and weight loss.

Asbestos is considered as a carcinogenic agent. Therefore, prolonged exposure to asbestos fibres leads to lung cancer in the exposed patients.

People working with mining industry or automobile industry are at greater risk for developing asbestosis.

Asbestosis can be severe and life threatening. Thus, it requires timely medical attention.

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What should be the nurses primary goal during the perinteraction phase of the nurse-client relationship?

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The nurse's primary goal in the preinteraction phase should be to

explore self-perceptions.

What does self-perception mean?

A theory of attitude formation called the self-perception theory (SPT) was created by psychologist Daryl Bem.  It states that people form their attitudes by analyzing their own behavior and drawing conclusions about what attitudes must have led to it (when there is no previous attitude due to lack of experience, etc. and the emotional response is ambiguous). The theory goes against conventional wisdom, which holds that attitudes drive behavior. The theory also contends that people create attitudes independently of their internal cognitive and emotional states.  The individual attempts to rationally interpret their own overt behaviors as well as those of others.

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A nurse administers anticholinergics to a client as a postoperative medication. what condition does this medication help to prevent?

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Anticholinergics administered by the nurse as postoperative medication, help to prevent Laryngospasm.

Atropine and glycopyrrolate, two anticholinergics are used to lessen pulmonary and oral secretions and avoid laryngospasm. Anticholinergic medicines have little effect on cardiovascular problems, motion sickness, or shock. (less)

A temporary and reversible vocal cord spasm known as laryngospasm makes it difficult to breathe or talk for a short period of time.

The larynx, the voice box at the top of the windpipe (trachea), has two fibrous bands known as the vocal cords.

What Brings About Laryngospasm?

Laryngospasms can be caused by a variety of factors, including GERD, asthma, allergies, exercise, irritants (smoke, dust, fumes), stress, and anxiety.

How may a laryngospasm be stopped?

A few straightforward methods could reduce the spasm:

After holding your breath for five seconds, take a calm, nasal breath. With your lips pursed, exhale.

Divide a straw in half. When under attack, cover the straw with your lips and take all of your breaths via it, not your nose.

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Which characteristics of a second degree thermal burn would the nurse expect to find during a patients physical assessment?

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The characteristics of a second degree thermal burn which the nurse would expect to find during a patients physical assessment include a bright red burned area with moist, red, shiny vesicles and blister formation.

Second-degree thermal burns are conjointly referred to as “partial-thickness burns.” They have an effect on the highest layer of your skin and therefore the next layer below it. This sort of burn usually causes your skin to blister. Over time, blisters will pop open, giving your skin a wet or wet look. Some second-degree burns will leave scars.

To treat this burn, one should immerse in cool water for ten or quarter-hour, use compresses if running water is not out there, don't apply ice as It will lower vital sign and cause more pain and injury, and don't break blisters or apply butter or ointments, which may cause infection.

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According to research cited in the text, infant rats that were _____ gained weight more rapidly and developed faster neurologically than those rats that were _____.

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According to research cited in the text, infant rats that were handled gained weight more rapidly and developed faster neurologically than those rats that were not handled.

Why was this possible?The rats that were manipulated had optimized mental development.Possible developmental flaws were removed with the use of treatment.

The treatment aimed to optimize the development of the mice, for this an experiment was established, where the mice that received the neurological treatment were compared with common mice that were not manipulated neurologically.

The manipulated mice had the unrolling failures and other problems optimized. This prevented these flaws from developing deeper, or from being eliminated from the body, which allowed these mice to show better neurological development that improved many points of their bodies, such as the ability to gain weight faster.

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When administering morphine to a patient with a suspected myocardial infarction, the nurse understands that the medication has which beneficial effects?

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Although morphine is currently prescribed and used to treat myocardial infarction-related chest pain, the level of evidence is weak due to the dearth of relevant clinical research.

What are beneficial effect of injecting morphine to a patient?

A medicine for the treatment of moderate to severe pain. In the central nervous system and some other tissues, it binds to opioid receptors. Opium is used to make morphine sulfate.

Morphine has long thought to be the ideal painkiller because it is a strong opioid. During a MI, its inherent hemodynamic consequences are advantageous.

It lowers blood pressure, heart rate, and venous return and may also activate regional histamine-mediated mechanisms. This should lessen the need for myocardial oxygen.

Therefore, administering morphine to a patient with a suspected myocardial infarction.

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Which explains why it is important to have the correct etiology for a nursing diagnosis?

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The etiology directs nursing care and that is why it is important to have the correct etiology for a nursing diagnosis.

The etiology directs nursing interventions. If the incorrect etiology is given, the treatment would not be applicable for the consumer. the alternative statements are true but not a reason for the importance of the etiology being correct.

A nursing diagnosis is “a clinical judgment regarding individual, family, or community responses to actual or potential health problems/life processes.

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There are usually 200,000 causes of influenza each year in the US. Which of the following would represent an epidemic? (Please help)

A. 100,000 cases
B. 200,000 cases
C. 500,000 cases
D. 10,000 cases

Answers

Answer:

D. 10,000 cases

Explanation:

An epidemic is a widespread occurrence of an infectious disease in a community, so the number of cases would be significantly smaller compared to the number of cases in the US.

The nurse is planning care for a client with a nursing diagnosis of activity intolerance. what assessment finding would cause the nurse the most concern?

Answers

That assessment finding would be shortness of breath after walking up five stairs.

What is health assessment?

Patients are asked a series of questions regarding their personal behaviors, risks, life-changing experiences, health goals and priorities, and general health in order to complete a health assessment.

In primary care practices, health assessments are typically utilized as organized screening and evaluation tools to assist the patient and the healthcare team in creating a care plan. The health care team can better grasp the demands of its patient group as a whole with the aid of information from health assessments. The duration and breadth of health exams might vary. They can be finished on paper or a computer, and they can be done in-person or online. Patients of all ages, including children and adolescents, may be subject to health assessment questions.

Here, that nurse is planning care for a client with a nursing diagnosis of activity intolerance. so, the assessment finding would cause the nurse the most concern would be shortness of breath after walking up five stairs.

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A clinic client's primary complaint is earache (otalgia). what question should the nurse include in the health interview?

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The question nurse should include in health interview is "Have you been swimming lately?"

What is health interview?

The most adaptable diagnostic and therapeutic tool available to practicing doctors is the medical interview or health interview. However, one of the most challenging clinical skills to learn is interviewing. Both mental and emotional pressures are placed on the doctor. The interpersonal abilities required to connect with the patient and encourage conversation must be matched with the analytical capabilities of diagnostic thinking.

As mentioned in question, the clinic client's primary complaint is earache (otalgia). the question nurse should include in the health interview would be "Have you been swimming lately?".

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A recall is a ______ action of removing a product from retail or distribution store

Answers

Answer: Firm, if not firm try

immediate

Explanation:

I really hope this helps, but either way have a good day!^^

A study conducted in 1961 found that _________ doctors had a strong tendency to withhold information.

Answers

A study conducted in 1961 found that most of the doctors had a strong tendency to withhold information.

According to a 1961 survey, most doctors exhibited a significant propensity to keep knowledge to themselves. At that time, none of the physicians polled indicated that they had a practice of disclosing a life-threatening diagnosis to every patient.The majority of respondents (59.9-91.5%) said they would be willing to answer these questions honestly. However, when asked specific questions about euthanasia, more than a third of doctors refused to respond honestly. These outcomes can be compared to UK data. The majority of respondents preferred the use of anonymous written responses, and complete anonymity was the promise that was most likely to inspire honest responses. Survey recommendations from regulatory agencies didn't provide as much comfort to respondents. The deterring effect of medical and legal repercussions and social stigma were among the topics covered in the open remarks.

Therefore, most of the doctors had a strong tendency to withhold information.

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A nurse is caring for a client with eczema. which medication would be prescribed when an allergy is a factor causing the skin disorder?

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The best medication among the answer choice given above which would to prescribe for a patient when an allergy is a factor causing the skin disorder is Chlorpheniramine.

Option b is the correct answer choice.

No doubt, the general and best medication which should be given to patients whose skin health condition is as a result of allergic reactions or allergies is Chlorpheniramine. When this is administered for such patient, it fight the loosed defense mechanisms causing such allergic effect.

What is meant by skin disorder ?

Skin disorder refers to any skin disease or condition which affect the normal physiology functioning or nature of the skin.

That being said, skin disorder or diseases are usually caused by pathogenic microorganisms. Once they invade the body system by whatever means they have, they cause certain health conditions on the skin which includes the following:

EczemaRingwormCancer of the skinRashes and so on and so forth.

So therefore, the best medication among the answer choice given above which would to prescribe for a patient when an allergy is a factor causing the skin disorder is Chlorpheniramine.

Option b is the correct answer choice.

Complete question:

A nurse is caring for a client with eczema. Which medication would be prescribed when an allergy is a factor causing the skin disorder?

A. Dexamethasone

B. Chlorpheniramine

C. Dicloxacillin

D. Bupivacaine

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Kimiko witnessed the death of a good friend when she was 10 years old. it is likely that she?

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Kimiko is likely to remembered at least some portion of this memory.

What do mean by memory?

Memory is seen as the act or the process of having in information from the environment that is around us, and then processing it, as well as it for later remembering of that information.

Note that in the case above, she is said to be young and the tendency to remember it all will wear off with time.

Therefore, Kimiko is likely to remembered at least some portion of this memory.

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A client with mild fluid volume excess is prescribed a diuretic that blocks sodium reabsorption in the distal tubule. which diuretic does the nurse anticipate administering to this client?

Answers

B) HydroDiuril is the diuretic anticipated by the nurse to administer for this client in this condition.

What conditions does HydroDiuril treat?

High blood pressure is treated with this drug. Bringing down high blood pressure reduces the risk of heart attacks, kidney issues, and strokes.

What are the side effects of taking hydrochlorothiazide?

Hydrochlorothiazide is a type of medication known as a diuretic, or “water pill,” and it works by increasing the amount of urine you produce.

Negative effects

Stomach, leg, or back discomfort.

Tarry, dark stools.

Blistering, skin peeling, or skin loosening

Ballooning.

Blood in the stools or urine.

Fingernails and lips both blue.

Or tightness in the chest.

Clay-colored stools.

How long does Hydrodiuril take to start working?

The effects of hydrochlorothiazide (Microzide) last up to 12 hours and begin to take effect about 2 hours after you take it.

Water pills like hydrochlorothiazide (Microzide) cause frequent urination.

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Complete question:

A client with mild fluid volume excess is prescribed a diuretic that blocks sodium reabsorption in the distal tubule. Which diuretic does the nurse anticipate administering to this client?

A. Demadex

B. HydroDiuril

C. Lasix

D. Bumex

what are the health and medical and nutrition sciences and how do they relate to fitness, health, and wellness?

Answers

health, medical and nutrition science are defined below:

What is science?

Science is an intellectual and practical endeavor that includes the methodical investigation of the composition and behavior of the physical and natural world via experimentation and observation.

The sciences whose primary research interests are in the areas of health or health care are known as health sciences.

The science of medicine is the study of how the human body functions. It often begins with fundamental biology before being separated into subfields of expertise.

The study of food, nutrients, and other dietary ingredients, their consumption and biochemical processing, their link to health and illness, and the application of this knowledge to policy and programs is known as nutritional sciences.

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Which instruction would the nurse include in a teaching session about lifestyle practices to promote heart health?

Answers

The nurse would instruct to Eat fiber-rich foods and engage in aerobic activity

How can you keep the heart healthy?

You should exercise for at least around 150 minutes each week.

These are some suggestions to keep a healthy heart.

Healthy eating

Get moving

Maintaining a healthy weight.

Stay away from secondhand smoke and stop smoking.

Manage your blood pressure and cholesterol.

Limit your alcohol consumption.

Control your stress.

How can I check the health of my heart at home?

You can check your own pulse by this method:

Get a watch with a second hand.

Just below the base of your thumb, place the index and then wrap middle fingers on the inner wrist of the other arm.

After doing this, count how many taps you experience in 10 seconds.

To determine your heart rate for 1 minute, multiply that value by 6.

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Rubella has the greatest potential for damage when it is contracted during which period of a pregnancy?

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When a mother contracts the rubella virus early in her pregnancy, particularly in the first 12 weeks, the damage it causes is the worst (first trimester).

How does pregnancy suffer from rubella?

When rubella strikes a pregnant woman, especially in the first trimester, the virus has the potential to kill the fetus or leave it with severe birth abnormalities. The most typical cause of congenital deafness is rubella during pregnancy. It is better to receive rubella protection before to becoming pregnant.

What types of birth abnormalities can rubella lead to?

In kids whose mothers had rubella immediately before or at the start of pregnancy, complications affect 85 out of 100. Deafness, cataracts, abnormalities of the heart, brain, and spleen damage are only a few of the complications.

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Your heart rate or pulse should be within your TTZ for at least 20 minutes of exercise if you want to improve your cardiovascular health.

O True
O False

Answers

Answer:

True

Explanation:

This is what I think

A parent is concerned because the toddler refuses to share. what is the nurse's best response to the parent regarding this concern?

Answers

The nurse should educate the parent saying that this is a normal toddler behavior and playing with other children will help him socialize and share his things.

What is Socialization?

The procedure of internalizing societal norms and ideology is known as socialization in sociology. Learning and teaching are both a part of socialization, making it "the mechanism through which cultural and social continuation are attained."

Socialization and developmental psychology are closely related. For survival and to learn their culture, humans need social experiences.

In essence, socialization refers to the entire process that learning throughout life and has a significant impact on both children's and adults' behavior, beliefs, and actions.

In terms of the society in which it takes place, socialization may provide beneficial results that are frequently referred to as "moral." The consensus of the society shapes individual opinions, which typically lean towards what the that society considers to be "normal" or "acceptable."

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The nurse is planning care for a client with an hgb of 7.5 g/dl and a hct of 21.5 g/dl. which should the nurse include in the plan of care?

Answers

An client with 7.5g/dl of hgb indicates low hemoglobin level in body. An hct is a test which used to measure the amount of red blood cells in body. A normal hct in body should be in range of 40 to 50 %.

Anemia:

A decrease in hemoglobin level in body leads to anemia. If the hemoglobin level decreases for short time is called acute anemia. If hemoglobin decreases for long time is called chronic anemia.

Hgb level in body indicates the hemoglobin level in body. The normal hemoglobin level in body in males in 14 g/dl and in females it is 12 g/dl. A 7.5 g/dl indicates that person is suffering from anemia.

A nurse should tell the patient to eat iron rich food, Sleep properly, Folic acid tablets should also given to the patient.

Some iron rich food are:

SpinachBeetrootDatesJaggeryFruits.

Therefore, An client with 7.5g/dl of hgb indicates low hemoglobin level in body. An hct is a test which used to measure the amount of red blood cells in body. A normal hct in body should be in range of 40 to 50 %.

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Soap suds enemas are used to eliminate barium residue in the colon. True or false

Answers

False. The Soap suds enemas are used in eliminating barium residue that is present in the colon.

What are the benefits of soap suds enemas?

A soap suds enema is one kind of enema. To treat fecal impaction or constipation, detergent is added to water.

You can administer over-the-counter enemas in your house. In a hospital setting, your doctor may also perform an enema.

A soap suds enema (SSE) is a hypertonic solution that delivers a large-volume, detergent-based mucosal irritation to stimulate defecation.

To identify structural or functional issues with the large intestine, including the rectum, a barium enema may be used.

Ulcerative colitis is just one example of these anomalies. Inflammation and ulcers in the large intestine.

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At which site would the nurse obtain a sterile urinalysis from a client with an indwelling catheter?

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The site at which nurse would obtain a sterile urinalysis from a client with an indwelling catheter will be by withdrawing several milliliters of urine from the port on the collection tubing, using a syringe and needle.

An indwelling urinary catheter is implanted, however it remains in place unlike an intermittent catheter. The catheter is secured in the bladder with the help of a water-filled balloon. Foley catheters are a common name for these catheters.

When a client with an indwelling catheter has to have a urine sample taken, the sample should be taken from the catheter itself using the designated specimen port. The urine sample from the drainage bag may not be fresh, which might lead to an incorrect analysis.

A client's catheter would not be taken out just to collect a urine sample.

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Children tend to reject those peers who frequently use forms of ________ as their preferred way of dealing with others.

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Children tend to reject those peers who frequently use forms of aggression as their preferred way of dealing with others.

Does aggressive behavior have an evolutionary basis?

it has been proposed that aggressive behavior may have an evolutionary basis as a mechanism of defense in our past ancestors, but more conclusive evidence is required to confirm it.

In conclusion, children tend to reject those peers who frequently use forms of aggression as their preferred way of dealing with others.

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Which goal would the nurse expect client receiving treatment for bacterial cystitis to achieve before their discharge from teh hospital?

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The goal that the nurse would expect clients receiving treatment for bacterial cystitis to achieve before their discharge from the hospital would be to get rid of the patient's clinical symptoms while keeping their kidney function intact.

This is further explained below.

What is bacterial cystitis?

Generally, Bacterial cystitis is an infection of the bladder that may be caused by bacteria that have entered the urethra or the bladder.

This infection can also be caused by bacteria that have invaded the urethra.

An imbalance in the bacteria that are normally present in and flourish inside your body is another factor that contributes to this condition.

The disease that develops as a consequence of the infection is called cystitis, which is another name for inflammation of the bladder.

Treatment for a bladder infection is necessary and should not be put off for any length of time.

In conclusion, Get rid of the patient's clinical symptoms while keeping their kidney function intact.

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What is the most accurate assessment if the client believes that the healthcare providers are fbi agents and that there are cameras everywhere monitoring the client?

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The Delusions evaluation is the most appropriate one if the client thinks that the medical professionals are FBI agents and that his apartment is equipped with cameras to watch his every move.

It is crucial to emphasize the value of assessment in residential care settings. It serves as the philosophical basis for person-centered care, a philosophy that gives patients more autonomy and responsibility for their own health and way of life.

Every client receiving residential care needs to undergo a thorough evaluation to determine their unique needs, preferences, and strengths. An interdisciplinary team conducts the examination, which examines different facets of the subjects' lives, including their physical, spiritual, cognitive, social, mental, and emotional well-being.

Decisions based on client assessments have an impact on care coordination, resource allocation, and other services.

The assessment procedure identifies the most suitable and efficient method of customer support. Assessment often begins soon after admission, however, it might take longer or shorter depending on the organization and staffing levels.

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In 2011, one phase of the patient protection and affordable care act (ppaca) came into effect allowing parents to keep children on their family health insurance until the age of _____.

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In 2011, one phase of the patient protection and affordable care act (ppaca) came into effect allowing parents to keep children on their family health insurance until the age of 26.

What is  patient protection and affordable care act?

The three main goals of the Patient Protection and Affordable Care Act (ACA) are to: (1) reform the private insurance market, particularly for individuals and small-group buyers; (2) expand Medicaid to working poor people with incomes up to 133% of the federal poverty level; and (3) alter the way that medical decisions are made.

The Affordable Care Act mandates that insurers and plans that provide coverage for dependent children do so up until the adult kid turns 26. After graduating from college, many parents and their kids no longer have to worry about losing their health care.

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Asking yourself, “Who am I now?” is one way to help determine career plans that will fit your interests. Please select the best answer from the choices provided T F

Answers

stop being annoying b
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Find a conversion factor between square feet and square yards. Write it in three forms.Select one:A. 1 yd^3 = (3 ft)^3 = 27 ft^3 B. 1yd^3 = (3 yd)^3 = 27 yd^3 C. 1 yd^2 = (3 ft)^2 = 9 ft25 D. 1ft^2 = (3 yd)^2= 9 yd^2 dr. grimaldi predicts that if people are observed while they perform a complex task they will make more errors. dr. grimaldis prediction is an example of A boat is traveling at a constant rate through the water. if it takes 15 minutes to travel 2.7 miles, how many hours will it take for the boat to finish a 17.1 mile journey? What term is a measure of the speed in which cash is spent by entrepreneurial firms, which often have negative income and a high growth rate?. What were the various ways in which early musicians could make a living? Which is the correct order of processes a suspected criminal would encounter? Directions: Choose 7 words from the Unit 1 Vocabulary List. Then, write a conversation between two characters in the play and incorporate those 7 words. This conversation can be from before the beginning of the play, as a side action during the play, or a prediction of a conversation that may happen later in the play. HIGHLIGHT the 7 words in your conversation so that I can easily see them. Write the conversation as dialogue (see helpful reminders about writing and punctuating dialogue at this site) This does not need to be long; Im thinking 1 - 2 pages typed (remember that dialogue takes up more space on a page because of its spacing) Include stage directions in italics wherever necessary. Vocab wordspulpit (n)an elevated platform or high reading desk used in preaching or conducting a worship service; a preaching profession faction (n) a party or group (as within a government) that is often contentious or self-seeking abomination (n) something that causes extreme disgust or hatred naught (n) nothing; old fashioned way to say nothing clamored (v) to utter or proclaim insistently and noisily; to become loudly insistent magistrate (n) a local official entrusted with the administration of laws blasphemy (n) the act of insulting or showing contempt or lack of reverence for God lechery (n) immoderate indulgence in sexual activity; lewd or lustful behavior vengeance (n) with great force or vehemence; punishment inflicted in retaliation for an injury or offense conjure (v) to summon a devil or spirit by invocation or incantation; to practice magical arts contentious (adj) likely to cause disagreement or argument; exhibiting a tendency to quarrels and disputes pretense (n) a claim made or implied, especially a claim not supported by fact contention (n) something (such as a belief, opinion, or idea) that is argued or stated in a debate; a position of competition Unperturbed (adj) calm and serene; unruffled or unstirred befuddled (v)- to confuse muddle, or perplex 2. Read the lines from Part 1 of the Odyssey. Of these adventures, Muse, daughter of Zeus, / tell us in our time, lift the great song again. What is the purpose of the structure of epic poetry used in these lines? A security engineer investigates a recent system breach. when compiling a report of the incident, how does the engineer classify the actor and the vector? drag the items to classify each event as movement along the demand curve or a demand curve shift. the good is fertilizer for flowering plants. Which 2 groups of people occupied the Hebrew home land when they arrived there? Create a mnemonic device to remember the levels of organization. atom - molecule organelle - cell - tissue - organ-organ system - individual - population - community - ecosystem - biome - biosphere if psychologists are making suggestions for how to change behavior, then they are demonstrating which goal of psychology? predict control explain obse Was the action taken by President Kennedy an example of inherent or implied executive power? Explain your answer. Why is it so difficult to control the alkylation of primary amines in an sn2-type reaction manifold? select the best answer. 1.Explain why "red hot" is not as hot as "blue hot" N the united states, the control of the money supply is the responsibility of the:____. if 1/4 of the population is unable to find a job , what is the corresponding unemployment rate Find the approximate side length of a square game board with an area of 200 in. Which of the following could be a real-world description of 4x 17? $17 in addition to the cost of 4 hot dog combos The cost of 17 people splitting 4 hot dog combos $17 less than the cost of 4 hot dog combos The cost of hot dog combos less a $17 coupon split by 4 people