After the aed has delivered a shock, the emt should?

Answers

Answer 1

The emt should start performing CPR as soon as the aed has administered a shock.

Following the shock from the AED, the EMT should: -check for a carotid pulse. -start CPR again right away. -reexamine the heart rhythm. More:The EMT should check for a carotid pulse after the AED has administered a shock. -resume CPR right away; reevaluate the heart rhythm. When an AED is used on a person, they are sent to the hospital for further care. As soon as EMS arrives, stay with them. Start doing CPR if the patient is still not breathing and not responding. A metronome built inside the AED will give the ideal tempo for your chest compressions.

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Related Questions

Why do persons with dementia gradually loss the ability to communicate?

Answers

Persons with dementia gradually lose the ability to communicate due to the progressive degeneration and damage to the brain, which directly affects their cognitive and linguistic abilities.

Several factors contribute to this communication decline:

Cognitive Impairment: Dementia affects memory, attention, and problem-solving skills. As the disease progresses, individuals struggle to retrieve and organize words, follow conversations, and express thoughts coherently.

Language Processing Issues: Dementia can disrupt language processing centers in the brain, impairing comprehension and expression. Difficulty understanding spoken or written language further hampers communication.

Decline in Verbal Skills: Dementia may lead to aphasia, a condition that affects language production and comprehension. Individuals may struggle to find the right words or substitute with incorrect or nonsensical words, making communication challenging.

Social and Emotional Impairment: Dementia impacts social skills and emotional regulation, hindering the ability to engage in meaningful conversations, understand social cues, and express emotions effectively.

Motor Impairment: As dementia progresses, individuals may experience motor difficulties, including problems with articulation and swallowing, leading to slurred speech or difficulty enunciating words.

It is important to note that even though individuals with dementia may have difficulty communicating verbally, non-verbal communication, such as gestures, facial expressions, and body language, can still play a crucial role in maintaining connections and understanding their needs and emotions. Providing supportive and patient communication, using visual cues, and utilizing alternative communication methods, such as picture boards or technology-based solutions, can help facilitate communication with individuals with dementia as their verbal abilities decline.

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Perjudican la salud de los trabajadores y trabajadoras, causando estrés y a largo plazo enfermedades cardiovasculares, respiratorias, inmunitarias, gastrointestinales, dermatológicas, endocrinológicas, musculoesqueléticas y mentales.

Answers

Answer:

Los riesgos psicosociales

Explanation:

Los riesgos psicosociales son elementos muy peligrosos a los que todos los que trabajan son vulnerables. Estos riesgos se originan en las organizaciones laborales y se desencadenan a través de situaciones estresantes, que involucran períodos y metas muy difíciles, jefes abusivos, acumulación de tareas, sobrecarga de tareas, entre otros que miden la salud física y mental de los trabajadores, causando problemas emocionales, sociales y biológicos.

En otras palabras, los riesgos psicosociales pueden dañar la salud de los trabajadores, provocar estrés y enfermedades cardiovasculares, respiratorias, inmunológicas, gastrointestinales, dermatológicas, endocrinológicas, musculoesqueléticas y mentales de larga duración.

epitheliod cells in tubercular granuloma are derived from?

Answers

The granuloma contains mostly blood-derived macrophages, epithelioid cells (differentiated macrophages) and multinucleated giant cells (also known as Langhans giant cells), surrounded by T lymphocytes [8, 9]. Caseous granulomas are typical of tuberculosis.

Answer:

The granuloma contains mostly blood-derived macrophages, epithelioid cells (differentiated macrophages) and multinucleated giant cells (also known as Langhans giant cells), surrounded by T lymphocytes [8, 9]. Caseous granulomas are typical of tuberculosis

The energy from catabolic reactions is usedto produce? a. ADP. b. ATP. c. AMP. d. phosphate.

Answers

The energy from catabolic reactions is used to produce ATP. (option b)

ATP (adenosine triphosphate) is the primary source of energy for most cellular processes. During catabolic reactions, large molecules are broken down into smaller ones, releasing energy in the process. This energy is used to add a phosphate group to ADP (adenosine diphosphate), producing ATP.

The ATP can then be used by the cell to power metabolic reactions such as protein synthesis, muscle contraction, and nerve impulse transmission. The production of ATP through catabolic reactions is a crucial part of cellular metabolism and is essential for the survival and function of living organisms.

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If the variable isTested is a Boolean, then the statement below is a valid control expression (in all three languages):
if (isTested)

Question 5 options:
True
False

Answers

question 5: i think its true

A food that provides health benefits beyond those supplied by traditional nutrients is known as a(n) ______ food. Multiple choice question. super essential functional

Answers

A food that provides health benefits beyond those supplied by traditional nutrients is known as a(n) functional food.

What is a functional food?

Functional foods are foods that have been specially processed or fortified to provide additional health benefits beyond basic nutrition. They are often marketed as having the ability to prevent or treat chronic diseases, such as heart disease, cancer, and diabetes.

There is a growing body of scientific evidence to support the health benefits of functional foods. For example, studies have shown that foods rich in antioxidants, such as fruits and vegetables, can help to protect against cancer. And foods that contain probiotics, such as yogurt, can help to improve gut health.

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Vitamin-_______ derivatives are primarily involved in reactions controlling cell growth and DNA synthesis.
A.) C
b.) K
c.) B
d.) D

Answers

Answer: c. B

Explanation:

Vitamin B derivatives are primarily involved in reactions controlling DNA synthesis.

Answer:

C)B

Explanation:

Vitamin-___B____ derivatives are primarily involved in reactions controlling cell growth and DNA synthesis.

What are the Pros and Cons of completely legalizing marijuana
(for a essay)

Answers


Pro

Marijuana legalization boosts the economy.

The marijuana industry (adult-use and medical) in the United States could exceed $24 billion in revenue by 2025. [7] For every $1.00 spent in the marijuana industry, between $2.13 and $2.40 in economic activity is generated. [1][2] Tourism, banking, food, real estate, construction, and transportation are a few of the industries that benefit from legal marijuana. [3]



The legal marijuana industry generated $7.2 billion in economic activity in 2016, and added millions of dollars in federal taxes paid by cannabis businesses. [20] One study on adult-use marijuana in Nevada projected $7.5 billion in economic activity over the first seven years of legalization, including $1.7 billion in labor income. [4] A study by the University of California Agricultural Issues Center estimated that the legal marijuana market in California could generate $5 billion annually.



In Colorado, marijuana brings in three times more tax revenue than alcohol. The state raised $78 million in the first fiscal year after starting retail sales, and $129 million the second fiscal year. Washington collected a total of $220 million in tax revenues in its second fiscal year of sales.

Con

Legalized marijuana creates steep costs for society and taxpayers that far outweigh its tax revenues.

Marijuana use harms more than just the person using the drug. [129] Societal costs of marijuana use include paying for increased emergency room visits, medical care, and addiction treatment for the uninsured; more victims of drugged driving accidents; increased crime; and a negative impact on health from secondhand smoke. [78][102]



Annual societal costs from alcohol ($223.5 billion) and tobacco ($193 billion) far exceed the $24 billion in tax revenues they raise. [128][128][131][172] Money raised from legal marijuana taxes generally accounts for less than 1% of a state’s tax revenue. [132][134]



Legalizing marijuana would put one more harmful substance in our society that costs more than the revenue it generates. [130] According to the Pew Research Center, “the most frequently mentioned reason why people oppose legalization is that marijuana generally hurts society.”

a client diagnosed with ms has been admitted to the medical unit for treatment of an ms exacerbation. included in the admission orders is baclofen. what should the nurse identify as an expected outcome of this treatment?

Answers

A purchaser identified with ms has been admitted to the clinical unit for treatment of an ms exacerbation. protected within the admission orders is baclofen Lioresal..

Exacerbation: A worsening. In medication, exacerbation might also talk to an increase in the severity of sickness or its signs and symptoms and signs. for example, an exacerbation of allergies might occur as a critical effect of air pollution, leading to shortness of breath.

Treatment alternatives for exacerbations consist of bronchodilators, corticosteroids, antibiotics, oxygen therapy, and airflow. COPD is the call given to a collection of long-term lung sicknesses. The situation tends to get worse over time and symptoms can encompass: wheezing.

They may be brought on, especially by breathing viruses and microorganisms, which infect the decreased airway and increase airway irritation. a few sufferers are specifically prone to exacerbations and show worse fitness popularity and faster sickness development than those who have rare exacerbations.

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You must always test blood sugar after every meal?

Answers

The general rule is to test before meals and keep a record. If you want to know how your meals affect your blood sugar, testing about 2 hours after eating can be helpful. Test whenever you feel your blood sugar is either too high or too low.
The general rule is to test before meals and keep a record. If you want to know how your meals affect your blood sugar, testing about 2 hours after eating can be helpful. Test whenever you feel your blood sugar is either too high or too low.

Why is it important to obtain a medical history on a patient who has sustained trauma?​

Answers

It's crucial to obtain a medical history of a patient who has sustained trauma because with that information you are able to see what the patient is allergic to, or what the patient has gone through. Without the medical history, the procedure may undergo some faults.

Time management is a crucial part of being a successful student and a successful medical assistant. What are some methods Shawna can implement to help her manage her time as effectively as possible?

Answers

Answer:

BY PLANNING HER DAILY ROUTINE

Explanation:

One of the methods that Shawna can implement to help her manage her time effectively is the planning and prioritizing method. This will help her attend the important and the urgent tasks in her studies first to avoid late submission of assignmen

Explain how cells specialize to form specific tissue and organs. (Hint: The article describes how tissues and organs are built—use that as your text evidence.)

Answers

Answer:

cells specialize to form specific tisue and organs because all cells have the same DNA. stem cells can develop into every type of cell inside the body. ... the cells are suppose to soak into the problem structure and slowly recreate the persons tissues. You must coax the cells into growing in the right way.

medical prescription: aminophylline 50 mg orally 8/8 hours. available: 5% aminophylline solution - 50ml bottles. how many ml should be given?

Answers

Answer:

To calculate how many mL of the 5% aminophylline solution should be given, we need to use the formula:

(amount of medication needed / concentration of medication available) x volume of medication available = volume of medication to be administered

Using this formula, we can calculate the volume of the aminophylline solution to be given as follows:

(amount of medication needed) = 50 mg (concentration of medication available) = 5% (volume of medication available) = 50 mL

First, we need to convert 50 mg to grams by dividing by 1000:

50 mg / 1000 = 0.05 g

Next, we need to calculate the amount of aminophylline solution required. We can do this by rearranging the formula as follows:

(volume of medication to be administered) = (amount of medication needed / concentration of medication available) x volume of medication available

(volume of medication to be administered) = (0.05 g / 0.05 g/mL) x 1 mL

(volume of medication to be administered) = 1 mL

Therefore, to administer 50 mg of aminophylline orally every 8 hours, 1 mL of the 5% aminophylline solution should be given.

Explanation:

What effect does parathyroid hormones have on bones?

Answers

Answer:

Parathyroid hormone regulates serum calcium through its effects on bone, kidney, and the intestine: In bone, PTH enhances the release of calcium from the large reservoir contained in the bones. Bone resorption is the normal destruction of bone by osteoclasts, which are indirectly stimulated by PTH.

Parathyroid hormones have bones in them so they expand and open to bigger bones causing problems

how high is the chance of getting pregnant with straight parents

Answers

Answer:

You tell me...

Explanation:

Answer:

30 percent get pregnant within the first cycle (about one month). 60 percent get pregnant within three cycles (about three months). 80 percent get pregnant within six cycles (about six months). 85 percent get pregnant within 12 cycles (about one year).

The two primary causes of conflagration fires in cities were:

lack of fire prevention and media attention.

combustible construction and unprotected vertical shafts.

masonry construction and wooden interiors.

poor water supply and inferior road construction.

Answers

Answer:

combustible construction and unprotected vertical shaftspoor water supply and inferior road construction

Construction that is flammable and exposed vertical shafts, inadequate water supply, and subpar road building, hence options B and D are correct.

What are the primary causes of conflagration fires in cities?

Minimum building criteria are enforced to guarantee structural integrity for the duration of the time needed for evacuation or relocation inside the structure to a safe place.

Materials that are noncombustible or just slightly combustible are used to construct outside walls and structural elements.

An illustration of what is commonly referred to as conventional construction is a mixed masonry/wood structure.

Therefore, both of these elements are essential for ensuring the safety of persons and property, hence options B and D are correct.

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Change in the U.S. healthcare system typically occurs via: a. federal legislation by the dominant political party b. massive changes in funding policy c. special memorandum voted on during scheduled elections d. compromise led by moderates who look for common ground

Answers

Answer: A- federal legislation by the dominant political party!:)

- fat-free - helps promote immune health - adequate folate intake prior to and early in pregnancy may reduce the risk of neural tube defects. a. health claim b. structure/function claim c. nutrient content claim

Answers

The given statements:- "Fat-free- Helps promote immune health- Adequate folate intake prior to and early in pregnancy may reduce the risk of neural tube defects" are classified as a C. Nutrient Content claim.

What is a Nutrient Content claim?

Nutrient content claims describe the level of a nutrient in the product using terms such as "good source," "low in," and "high in." These statements relate to the nutrient content of the food and can only be made for nutrients that have established daily reference values.

The purpose of nutrient content claims is to allow consumers to compare the nutrient content of similar products more easily.

Example of Nutrient Content claims:

"Fat-free"· "Low sodium"· "High fiber"· "Good source of vitamin D"· "High in calcium"· "Reduced calorie"

The given statements don't qualify as Health claim or Structure/Function claim. Health claims on food labels describe a relationship between a food, food component, or dietary supplement ingredient and reducing the risk of a disease or health-related condition.

A structure/function claim is a claim that describes the role of a nutrient or dietary ingredient intended to affect normal structure or function in humans.



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Which of the following patient instructions would not immediately follow a surgical dental procedure?

Answers

The answer to the task given above about a client instructions which would not immediately follow a surgical dental procedure is bed rest

The correct answer choice is option a.

Why resting on bed would not be followed by dental procedure

From the task given above, such as chewing exercise requires a dentist to perform certain assessment. But when a patient is on bed rest, it does not necessarily means that a dental surgical procedure would be observed as dental procedure and assessment can be done even while standing or in a sitting position.

So therefore, it can be deduced that a patient in a hospital bed rest is not an instruction which is immediately after a dental process.

Complete question:

Which of the following patient instructions would not immediately follow a surgical dental procedure?

a. Bed rest

b. Chewing exercises

c. Taking an antibiotic

d. Clear liquid diet.

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the four steps for testing a change are:

Answers

The Plan-Do-Study-Act (PDSA) cycle is an acronym for testing a change by organizing it, putting it into practice, evaluating the outcomes, and taking action based on what is discovered.

An improvement project includes four phases: planning, preparation, execution, and closeout. In order to improve teamwork and help organizations run more efficiently, researcher Bruce Wayne Tuckman published "Tuckman's Stages" in 1965.It discussed the four developmental phases that all teams experience throughout time: training, forming, norming, and performing. Write out a work plan, share anecdotes to illustrate why the QI project is personally relevant to people, and create a team roster so everyone is aware of who is on the team and how to contact one another.

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client who weighs 65 kg is receiving an infusion of Dextrose 5% in Water (D5W) 250 ml with dopamine 400 mg at 12 ml/hour. How many mcg/kg/minute is the client receiving

Answers

The mcg/kg/minute the client is receiving is 4.923 mcg/kg/min

The number of mcg/kg/minute = flow rate × concentration ÷ mass of client

Flow rate = 12 ml/hour = 12 ml/hour × 1 hr/60 min = 0.2 ml/min

Concentration = mass of dopamine/volume

where

mass of dopamine = 400 mg and volume = 250 ml

Concentration = 400 mg/250 ml

= 1.6 mg/ml

= 1.6 mg/ml × 1000 mcg/mg

= 1600 mcg/ml

mass of client = 65 kg

Calculating mcg/kg/minute

So, substituting the variables into the equation, we have

mcg/kg/minute = flow rate × concentration ÷ mass of client

mcg/kg/minute = 0.2 ml/min × 1600 mcg/ml ÷ 65 kg

mcg/kg/minute = 320 mcg/min ÷ 65 kg

mcg/kg/minute = 4.923 mcg/kg/min

The mcg/kg/minute the client is receiving is 4.923 mcg/kg/min

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Which of the following statements about a steady state is false?
- During a steady state there is no net change in the membrane potential.
- The resting potential is an example of a steady state.
- During a steady state each ion's driving force is O mv.
- A system at equilibrium is also considered to be at a steady state.

Answers

Answer: During a steady state each ion's driving force is O mv

Explanation:

When a cell is considered to be in steady state it means that the concentration ions and molecules within the cell is constant. As a result, a system at equilibrium is also considered to be at a steady state.

When in steady state, the membrane potential experiences no net change which is why the resting potential is an example of a steady state.

However during a steady state, each ion's driving force is not 0 mv.

In normal healthy adult, Calculate the Gain of control system of cold temperature if A cold exposure is expected to bring the body temperature down to 20°C but brings it down only to 36.5°C?

Answers

Answer:

Increased intraluminal pressure may help maintain vasodilation in a dependent arm even after hypothermia triggers centrally mediated thermoregulatory vasoconstriction. We therefore tested the hypotheses that the threshold (triggering core temperature) and gain (increase in vasoconstriction per degree centigrade) of cold-induced vasoconstriction is reduced in the dependent arm during anesthesia. Anesthesia was maintained with 0.4 minimum alveolar anesthetic concentration of desflurane in 10 volunteers in the left-lateral position. Mean skin temperature was reduced to 31 degrees C to decrease core body temperature. Fingertip blood flow in both arms was measured, as was core body temperature. The vasoconstriction threshold was slightly, but significantly, less in the dependent arm (36.2 degrees C +/- 0.3 degrees C, mean +/- SD) than in the upper arm (36.5 degrees C +/- 0.3 degrees C). However, the gain of vasoconstriction in the dependent arm was 2.3-fold greater than in the upper arm. Consequently, intense vasoconstriction (i.e., a fingertip blood flow of 0.15 mL/min) occurred at similar core temperatures. In the lateral position, the vasoconstriction threshold was reduced in the dependent arm; however, gain was also increased in the dependent arm. The thermoregulatory system may thus recognize that hydrostatic forces reduce the vasoconstriction threshold and may compensate by sufficiently augmenting gain.

Implications: The threshold for cold-induced vasoconstriction is reduced in the dependent arm, but the gain of vasoconstriction is increased. Consequently, the core temperature triggering intense vasoconstriction was similar in each arm, suggesting that the thermoregulatory system compensates for the hydrostatic effects of the lateral position.

Instructions
Compare The Joint Commission Hospital Standards to Ambulatory Standards

Create a report comparing the standards of the hospital and ambulatory care. You may place in a chart of summary.

Answers

The Joint Commission (TJC) sets standards for both hospitals and ambulatory care centers. However, there are some differences between the standards for these two types of healthcare facilities.

One key difference is in the physical environment standards. Hospitals have more specific requirements related to fire safety, emergency management, and infection control. This is because hospitals typically have a larger patient capacity and more complex healthcare services compared to ambulatory care centers.

Another difference is in the staffing standards. Hospitals are required to have certain healthcare professionals available 24/7, such as physicians, nurses, and pharmacists. Ambulatory care centers may have more flexible staffing requirements, depending on the services they provide.

The medication management standards also differ. Hospitals have more stringent requirements for medication safety, including processes for medication reconciliation, high-alert medications, and medication storage. Ambulatory care centers also have medication management standards, but they may be less comprehensive compared to hospitals.

In terms of patient rights and education, both hospitals and ambulatory care centers must provide information to patients regarding their rights, treatment options, and potential risks. However, hospitals may have additional requirements related to patient privacy, consent, and advance directives.

Overall, while there are similarities in the standards between hospitals and ambulatory care centers, there are also important differences that reflect the unique characteristics and services provided by each type of healthcare facility.

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A client is being treated for moderate hypertension and has been taking diltiazem for several months. The client is seen by the health care provider, and Prinzmetal's angina is diagnosed. The nurse is instructing the client about diltiazem. Which client statement indicates a need for further teaching?

Answers

The client would understad that the medication would help, By reducing chest pain, preventing the entrance of calcum ions in vascular smooth muscles.

6. Which one of the following statements about the responsibilities of medical
billers and coders is correct?
A. They play a minor role in health care reimbursement.
B. They should not examine patient records.
C. They create documentation required for reimbursement from only third-party
payers.
O D. They use three code sets: ICD, CPT, and HCPCS.

Answers

Answer:

Last option is the correct choice.

Explanation:

The following statement about the responsibilities of medical billers and coders is correct: They use three code sets: ICD, CPT, and HCPCS.

Best Regards!

D. They use three code sets ICD, CPT and HCPCS this should be the right one

Place the following structures in the order in which blood would travel in the pulmonary circulation once deoxygenated blood returns from the body.

Answers

Right atrium

Tricuspid valve

Right ventricle

Pulmonary valve

Pulmonary arteries

Lungs

can u intubate someone with a pen?? any surgeons here help

Answers

Yes you can but there are risks

Answer:

it only can be handled by the professional doctors

Explanation:

if a beginner tries it almost pushing the patient towards dead

u can replace straw

Businesses must be conscious of the __________, or social norms and beliefs in which they operate.

Answers

Answer:

culture

Explanation:

Cultural norms are the shared, sanctioned, and integrated systems of beliefs and practices that are passed down through generations and characterize a cultural group. Norms cultivate reliable guidelines for daily living and contribute to the health and well-being of a culture. They act as prescriptions for correct and moral behavior, lend meaning and coherence to life, and provide a means of achieving a sense of integrity, safety, and belonging. These normative beliefs, together with related cultural values and rituals, impose a sense of order and control on aspects of life that might otherwise appear chaotic or unpredictable.

Businesses must be conscious of the culture or social norms and beliefs in which they operate.

Why cultural norms are very important to be shared?

Cultural norms has been considered as they shared, or sanctioned, and the integrated systems of the beliefs as well as practices that has been passed down just through the generations as well as characterize the cultural group. Norms that cultivate the reliable guidelines for the daily living as well as it contribute to the health and well-being of the culture.

They will act as the prescriptions for correct and the moral behavior, that lend meaning as well as the coherence to life, and the provide the means of the achieving a particular sense of the integrity, safety, and the belonging. These normative beliefs, that all together with the related cultural values along with the rituals, has been imposed the sense of order and the control on the aspects of the life that would might otherwise appear chaotic or it is unpredictable.

Therefore, Businesses must be conscious of the culture or social norms and beliefs in which they operate.

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A client tells the clinic nurse that she has sought care because she has been experiencing excessive tearing of her eyes. which assessment should the nurse next perform? find the volume of the solid whose base is bounded by the circle x^2 y^2=9 and the cross sections perpendicular to the x-axis are equailtareral triangles why do you think the pudding enzymes did not need to be incubated for a longer period of time at a warmer temperature for digestion to occur explain? InstructionsComplte les phrasesavec une prpositionlogique (certainesquestions peuventaccepter plusieursrponses diffrentes). Which relation is a function? What+is+the+principal+portion+of+the+222nd+payment+of+a+fully+amortizing+$250,000,+30-year+fixed+rate+loan+with+an+interest+rate+of+4.825%? Scientists have discovered a new planet. The planet is in a solar system whose star is similar in size to the sun and is about as far from the star as Venus is from the sun. The planet is similar in size to Earth, and its atmosphere is similar in thickness to Earths atmosphere. The atmosphere is composed almost entirely of carbon dioxide and methane.In three to five sentences, make a hypothesis about the temperature on the planets surface. Explain your answer using information about the planets location and atmosphere. water stands at a depth H in a large, open tank whose sidewalls are vertical. a hole is made in one of the walls at adepth h below the water surface.a)at what distance R from the foot of the wall does theemerging stream strike the floor?b)how far above the bottom of the tank could a second hole becut so that the stream emerging from it could have the same rangeas for the first hole? a negative number divided by a positive number have to equal 7 What is the present tense of descoger??? Once you have come to a decision, you should "go" over it and What is citizenship? if 36C ofcharge pass through a write in 4s current is it carrying? Which of these statements is not true?Chinese soldiers fought for the Union Army in the Civil War.Japanese soldiers fought for the Americans during the Revolutionary War.Filipino soldiers fought for the U.S. in the Battle of New Orleans in 1815. Which factor is likely to havecontributed the most to theRomani people's difficulties inblending with society? Find the quotient: 0.12)78.6. Kara categorized her spending for this month into four categories: Rent, Food, Fun, and Other. Theamounts she spent in each category are pictured here.Food$356Other$533Rent$444Fun$267What percent of her total spending did she spend on Food? Answer to the nearest whole percent.Enter an integer or decimal number [more..] Part 1 : Suppose that nominal GDP was $12 trillion in 2040 in Mordor. In 2050, nominal GDP was $15 trillion in Mordor. The price level fell 7% between 2040 and 2050, and population growth was 2%. What was the percentage change in real GDP between 2040 and 2050?a. 5%b. 9%c. 12%d. 15% How have similar statements influenced modern congressional actionsA). Presidential impeachmentB). Presidential nominationC) presidential electionD). Presidential veto After our country was founded, continued national expansion to the West occurred because of the Louisiana Purchase and subsequent Lewis and Clark expedition, the idea of manifest destiny, the gold rush, and so forth. Please assess westward expansion and development, including the Trail of Tears. Who benefited? Who lost out? What were the motivations? How did these developments shape our country?