Infant feeding guidelines for term infants are appropriate for use in most preterm infants using their corrected age. True False

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Answer 1

The given statement "Infant feeding guidelines for term infants were appropriate for use in most preterm infants in their corrected age" will be false. Because, preterm infants have unique nutritional needs and requirements due to their early birth and underdeveloped organ systems.

Corrected age is the age at which a preterm infant would be if they had been born at term. It is calculated by subtracting the number of weeks of prematurity from the chronological age. While corrected age is used to assess developmental milestones and some aspects of growth, it does not necessarily align with the nutritional needs of preterm infants.

Preterm infants often require specialized feeding strategies, nutritional supplementation, and careful monitoring to ensure appropriate growth and development. These guidelines are typically developed based on their gestational age, weight, growth trajectory, and specific health conditions.

To meet the unique nutritional needs of preterm infants, healthcare providers often develop individualized feeding plans and may use specialized preterm infant formulas, fortified breast milk, or human milk fortifiers to provide the necessary nutrients. Regular monitoring and adjustment of feeding plans are crucial to ensure optimal nutrition and growth in preterm infants.

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Related Questions

How did john watson have different view from sigmund freud ​

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Explanation:

John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism.

Freud incorporated the concept of the unconscious to explain transference. Watson understood and was intrigued by Freud's definition of sexual transference, but he was searching for an explanation of transference that did not involve the unconscious (Watson & Morgan, 1917)

Answer:

John Watson was fascinated by the discoveries of psychoanalysis, but he rejected Freud's central concept of the unconscious as incompatible with behaviorism. After failing to explain psychoanalysis in terms of William James's concept of habit, Watson borrowed concepts from classical conditioning to explain Freud's discoveries. Watson's famous experiment with Little Albert is interpreted not only in the context of Pavlovian conditioning but also as a psychoanalytically inspired attempt to capture simplified analogues of adult phobic behavior, including the "transference" of emotion in an infant. Watson used his behavioristic concept of conditioned emotional responses to compete with Freud's concepts of displacement and the unconscious transference of emotion. Behind a mask of anti-Freudian bias, Watson surprisingly emerges as a psychologist who popularized Freud and pioneered the scientific appraisal of his ideas in the laboratory.

Explanation:

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did pasang survive? did this surprise dr.kamler?

Answers

Answer:no

Explanation:

Name at least three things you can do to ensure that Chris receives a safe and accurate dose of medication.

Answers

1. Check with the doctors to make sure they have gotten the accurate dose
2. Take notes when the doctor tells you about the medication
3. Check the Medication at the pharmacy or store the medication properly
4. Keep a medication Log

The safe and accurate administration of medications is a crucial and possibly difficult nursing duty.

What are the possible things that can be done to ensure that Chris receives an accurate dose of medication?

Avoid being distracted. Medications can be prepared without interruption in a no-interruption zone (NIZ) at some organizations.Always enquire about the patient's allergies, reaction types, and level of severity.Prior to administering any medication, a patient must undergo an evaluation (such as a review of test results, a pain assessment, a respiratory assessment, a cardiac assessment, etc.) to make sure the patient is taking the right medication for the right condition.

Dosage errors have been attributed to calculating errors in medications, particularly when modifying or titrating dosages.

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Choose a common injury you see in sports. research the injury and write one-two paragraph describing what might occur when this injury is present

Answers

Answer:

Ankle sprain

Explanation:

I would say an ankle sprain because when your ankle is forced to move out of its normal position which will cause one or more of the ankles ligaments to stretch. You can tear your ankle severely or partially. some causes of a ankle sprain are: A fall causing your ankle to twist, or landing on it awkwardly after running, jumping, or pivoting.

explain a strategy you can use to ensure that your own personal beliefs don't get in the way of your job response

Answers

Answer:

A good strategy is: an organizational and tolerant culture in the workplace

Explanation:

A good strategy is. Having an organizational and tolerant culture at work, this means, what is work must be done at work and what corresponds to our personal values and beliefs, are only ours; But we must be willing to be receptive and share our beliefs and values with others as long as the occasion for it arises in a social setting.

Now, we must be tolerant and very respectful of the opinions and beliefs of others, we must not turn our work into a place of religious and philosophical competences.

Can chronic inflammation cause cancer?; What causes high inflammation?; What are the most common inflammatory diseases?; What diseases are caused by inflammation?

Answers

Answer: Chronic inflammation over time can harm DNA and result in cancer. Colon cancer risk is higher in people with chronic inflammatory bowel illnesses such ulcerative colitis and Crohn's disease. The most frequent causes of persistent inflammation include exposure to pollutants, such as pollution or industrial chemicals, and autoimmune diseases like lupus, in which your body attacks healthy tissue acute inflammation that is not being treated, such as from an infection or wound. Fatty liver disease, endometriosis, Type 1-2 diabetes mellitus, rheumatoid arthritis, cancer, and other conditions are examples of common inflammatory disorders. Rheumatoid arthritis and other autoimmune illnesses are examples of diseases that are brought on by inflammation. cardiovascular conditions such heart disease and excessive blood pressure. problems of the digestive system, such as inflammatory bowel disease. Asthma-related lung conditions. depression is a type of mental disorder.

Explanation: I hope this is understandable, and I hope I helped you on this, if not then I'm really sorry.

Ideally, which form of media communication is used to express a personal concern about a nutrition or health issue that you feel needs attention

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Ideally, for expressing a personal concern about a nutrition or health issue that needs attention, direct forms of media communication would be most effective. This can include methods such as writing an email or letter, making a phone call, or scheduling a face-to-face meeting with relevant individuals or organizations.

By directly addressing the concern through personal communication, individuals can ensure that their message is accurately conveyed and received by the intended recipients. It allows for a two-way dialogue, where concerns can be discussed in detail, questions can be asked, and potential solutions can be explored collaboratively.

Personal communication also adds a human touch to the concern, making it more impactful and persuasive. It enables the individual to express their emotions, experiences, and personal perspectives, which can evoke empathy and understanding from the recipients.

Moreover, personal communication allows for immediate feedback and the opportunity to build relationships with key stakeholders. It facilitates open and constructive dialogue, increasing the chances of the concern receiving the attention it deserves and initiating meaningful action to address the nutrition or health issue at hand.

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dentify the true statement.
a.
PK is not a good predictor of how quickly the PD effect will start.
b.
How quickly a drug is distributed in the body is a study of pharmacodynamics of a drug.,
c.
How slow (or fast) a drug is metabolized can allow us to determine the dosing schedule of a drug.
d.
Both b and c

Answers

The true statement is b. How quickly a drug is distributed in the body is a study of pharmacodynamics of a drug.

Pharmacodynamic actions of a drug include stimulating activity by directly inhibiting a receptor and its downstream effects. Depressing activity by direct receptor inhibition and its downstream effects. Antagonistic or obstruction a receptor by binding to that, however not activating it.

4 stages of pharmacodynamics are Absorption: Describes however the drug moves from the location of administration to the location of action. Distribution: Describes the journey of the drug through the blood to varied tissues of the body. Metabolism: Describes the method that breaks down the drug. Excretion: Describes the removal of the drug from the body.

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There is an abundance of calcium in the sarcoplasm of the resting, relaxed muscle.
a. True
b. False

Answers

The correct answer is b. False

Answer: b. False

Explanation: In the resting, relaxed muscle, the sarcoplasm contains a very low concentration of calcium ions. The majority of the calcium ions in a muscle cell are stored in the sarcoplasmic reticulum, which is a specialized structure within the muscle cell.

During muscle contraction, when a muscle is contracted, calcium ions are released from the sarcoplasmic reticulum into the sarcoplasm.  These calcium ions then bind to specific proteins called troponin, which triggers a series of events leading to muscle contraction.

After contraction, when the muscle is relaxed, the calcium ions are actively pumped back into the sarcoplasmic reticulum, lowering the concentration of calcium ions in the sarcoplasm and allowing the muscle to return to its resting state.

A five-month-old infant is ordered acetaminophen q6h for a high temperature. The usual adult dose is 325 mg q4-6h. The available acetaminophen is 160 mg/5 mL. What volume of medication should the infant receive every six hours? a) 3.2 mL b) 0.28 mL child's dose ) 0.34 mL child's dose d) 1.6 mL

Answers

Answer: .34 ML

Explanation: Your welcome :)

The volume of acetaminophen medication the infant should receive every six hours is 3.2 mL.

To calculate the appropriate volume of medication for the infant, we need to determine the correct dosage based on the adult dose and adjust it for the infant's weight.

The adult dose is 325 mg, to be taken every 4-6 hours. However, for infants, the dosage is usually adjusted based on their weight or age. In this case, the infant is five months old.

The available acetaminophen concentration is 160 mg/5 mL. We need to calculate the appropriate volume of medication to provide the desired dosage.

The child's dose is usually a fraction of the adult dose, based on weight or age. Without specific weight information provided, we can assume the child's dose is a fraction, such as 1/2 or 1/4, of the adult dose.

Based on the available options, the volume of medication that aligns with a child's dose is 3.2 mL. This would correspond to a child's dose that is approximately 1/2 of the adult dose (325 mg).

Therefore, the main answer is 3.2 mL.

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i am generally used in emergency situations when blood is needed immediately is called?

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The term used for the immediate use of blood in emergency situations is "emergency blood transfusion."

Emergency blood transfusions are performed when there is a critical need for blood due to severe bleeding, trauma, or other life-threatening conditions.

In such cases, blood is quickly obtained from compatible donors and administered to the patient to restore blood volume and replace lost blood components.

Emergency blood transfusions can be a life-saving intervention in critical situations, providing vital oxygen and nutrients to the body's tissues.

The prompt availability and administration of blood in emergency situations can significantly improve patient outcomes and increase the chances of survival.

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increased preload of the cardiac chambers may lead to which patient symptom?

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Increased preload, referring to the amount of blood in the ventricles before contraction, can lead to symptoms like shortness of breath, chest pain, and fatigue. Conditions such as heart failure, mitral valve regurgitation, and aortic valve stenosis can contribute to increased preload. Edema and fluid buildup may also occur, worsening symptoms and complications.

Increased preload of the cardiac chambers can result in a variety of patient symptoms. Preload refers to the amount of blood in the ventricles before they contract. A high preload means that there is more blood in the ventricles, which can increase the workload of the heart and lead to symptoms such as shortness of breath, chest pain, and fatigue. This can occur in conditions such as heart failure, where the heart cannot pump enough blood to meet the body's needs. Other causes of increased preload include mitral valve regurgitation, which allows blood to flow backward into the left atrium and increase the volume of blood in the ventricles, and aortic valve stenosis, which can cause the left ventricle to work harder to pump blood out of the heart.

In addition to the symptoms mentioned above, increased preload can also lead to fluid buildup in the lungs or other parts of the body, causing edema. This can further exacerbate symptoms and increase the risk of complications.

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truue/falsee. A new drug has been formulated which is intended to inhibit ulcer formation by absorbing excess stomach acid. However, some researchers predict that the resulting reduced levels of stomach acid will interfere with the stomach's ability to break down food, and the body will compensate by producing more stomach acid.

Answers

A new drug has been formulated which is intended to inhibit ulcer formation by absorbing excess stomach acid. The given statement is true.

What happens when the acid of the stomach reduces?

Reduced levels of stomach acid will interfere with the stomach's ability to break down food, and the body will compensate by producing more stomach acid.

The stomach is part of the gastrointestinal tract. The gastrointestinal tract runs from the mouth to the small intestine. A new drug has been formulated which is intended to inhibit ulcer formation by absorbing excess stomach acid.

Therefore, A new drug has been formulated which is intended to inhibit ulcer formation by absorbing excess stomach acid. The given statement is true.

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witch of the fallowing is an advantige of synthetic fiber rope

Answers

Answer:

It's safer, lighter, faster and easier.

Explanation:

1. Describe the difference observed between hyaline cartilage and fibrocartilage? What is the effect of that difference in the way the tissue functions?

Answers

The difference between it and hyaline is that fibrous cartilage has a much denser matrix which contains far fewer chondrocytes and thicker collagen fibres. The main function of fibrocartilage is to serve as a shock absorber for structures where excessive pressures are generated.

(K12) Question 1 (1 point)
How does a fungus get food?
Question 1 options:

A. both autotroph and heterotroph

B. autotroph

C. Neither. It doesn't need food!

D. heterotroph

Answers

Answer:

D. Heterotroph

Explanation:

Fungi can't make their own food/energy like plants, they must extract energy from other living or dead things.

I believe the answer is c

perimeter is the distance around the polygon to get the perimeter of the polygon ule the measurement of allof its side

Answers

By dividing the number of sides by the length of each side, one can get a regular polygon's perimeter. The fact that this algorithm only applies to regular polygons should not be overlooked.

What is meant by polygon's perimeter?The perimeter of a closed figure is the sum of the lengths of its sides. It is the sum of the lengths of all the sides of a polygon. The perimeter is equal to the sum of all the sides. Any polygon's perimeter will always be measured in the same unit as its sides.The perimeter of a polygon is the area surrounding it. Any polygon's perimeter can be calculated by adding the lengths of the sides.The total length of all the sides that make up a polygon is its perimeter.The perimeter of a form is its circumference. The area of a form is the interior empty space.

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The patient verbalized that before leaving her home, she had a BP of 140/90. This information should be placed in

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Answer:

The patient's blood pressure reading should be recorded in the patient's medical record. This information is important to help track the patient's progress over time and to provide a baseline for further healthcare decisions. Additionally, the patient's blood pressure should be monitored regularly during their treatment and care.

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What is the ICD-10 code for generalized weakness?

Answers

The WHO classifies ICD-10 code M62. 81 for Muscle weakness (generalised) as belonging to the category of Soft tissue disorders.

The International Classification of Diseases promotes cross-border comparability in the collection, management, classification, and presentation of mortality statistics (ICD). The provision of a format for listing the causes of death on the death certificate is one part of this. ICD-10-CM has seven characters in its alphanumeric code. Each code begins with two numbers followed by a letter. The first three characters in the ICD-10-CM denote the "category". The classification encapsulates the condition's or harm's general nature. The subcategory follows the category, followed by a decimal point.

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Rachel has successfully avoided all temptations to drink alcohol throughout high school. What would be Rachel's best option for continuing the healthy lifestyle? increase sugar intake to curb alcohol cravings don't go to bars or socialize isolate herself from family members to reduce temptation reward herself for sticking to her goals

Answers

Answer:

Reward herself for sticking to her goals.

Explanation:

When you are trying to stick to a habit, you want to make sure that you aren't hurting yourself in the process. Increasing sugar intake is bad for you, isolating yourself is also bad for your mental health, and so on. Rewarding yourself makes your brain learn to do that action to get more rewards, like if you are training a dog to sit and give it treats when it does it properly.

Answer:

She should reward herself for sticking to her goals

Explanation:

she stuck by what she believed in so a reward would be a great way to remind her that she did a good thing.

1. MA Certifying Organizations (List four.)

Answers

I only know the top four organizations which are
American Association of Medical Assistants (AAMA)
American Medical Technologists (AMT)
National Healthcare Association (NHA)
National Center for Competency Testing (NCCT)

To lower blood pressure in adults, aerobic physical activity should be performed for more than ___ minutes a day for most days of the week.

Answers

To lower blood pressure in adults, aerobic physical activity should be performed for more than 15 minutes a day on most days of the week.

With more than 15 Minutes a day, You can lower your blood pressure and maintain a healthy weight with exercise. At least two and a half hours of moderate-intensity aerobic exercise each week, or one hour and fifteen minutes of vigorous-intensity aerobic exercise, should be your goal. Should engage in 150–300 minutes of aerobic activity that is both moderate and vigorous, or 75–150 minutes of aerobic activity that is both vigorous and moderate, or an equivalent combination of both throughout the week. consuming a balanced diet.

You should reduce the quantity of sodium (salt) you consume and up your intake of potassium to assist control your blood pressure. Additionally, it's crucial to consume a lot of nutritious grains, fruits, and vegetables as well as low-fat foods. The DASH eating regimen is an illustration of a diet that can lower blood pressure.

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a client who had a cesarean birth is unable to void 3 hours after the removal of an indwelling catheter. how would the nurse evaluate the client for bladder distension? hesi

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As a nurse, there are several ways to evaluate a client for bladder distension following a cesarean birth. If the bladder scan shows a significant amount of urine in the bladder, it is an indication of bladder distension.

The first step would be to perform a bladder scan, which is a noninvasive tool used to measure the amount of urine in the bladder. Another way to evaluate the client would be to assess for signs and symptoms of bladder distension, such as abdominal discomfort, urinary frequency, urgency, and incomplete voiding. The nurse can also palpate the client's lower abdomen to assess for bladder fullness.

If the client is still unable to void after these interventions, the nurse may need to consider reinserting the indwelling catheter to relieve the bladder distension and prevent further complications such as urinary tract infection or bladder rupture. It is important for the nurse to closely monitor the client's urinary status and communicate any changes to the healthcare provider. The nurse should also provide education to the client on proper toileting techniques and encourage frequent voiding to prevent bladder distension in the future.

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polly is 3 weeks postpartum and has been having some problems with breastfeeding. she wants to know the symptoms of mastitis. which of these symptoms would be consistent with mastitis

Answers

Mastitis is a common condition that can occur in breastfeeding mothers, typically within the first few weeks postpartum.

Some of the symptoms that are consistent with mastitis include:

Breast tenderness or warmth to the touchSwelling of the breastRedness, often in a wedge-shaped patternPain or a burning sensation while breastfeedingFlu-like symptoms, such as fever, chills, and fatigueA lump or hard area in the breast

It is important for Polly to be aware of these symptoms and to seek medical attention if she experiences any of them. Treatment for mastitis typically involves antibiotics to clear the infection, as well as continued breastfeeding to help clear the affected breast. With proper treatment, most cases of mastitis can be resolved quickly and without complications.

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Which of the following is not a TCS food?
O A. ground beef
o
B.
shellfish
O c. sliced cantaloupe
o
D. salt

Answers

Answer:

salt

Explanation: does not need any temperature or time control regulated

The one which is not a TCS food is salt. The correct option is D.

What are TCS foods?

TCS stands for temperature control safety. The food that comes under temperature control is called TCS foods. These food items are dairy products, meats, shellfishes, cooked vegetables, fruits, green leafy vegetables, etc.

Ground beef, shellfish, and sliced cantaloupe all are needed an appropriate temperature to stay fresh and edible. Otherwise, these foods will spoil. They are usually refrigerated to save.

Salt is a compound of two chemicals, sodium, and chloride. It is edible salt and is dry in nature, it can be kept in a jar or packet. It will not spoil, it does not need temperature.

Thus, the correct option is D. salt.

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The order for a 5-kg cat is 0.05 micrograms/kg/min of fentanyl. Fentanyl (0.05 mg/mL) is available. The fentanyl will be added to a 150-mL burrette and run at 20 mL/hr. How many milliliters of fentanyl will you add to the burrette?

Answers

Answer: 0.3 milliliters

Explanation:Given:

Weight of cat: 5 kg

Dose of fentanyl: 0.05 micrograms/kg/min

Concentration of fentanyl: 0.05 mg/mL

Rate of infusion: 20 mL/hr

First, let's calculate the total amount of fentanyl required per minute:

Dose per minute = Dose per kg per minute × Weight of cat

Dose per minute = 0.05 micrograms/kg/min × 5 kg

Dose per minute = 0.25 micrograms/min

Next, we need to convert the dose from micrograms to milligrams:

Dose per minute = 0.25 micrograms/min ÷ 1000 (to convert to milligrams)

Dose per minute = 0.00025 mg/min

Now, we can calculate the total amount of fentanyl required over the given time period of 1 hour (60 minutes):

Total dose of fentanyl = Dose per minute × 60 minutes

Total dose of fentanyl = 0.00025 mg/min × 60 minutes

Total dose of fentanyl = 0.015 mg

Since the concentration of fentanyl is given as 0.05 mg/mL, we can determine the volume of fentanyl required:

Volume of fentanyl = Total dose of fentanyl ÷ Concentration of fentanyl

Volume of fentanyl = 0.015 mg ÷ 0.05 mg/mL

Volume of fentanyl = 0.3 mL

Therefore, you would add 0.3 milliliters of fentanyl to the burrette to achieve the prescribed dose over the given time period.

i think.

Teaching by the nurse hasbeen effective if the staff make which statements?Select all that apply.A. The head circumference should be measured

Answers

According to a learning principle, the nurse can predict that school-aged kids will learn a skill like bandaging.

Nurse educators need to be highly educated, knowledgable, clinically experienced, and communicatively skilled. They bring to the position fundamental knowledge and skills in both the science and art of nursing, as well as an understanding of educational ideas and techniques for assessment and evaluation. The most popular method used by nurse educators to improve the aspect of nursing students is role modelling. Their behaviour has an impact on the students' attitudes both consciously and unintentionally. The nurse owes the same obligations to oneself as they do to others, including the need to advance health and safety, maintain morality and competence, and carry out ongoing personal and professional development. An effective nurse must show both self- and other-care.

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How many muscles does the human body have?

Answers

The human body has more than 600 muscles.

Answer:

There are about 600 muscles in the human body. The three main types of muscle include skeletal, smooth and cardiac.

Explanation:

A medical assistant is performing a fecal occult blood test using a guaiac card. Which of the following actions should the ma take?

Answers

The correct option is D) Use a wooden applicator to apply the fecal sample to the guaiac card.

A wooden applicator is typically used to collect and apply a small amount of fecal sample to the front of the guaiac card. The back of the card is then used to apply a developer solution. The card is then observed for a color change that indicates the presence of blood in the sample. Mixing the fecal sample with saline solution is not typically necessary and applying the sample to the back of the card is not correct.

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Full Question ;

Which of the following actions should the medical assistant take when performing a fecal occult blood test using a guaiac card?

A) Collect the fecal sample using a sterile technique

B) Mix the fecal sample with saline solution before applying to the guaiac card

C) Apply the fecal sample to the back of the guaiac card

D) Use a wooden applicator to apply the fecal sample to the guaiac card.

02. BASIC COUNSELLING SKILLS INCLUDE THE FOLLOWING EXCEPT:- A). CONCRETENESS B), EMPATHY C. PASSIVE LISTENING D). SELF DISCLOSURE​

Answers

Answer:

B is your answer or empathy

Explanation:

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Define mercantilism. How do you identify complex sentences?. The client is diagnosed with hyperlipidemia and prescribed lovastatin. which is the most common adverse effects of lovastatin? how many square miles does ATC and radar services attempt to cover? How many aircraft at any given time is ATC monitoring, and spread over how many airports within the USA? The equation of line t is y = -x + 9/2. Line u includes the point (-8, -1) and is perpendicularto line t. What is the equation of line u? In the hope of ending the Vietnam War before the 1972 presidential election, President Nixon changed his position and decided that ______.a. the North Vietnamese military could remain in South Vietnamb. American troops should remain in South Vietnam to help rebuild the countryc. North Vietnam would have to give up its claims in Cambodiad. American troops would take over ground combat from South Vietnam Suppose f is a linear function and f(x) varies at a constant rate of change of 1.5 with respect to x. Suppose we know that f(1.7)=2.5.Suppose xvaries from x=1.7 to x=1.9...How much did xchange by? Draw the structure of the compound that is consistent with the 1H NMR data below. (Assume that long-range coupling is not observed.) *Suggestion: Find \"end groups\" (like methyls) and work as far as possible towards the middle *When \"neighboring\" hydrogens are unequal, the splitting gets quite complex and multiplets result. 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His new merchandise company is called Tongass and they buy many items from vendors and then re-sell them for a profit online. The inventory is held for sale in big warehouses. Mr. Scent likes to implement technology everywhere and even has robots picking up items from the warehouse and putting them in boxes. Suffice to say he has invested millions in this new venture. Everytime a new inventory item comes in, it gets scanned by the system and put into the inventory system for accounting records. Everytime there is a sale, each item gets scanned by the system before it is placed on a box and shipped. As you may be aware, the company uses a Perpetural Inventory System maintained by robots scanning every item as soon as it enters or leaves the warehouse. At the end of each month, inventory is manually counted as well, and the manual count is compared to the systems. After 5 months in operation (it is now the beginning of June), the accountants meet with Mr. Scent to discuss inventory. It seems in all the past 5 months, the manual inventory count does not match the count provided by the system. In response to this news, Mr. Scent says, "That's an easy problem to fix. We'll just stop manually counting inventory at the end of each month. If there are differences between the system and what was counted, it must mean that the employees were counting wrong. After all, computers are never wrong. This is great news! We can use the time the employees were counting for more productive work." INSTRUCTIONS: Create a thread in which you write what you would say to Mr. Scent regarding this situation. Please be tactful and professional. Mr. Scent may not be the most professional and empathetic person, but you are. Make sure you answer the following questions: Why if there is a perpetual system where inventory is kept electronically, is manual counting still required? . What could be the reason for the differences between manual counting and the system's count? . 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