a 23-year-old woman presents with seizures. the patient received 2 mg of lorazepam by ems but continues to seize. serum lab tests show the following: sodium: 118 mmol/l potassium: 3.6 mmol/l chloride: 90 mmol/l bicarbonate: 21 mmol/l blood urea nitrogen: 10 mg/dl creatinine: 1.0 mg/dl glucose: 89 mg/dl what treatment should be administered next?

Answers

Answer 1

3% hypertonic saline treatment should be administered next.

This patient has prolonged seizure activity and hyponatremia and should be treated with hypertonic saline right away. After hypokalemia, hyponatremia is defined as a serum sodium level of 135 mEq/L and is the second most common electrolyte abnormality. The symptoms and signs of hyponatremia are determined by the patient's volume status, the cause, and the speed with which the serum sodium changes. Patients experiencing acute changes typically experience more severe symptoms such as nausea, vomiting, confusion, stupor, and seizures.

Chronic hyponatremia is distinguished by mild neurologic symptoms and lower serum sodium levels than acute hyponatremia. In patients who do not have neurologic symptoms, volume status should be evaluated and additional labs ordered to determine the cause of hyponatremia (urine sodium, osmolarity etc.).

Patients with neurologic symptoms should be treated as soon as possible with 3% hypertonic saline. It is critical to increase serum sodium by no more than 0.5 mEq/L/hour and no more than 10 - 12 mEq/day when correcting serum sodium. Rapid changes can result in central pontine myelinolysis, a debilitating neurologic disease. Hypoglycemia is a common cause of seizures and should be treated as soon as possible with dextrose.

Patients are typically symptomatic when their blood sugar is less than 50-60 mg/dl. Diazepam is a benzodiazepine that is commonly used to treat seizures. It is, however, ineffective in hyponatremia. Patients with status epilepticus caused by isoniazid overdose should be given pyridoxine or vitamin B6.

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Related Questions

According to Clevette and colleagues, examples of unsafe, common disciplinary actions reviewed by boards of nursing include all of the following EXCEPT

Answers

Failure to implement safeguards to ensure patient confidentiality of patients protected health information aren't reviewed  by boards of nursing.

Who is a Nurse?

This is a healthcare professional who is involved in taking care of the patient so as to ensure quick recovery.

The nursing board deals with approval of nursing programs and also issues which may arise from direct relationship with the patient  such as abuse so as to ensure the best hands are in the job.

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caregivers of a 9-year-old client in the terminal phase of a fatal illness ask the nurse for guidance in discussing death with the client. which response is appropriate?

Answers

The response which is appropriate is that at this developmental stage, most children have an adult concept of death and should be encouraged to discuss it.

What is Death?

This is referred to as the irreversible functioning of the organism and is characterized by the stoppage of the activities which are done by the body system on a daily basis such as respiration, excretion etc.

At this developmental stage and age, most children have an adult concept of death and usually have fears for it when under severe conditions such as in the terminal phase of a fatal illness.

This therefore means that the child should be encouraged to discuss about it with anyone so as to know what the child wants and feel relaxed about the process during the process of medical care.

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Which of the following is NOT a type of family or physician practice?

Question 4 options:


Massage therapist


Psychiatrist


Obstetrician


Dermatologist

Answers

The professional that is not a type of family of physician practice is a psychiatrist (option B).

Who is a psychiatrist?

A psychiatrist is a medical doctor specializing in psychiatry, which is a branch of medicine that subjectively diagnoses, treats, and studies mental disorders and behavioural conditions.

According to this question, the following are the definitions of physician practice:

Obstetrician: This is a physician who specializes in childbirth.Dermatologist: This is person who is skilled in the study of skin and it's management. Massage therapist; This is a professional that is skilled in the therapeutic use of massage.

Therefore, the professional that is not a type of family of physician practice is a psychiatrist because it is not family related.

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16. Trissel's Handbook on Injectable Drugs is mainly used in
pharmacies.
O A. community
OB. online
O C. compounding
O D. hospital

Answers

Answer:

D. Hospital

Explanation:

I majored in Health

what is a famous organization that grants life-changing wishes for children with critical illnesses like cancer?

Answers

Make-A-Wish Foundation is a famous organization that grants life-changing wishes for children with critical illnesses, including cancer.

The organization was founded in 1980 and has since granted hundreds of thousands of wishes to children around the world, helping to bring joy, hope, and inspiration to children facing challenging medical conditions. Make-A-Wish Foundation operates through a network of volunteer wish-granting chapters and works with medical professionals, donors, and supporters to bring hope and happiness to children and their families.

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while taking a history from an adult client newly diagnosed with renal cell cancer, the nurse can associate which high-risk factor with the development of this cancer?

Answers

Renal cell cancer (RCC) is a type of cancer that affects the cells in the kidneys. It is more common in adults over the age of 55 and is associated with certain high-risk factors, such as smoking, obesity, high blood pressure, and a family history of renal cell cancer.


Smoking is one of the major risk factors for RCC, and studies have shown that current smokers are twice as likely to develop the disease as non-smokers. Obesity is also a risk factor, with people who are overweight or obese having an increased risk of RCC.

High blood pressure is a risk factor as well, with hypertension being associated with an increased risk of developing renal cancer. Additionally, having a family history of RCC puts one at a higher risk of developing the disease.

In summary, when taking a history from an adult client newly diagnosed with RCC, the nurse can associate any of these high-risk factors with the development of this cancer.

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A formula calls for 0.5 milliliter of hydrochloric acid. Using a 10 -milliliter graduate calibrated from 2 to 10 milliliters in 1 milliliter divisions , explain how you would obtain the desired quantity of hydrochloric acid by the aliquot method ?

Answers

I hope this helps you!
A formula calls for 0.5 milliliter of hydrochloric acid. Using a 10 -milliliter graduate calibrated from

Mr. Crews came in with a prescription for simvastatin 20 mg 1 qhs #30 the label should read:
a. Take one tablet by mouth every night at bedtime
b. Take on tablet by mouth every morning
c. Take one tablet by mouth every afternoon
d. Take one tablet by mouth daily

Answers

Mr. Crews came in with a prescription for simvastatin 20 mg 1 qhs #30 the label should read take one tablet by mouth every night at bedtime, hence option A is correct.

The medical abbreviation q.h.s. quaque hora somni means every night at bedtime. Medical workers, including physicians and nurses, utilize abbreviations to communicate effectively and precisely.

In the medical field, abbreviations are frequently used to save time and space while writing in the patients' medical records.

As different specializations have grown, each has created a set of acronyms that are often used in its practice but may not be familiar to people outside the area.

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The arteries of the systemic circuit carry _____ blood, and the arteries of the pulmonary circuit carry _____ blood.
a. oxygenated; deoxygenated
b. oxygenated; oxygenated
c. deoxygenated; deoxygenated
d. deoxygenated; oxygenated

Answers

Answer: A !!

Explanation: Oxygenated & Deoxygenated :)

a nurse is caring for a client who is experiencing preterm labor at 29 weeks of gestation and has a prescription for betamethasone. which of the following statements should the nurse make about the indication for medication administration?

Answers

Answer:

The nurse should inform the client about the indication for betamethasone administration in the following statement:

"Betamethasone is prescribed to promote fetal lung maturation and reduce the risk of respiratory distress syndrome in your baby since you are experiencing preterm labor at 29 weeks of gestation. It helps speed up the development of your baby's lungs and improves their chances of breathing properly after birth."

Explanation:

One disease that effect or encourage another condition is known as a

Answers

Answer:

unspecified

Explanation:

Example

"unspecified depressive disorder"

Or it could be a virus. Because it can affect the different types of systems in your body.

(respiratory, circulatory, etc)

This structure is shaped like a seahorse, has a swiss-roll construction when examined in a coronal slice, and is nestled within the medial temporal lobe.
a. amygdala b. hippocampus Correct c. hypothalamus d. putamen

Answers

Answer: Hippocampus

Explanation: Inside of the medial temporal lobe has nestled the hippocampus, which regulates hormones and sleep patterns.

The structure is shaped like a seahorse, has a swiss-roll construction when examined in a coronal slice, and is nestled within the medial temporal lobe, which is the hippocampus.

Hippocampus has a unique and easily recognizable shape that resembles a seahorse, hence its name, which is derived from the Greek words "hippos" (horse) and "kampos" (sea monster). When a coronal slice of the brain is taken, the hippocampus appears to have a swiss-roll construction.

This arrangement allows for a large surface area of neural connections, which is essential for its role in memory formation and retrieval. Located within the medial temporal lobe, the hippocampus is well-positioned to interact with other important brain structures involved in memory and emotion regulation, such as the amygdala and the entorhinal cortex.

These interconnected brain regions together form a network that plays a crucial role in the formation, storage, and retrieval of memories, as well as emotional responses.

In summary, the hippocampus is the structure you are describing. It is a critical brain region involved in memory and learning, has a unique seahorse shape, and is found within the medial temporal lobe of the brain.

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when educating a patient about glargine (lantus), the nurse should explain that this medication:

Answers

When educating a patient about glargine (Lantus), the nurse should explain that this medication is a long-acting insulin used to control blood sugar levels in individuals with diabetes.

The medication is injected subcutaneously once a day and has a duration of action of up to 24 hours. It is important for patients to understand that glargine should not be mixed with any other type of insulin and should be used as directed by their healthcare provider. The nurse should also explain the potential side effects of glargine, which may include hypoglycemia, injection site reactions, and allergic reactions. It is important for patients to monitor their blood sugar levels regularly and report any significant changes or concerns to their healthcare provider.

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a client required an extensive episiotomy because her newborn was large what is a priority nursing intervention that minimizes edema and lessens discomfort at the episiotomy site

Answers

Injection local xylocaine

If a client required an extensive episiotomy because her newborn was large. The priority nursing intervention that minimizes edema and lessens discomfort at the episiotomy site is: Applying ice packs to the perineum

Edema occur due to the accumulation or build up of fluid which in turn lead to the swelling of the affected person tissue.

Perineum is located around the opening of the female vulva and this the area where a woman often have tears during delivery or during child birth and in some case the perineum can as well rupture.

It is advisable to apply ice packs to the perineum so as to reduce the risks of developing edema and to reduce any form of slight pain that may arise around perineum due to the tears.

Inconclusion if a client required an extensive episiotomy because her newborn was large. The priority nursing intervention that minimizes edema and lessens discomfort at the episiotomy site is: Applying ice packs to the perineum.

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during the pcr cycle, what is the purpose of the target temperature of 50 degrees celsius?

Answers

The target temperature of 50 degrees Celsius during the PCR cycle is used for annealing.

During the annealing stage, the primers that were added to the reaction mixture will attach to the complementary DNA strands. This is when the temperature is lowered to around 50 degrees Celsius, allowing the primers to bind to the DNA template. The length of time at this temperature is dependent on the primers used, and it is crucial that the temperature is held steady to ensure proper annealing.

The target temperature of 50 degrees Celsius is essential for the annealing stage of the PCR cycle. This temperature enables the primers to bind to the complementary DNA strands, which is crucial for amplifying the target DNA sequence. Therefore, maintaining the target temperature is crucial for successful PCR amplification.

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Special senses are senses that have a specialized organ associated with them. Do you think we could have more senses?

Answers

Answer:

Explanation:

yjjnynh sehrsthr

based on the logic of the statement we could have more senses if we could have more specialized organs and also it doesn t say if only one organ could be associated with more special senses:) we could find out more complex senses that helps us understand and integrate ourselves in the world by exploring the already known specialized organs .Maybe we have so many hidden senses that they blend so well we can t even find them:))

Maybe your question was yes or no. i think it needs more context to it to know how to answer to it.

Does hydroxychloroquine work?

Answers

Answer:

yes

Explanation:

Yeah, it does work,

Where in the gastrointestinal track do drugs delivered orally have their highest absorption?

Answers

Answer: The small intestine

Explanation:

what might the nurse do to reduce the patient's discomfort before inserting a nasogastric tube?

Answers

The nurse can provide a clear explanation of the procedure, describing what will happen, how it may feel, and why it is necessary. This helps alleviate anxiety and prepares the patient for what to expect.

To reduce a patient's discomfort before inserting a nasogastric tube, the nurse can take several actions:

Explain the procedure: The nurse can provide a clear explanation of the procedure, describing what will happen, how it may feel, and why it is necessary. This helps alleviate anxiety and prepares the patient for what to expect.

Provide reassurance: The nurse can offer reassurance to the patient, addressing any concerns or fears they may have. Assuring the patient that the discomfort will be temporary and that the procedure is important for their care can help reduce anxiety.

Apply a topical anesthetic: The nurse may apply a topical anesthetic, such as lidocaine gel or spray, to numb the nasal passage and throat before inserting the nasogastric tube. This can help reduce discomfort during insertion.

Use lubrication: Lubricating the tip of the nasogastric tube with a water-soluble lubricant before insertion can help ease discomfort and facilitate smoother passage.

Encourage relaxation techniques: The nurse can encourage the patient to practice relaxation techniques, such as deep breathing or focusing on a calming object or imagery, to help manage any discomfort or anxiety during the procedure.

Offer distractions: Providing the patient with a distraction, such as playing soothing music, engaging in conversation, or using guided imagery, can help redirect their attention away from the discomfort and promote relaxation.

It is important for the nurse to assess the patient's specific needs, provide individualized care, and prioritize their comfort throughout the nasogastric tube insertion process.

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What are the requirements when checking in ciii-v products

Answers

Answer:

It is required that the date at which the Ciii-v products are received must be documented on each page of the invoice, the Ciii-v products are medical product or ingredient that are sold at counter. In conclusion, generally, It is required that the date at which the Ciii-v products are received must be documented on each page of the invoice.

Explanation:

It is required that the date at which the Ciii-v products are received must be documented on each page of the invoice.

What is Ciii-v?

The Ciii-v products are medical product or ingredient that are sold at counter.

With this information, we can determine the requirement to purchase medical products ciii-v is of documentary order.

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23. Which of the following products might contain antibiotics? ANSWER: a. Toilet paper. b. Raw hamburger meat. c. Bottled water. d. Plastic knives, forks, and spoons.

Answers

Answer:

Raw hamburger meat

Explanation:

Have a great day! :D

Travis is obsessed with his weight, but he often cannot stop himself from eating an entire carton of ice cream or two pizzas in one sitting. Afterward, he makes himself throw up or takes laxatives to rid himself of the food. Travis' behavior is indicative of what psychological disorder?

Answers

Travis' behavior is indicative of bulimia nervosa, which is a psychological disorder with recurring episodes of binge eating followed by purging.

What does bulimia involve?

Bulimia nervosa typically involves feelings of guilt, shame, and loss of control during the binge episodes, which are often followed by attempts to rid oneself of the calories consumed through clearing behaviors such as self-induced emesis, laxative usage, or unrestrained physical exercise.

In Travis' case, his obsession with weight and his inability to stop himself from binge-eating followed by purging or laxative use are all characteristic symptoms of bulimia nervosa. It is important for individuals with bulimia nervosa to seek professional help to address their eating disorder and its underlying psychological and emotional factors.

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Aspirin is a non-steroidal anti-inflammatory drug (NSAID) that inhibits the formation of blood clots and is taken regularly by individuals with a heart condition. Steroids such as cortisol are used to control some autoimmune diseases and severe arthritis by down-regulating the inflammatory response. After reading the role of inflammation in the body's response to infection, can you predict an undesirable consequence of taking anti-inflammatory drugs on a regular basis?

Answers

Answer:

Taking NSAID on a regular basis can be very harmful to your body. With taking these medications regularly, they can cause Renal failure, Stroke, and can have the potential to cause ulcers in your stomache

the nurse instructs a client about the administration of beclomethasone by metered dose inhaler. which statement requires an intervention by the nurse

Answers

Giving actual medicines, consistent encouragement, and patient instruction are instances of nursing intercessions. The correct option(A).

Nurture ordinarily play out these activities as a component of nursing care intend to screen and work on their patient's solace and well-being.

The seven spaces are conducted nursing intercessions, local area nursing mediations, family nursing intercessions, wellbeing framework nursing intercessions, fundamental physiological nursing intercessions, complex physiological nursing intercessions, and security nursing intercessions.

Show the client how to support a stomach entry point while hacking and profoundly relaxing. A medical caretaker is arranging care for a grown-up client with critical mental debilitations and another determination of malignant growth.

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Q-The nurse instructs a client about the administration of beclomethasone by metered dose inhaler. Which statement requires an intervention by the nurse?

A. I must check my blood sugar before taking the beclomethasone

B. I should look for white spots or areas of redness in my mouth every day.

C. It doesn't matter whether I sit or stand up when I use the inhaler

D. If I haven't used the inhaler for several days, I should push one spray into the air

The World Health Organization has defined a community as: (Select all that apply) Group of answer choices

Answers

A group of people living in the same geographical area or sharing a common culture or interest.

The World Health Organization (WHO) defines a community as:
1. A group of people living in the same geographical area
2. A group of people with common interests or values
3. A group of people interacting with one another within a defined social structure.
These aspects highlight the importance of shared location, interests, and social interactions in forming a community. The WHO focuses on promoting health within communities through various programs and initiatives.

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The given question is incomplete. The complete question is given below-


The World Health Organization has defined a community as:
a)research studies, nursing experience and expertise, and community leaders
b) A group of people living in the same geographical area or sharing a common culture or interest.
c) A group of health nurse conducting informant interviews in a small community.

Suppose that your pressure gauge for determining the blood pressure of a patient measured absolute pressure p instead of gauge pressure. How would you write the normal value of systolic blood pressure, 120 mmhg, in such a case?.

Answers

Absolute blood pressure is given by the sum of atmopspheric pressure and systolic pressure for a 120mm Hg systolic pressure.

(760+ 120)mm Hg= 880 mm Hg

How does gauge pressure differ from absolute pressure?

The unit of gage pressure is pg, and it is related to absolute pressure as follows: pg = p - pa, where pa is the local atmospheric pressure. Example: A tire pressure gauge in a car measures 32.0 psi.

The most basic difference between the two is that absolute pressure uses absolute zero as its zero point, so although gauge pressure uses atmospheric pressure.

Therefore, Gauge pressure measurement is imprecise due to varying atmospheric pressure, whereas absolute pressure is always definite.

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A woman who has just become pregnant is used to drinking 2 pots of coffee a day. what adjustments should she make in her caffeine consumption

Answers

Answer:

limit coffee consumption to 2 cups a day

Explanation:

Which of the following vaccines can be administered after exposure to the infectious agent?
A. MMR vaccine
B. influenza vaccine
C. polio vaccine
D. human diploid cell vaccine

Answers

D. human diploid cell vaccine. This vaccine can be administered after exposure to the infectious agent, specifically rabies.

The human diploid cell vaccine is used for post-exposure prophylaxis that is after exposure against rabies infection. Rabies human diploid cell vaccine is used to protect people who have been bitten by animals (post-exposure) or otherwise may be exposed to the rabies virus (pre-exposure). This vaccine works by exposing you to a small dose of the virus, which causes the body to develop immunity to the disease.


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what’s an example of a body surface area formula

Answers

The most commonly used formula now is that of Mosteller, published in 1987 in The New England Journal of Medicine. According to Mosteller's "simplified calculation of body-surface area In metric terms" the body surface area = the square root of product of the weight in kg times the height in cm divided by 3600.

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In the following list of words, the accented syllable is shown in capital letters. The vowels need a long or short
mark added. As an exercise in how familiar you already are with medical words, add the diacritical marks to the
vowels. Check the answers at the end of the chapter.
6. anemia (a-NE-me-a)
7. angioplasty [AN-je-o-plas-te]
8. bursitis [ber-SI-tis)
9. disease (di-ZEZ]
10. hemoglobin (HE-mo-GLO-bin)
11. lymphoma (lim-FO-ma]
12. neuritis (nu-RI-tis)
13. osteoporosis (OS-te-o-po-RO-sis)
14. paraplegia (par-a-PLE-je-a)
15. pulse (puls]
16. radiation (ra-de-A-shun)
17. reflex (RE-fleks)
18. retina (RET-i-nal
19. rheumatism (RU-ma-tizm]
20. sciatica (si-AT-i-kal
21. septum (SEP-tum)
22. sinus (SI-nus)
23. therapy (THAR-a-pe]
24. typhoid (TI-foyd)
25. vaccine IVAK-sen]

Answers

Answer:

See below

Explanation:

6. a is short, both Es are long, last a is short

7. a is short, i sounds like long e, o is long, a is short

8. u is like short e, first i is long, second i is short

9.  i is short,  e is long

10. e is long, o is long, 2nd o can be long or short, i is short

11. y is like short i, o is long, a is short

12.  u more like a short e, i is ling, 2nd i is short

13.  o is short, e is long, o is long, o is short, o is long i is short

14.  a is short, a is short, e is long, i is like long e, a is short

15.  u is short, e is silent

16.  a is long, i like long e, a is long,  tion like shun

17.  e is long, e is short

18.  e is short, i is short, a is short

19.  e is silent, u is more like oo, a is short, i is short

20.  i is long, a is short, i is like long e or short, a is short

21.  e is short, u is short

22.  i is long, u is short

23.  e is short, a is short, y is like long e

24.  y is like long i, oi is same as oy as in toy

25  a is short, i is like long e, e is silent

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Express the complex number 7i in the form R(cos(0) + i sin(0)) = Reil where R>0 and 0 0 and 0 differentiate between the terms unintentional injury and accident. Why is the use of unintentional injury preferred? Why do you need to be concerned about injuries? Discuss the significance of unintentional injuries' rank in comparison with other causes of mortality. Describe the potential economic, social and emotional costs of unintentional injuries. pandulum swings back and forth. Is that uniform circular motion. Ifyes why? Which equations represents a proportional relationship. please help Jacob is writing a speech that claims that chocolate milk is good for children. In his speech, Jacob wants to rebut the counterclaim that "chocolate milk is bad for children." Which is the best rebuttal that Jacob could use in his speech? Although chocolate milk has a lot of sugar, children think it tastes great and love to drink it. Children usually pick chocolate milk over regular milk when given the choice. Chocolate milk costs the same as regular milk, so the cafeteria should sell it. Although chocolate milk sounds too sweet for children, it only has 1 gram of sugar more than regular milk a. What is an x-intercept? b. Given the functionf(x) = -3x2 - 5x + 1, how would you find the x-intercept? 8. a. Does every quadratic function have a maximum or minimum? b. What circumstances determine that a quadratic function has a maximum? Simplify (6/n)^2. Write your answer using only positive exponents. Evaluate any numerical powers. HELP PLEASE!! the 6/n is a fraction. Which of the following statements summarizes a result of the French and Indian War? A. It gave France control over the Mississippi River. B. It gave British colonists more freedom. C. It marked the end of French power in North America. D. It destroyed the American Indian alliances. What value of x is in the solution set of 3(x - 4) 5x + 2 ? A. -10 B. .-5 C. 5 D. 10PLS HELP!! 31. What is a TRUE statement about the lysogenic cycle of bacteriophages? A: The lysogenic cycle is part of the reproductive strategy of prokaryotes. B: The lysogenic cycle of bacteriophages only occurs in human cells. C: The lysogenic cycle is when the bacteriophage synthesizes and assembles many new copies of itself, and then bursts out of the cell, releasing the copies. D. The lysogenic cycle is when the viral DNA is integrated into the host cell DNA. 32. What is something that viruses do that "breaks the rules" of the central dogma? A. Create polypeptide sequence from DNA, B: Create polypeptide sequence from RNA. C. Create RNA from RNA D. Create DNA from DNA Select all of the following choices which explain why the public keeps some wealth in the form of money.To make purchases with itTo hold it as an asset if the molecular weight of nitric acid is 63.01 g/mol and its density is 1.5129 g/ml, what volume (ml) of nitric acid is required? Canada is considered to have which form of government? a democratic republic a constitutional monarchy an authoritarian dictatorship a parliamentary republic In a group of 30 students, the probability that at most 25 of them lime to swim is 45% what is the probability that at least 26 of them like to swim timeline of byzantine empire for parts b and c what value of x makes each equation true ?b: 5x+4-8x=6-3x-7c:27-3-4x in 2015 the eeoc received 28000 alleging harassment charges. what percentage was on the basis of sex? 1489 x 390 + 65 /2 =plz put the answer in word form and explain how u got this answer Describe the operations for hardening, annealing, ornormalizing steel. Why is the pharaohTutankhamun so famous?