a client is intubated and receiving mechanical ventilationthe nurse reports to the client's room when the ventilator alarms which nursing action indicates that the ventilator was signaling a high- pressure alarm?

Answers

Answer 1

Based on assessment data like the oxygen saturation, and the activation of the high-pressure alarm that indicates endotracheal tube obstruction, suction is likely required for a client who is intubated and receiving mechanical ventilation.

A machine that helps someone who is unable to breathe on their own is called mechanical ventilation. By bringing air into the lungs, a ventilator works. Until the air reaches a predetermined volume or pressure, it is pushed in. The vent stops bringing air into the lungs when they are full. The lungs then passively expend the air. This is comparable to emptying a full balloon of air. Alarm for high pressure: When the circuit's pressure has increased, this will sound. It helps shield the lungs from the ventilator's high pressures. High pressure can be caused by secretions, water in the tubing, or kinks in the tubing. Aspirate the patient and search for additional sources. Remove the patient from the circuit and manually ventilate using an AMbu bag if this does not resolve the issue. Then call for assistance.

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Related Questions

10 4/5+(834−6/12) no files plz and simplyfly it

Answers

Answer:

844.3

Explanation:

Thats the answer

You are assessing a 25-year-old woman who is 39 weeks pregnant. She is experiencing regular contractions that are approximately 3 minutes apart and states that her amniotic sac broke 2 hours ago. After taking the standard precautions, you should:

Answers

Take an advil or melatonin or anything that helps relieve the pain

23. Discuss how Erikson's theory of psychosocial developmental relates to communicating with patients.

Answers

Erik Erikson's theory of psychosocial development is based on the idea that people go through eight stages of development throughout their lives.

What is  Erikson's theory of psychosocial development?

Each stage is characterized by a unique psychological crisis or challenge that must be resolved in order to develop a healthy sense of self and social relationships. This theory has important implications for healthcare professionals, particularly in how they communicate with patients.

One of the key aspects of Erikson's theory is that each stage of development is defined by a specific psychosocial crisis that requires resolution.

For example, during the adolescent stage of development, the crisis is identity versus role confusion, where the individual is trying to establish a sense of self and personal identity. Healthcare professionals who are aware of this stage can communicate with adolescent patients in ways that help them feel heard and respected as they navigate this challenging time in their lives.

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the goal of treatment for gigantism is to reduce amounts of?​

Answers

Answer:

The goal Is meant to either shink the tumor or stop the production of excess growth hormone.

growth of excess hormone is your answer.

This treatment is meant to either shrink the tumor or stop the production of excess growth hormone. Your doctor may use the drugs octreotide or lanreotide to prevent the growth hormone's release. These drugs mimic another hormone that stops growth hormone production.

while performing an assessment of a 75-year-old client in the emergency department, a nurse notes several areas of ecchymosis in various stages of healing on the client’s body. what is the nurse’s priority action?

Answers

The nurse's priority action when observing several areas of ecchymosis in various stages of healing on a 75-year-old client's body in the emergency department is to assess the client's safety.

The presence of ecchymosis (bruising) in various stages of healing on a client's body, especially in the case of an elderly individual, raises concerns about possible abuse or neglect. As a healthcare professional, the nurse has a duty to advocate for the client's safety and well-being. Therefore, the priority action for the nurse would be to conduct a thorough assessment and investigation to determine the cause of the ecchymosis.

The nurse should approach the situation with sensitivity and respect, maintaining a non-judgmental attitude. They can start by engaging in a private conversation with the client, ensuring their comfort and willingness to share information.

The nurse should gather a detailed medical history, including any recent falls, accidents, or medical conditions that may contribute to bruising. Additionally, it is crucial to assess the client's cognitive and functional status to determine if they are at risk of self-harm or if there are any signs of neglect or abuse by caregivers or family members.

Depending on the findings, the nurse may need to involve other healthcare professionals, such as a social worker or the appropriate authorities, to ensure the client's safety. Documentation of the findings and communication with the healthcare team is also essential for further evaluation and intervention.

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The physician has ordered an IV a medication to infuse at 5mcg/kg/minute the patient weights 175 lb. The medication is available in the following-400 mg/250 ml

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The physician has ordered an IV a medication to infuse at 5mcg/kg/minute the patient weights 175 lb. The flow rate be 20.6 mL/hr in mentioned case.

Why dopamine is used ?

Dopamine has been defined as the neurotransmitter as well as hormone and plays a vital role in various body functions.

Important information which must be known:

Patient’s weight: 55 kg

Dose: 10 mcg/kg/min

Available: 800 mg/ 500 mL

55 kg  x 10 mcg/min    x    1 mg     x       500 mL  = 275,000 = 0.34375 mL/min

800,000

Not done yet, we need to convert from minutes to hours because we need to find mL/hr:

60 minutes  x    0.34375 mL = 20.625 = 20.6 mL/hr

1 hour                  1 minute

Therefore, answer is 20.6 mL/hr

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A researcher develops a 7-point Likert scale to evaluate feelings of well-being in patients who are undergoing chemotherapy. The researcher administers this measure to other, similar patients in other medical centers.

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Answer: A Likert scale is a type of rating scale that is often used in survey research to measure attitudes, beliefs, or feelings. The 7-point Likert scale developed by the researcher in this scenario is designed to evaluate feelings of well-being in patients who are undergoing chemotherapy. The researcher intends to use this scale to measure the patients' self-reported feelings of well-being and to gather data on how well the patients are coping with the chemotherapy.

The researcher administers this measure to other, similar patients in other medical centers. This allows the researcher to gather a larger sample size and to generalize the findings from the study to a larger population of patients who are undergoing chemotherapy. Additionally, administering the measure in other medical centers allows the researcher to control for potential confounding variables that may be unique to the original medical center.

It is important to note that in order to ensure the validity and reliability of the measure, the researcher should ensure that the study is conducted in a controlled environment and that the sample size is large enough, also the researcher should analyze the data using appropriate statistical methods.

Explanation:

The researcher administers this measure to the same patients at other medical centers. This is done to improve test-retest reliability.

What is Likert scale?

A Likert scale is defined as a type of rating scale often used in survey research to measure attitudes, beliefs, or feelings, where in this scenario the 7-point Likert scale developed by the researcher is used to measure feelings of well-being is designed to evaluate the patients who are undergoing chemotherapy.

The researcher wants to use this scale to measure patients' self-reported feelings of well-being and collect data on how well patients are coping with chemotherapy, so they administered this measure to similar patients at other medical centers.

This allows the researcher to collect a larger sample size and generalize the findings from the study to a larger population of patients who are undergoing chemotherapy.

Thus, the researcher administers this measure to the same patients at other medical centers. This is done to improve test-retest reliability.

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What does the acronym RACE stand for, as it pertains to fire safety?

Answers

Answer:

Remove, Alarm, Confine, and Extinguish/Evacuate

A fifty-something mom says, "I can't see well in the dark, and I can't see anything close up." The reason is that, by this age, the _____ of the eye gets cloudier and can't bend well.
a. retina
b. lens
c. pupil
d. cornea

Answers

A mother in her fifties stated, "I can't see anything up close, and I can't see very well in the dark." The explanation is that the retina of the eye becomes more cloudy and less flexible with age. The correct answer is A.

What are retinas?

The retina is a very thin layer at the back of the eyeball which is sensitive to light. Cells in the retina, namely rod cells (bacillus) and cone cells (CONUS), function to trigger nerve impulses through the optic nerve to the brain to form vision.

Nearsightedness is the gradual loss of the retina's ability to focus on nearby objects. This condition is part of a person's aging process as it is often seen in their early to mid-40s and continues to worsen until around age 65.

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After stocking the ambulance this morning, you and your partner go out for breakfast. While entering the restaurant, you see an older gentleman clutch his chest and collapse to the floor. When you get to him, he has no pulse and is not breathing. To treat this patient, you will follow: a. off-line medical control b. online medical control c. protocols d. all of the above

Answers

Answer:

All of the answers that has been put

drugs, pesticides, and food additives are examples of chemical agents. True or false?

Answers

True. Drugs, pesticides, and food additives are all examples of chemical agents.

Chemical agents refer to substances that are used or produced in various industries and can have biological effects on living organisms. Drugs are chemical substances used for medical purposes to diagnose, treat, or prevent diseases. They can include both prescription medications and over-the-counter drugs. Pesticides are chemical substances used to control or eliminate pests such as insects, weeds, and fungi. They are commonly used in agriculture, public health, and residential settings to protect crops, control vector-borne diseases, and manage pests.Food additives are chemical substances added to food products to improve their flavor, appearance, texture, and shelf life. They can include preservatives, flavor enhancers, coloring agents, and stabilizers, among others.All of these examples fall under the broader category of chemical agents, as they are substances that have specific effects on living organisms. It is important to note that the use and regulation of these chemical agents are subject to specific guidelines and regulations to ensure safety and minimize potential risks to human health and the environment.

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What systems work together to detect external stimull (1.e., make up the senses)?

Answers

Answer:

feel

Explanation:

a psychological disorder is a syndrome marked by a clinically significant disturbance...
that is aggressive, persistent, and intentional.
that is selfish, habitual, and avoidable.
in a person's cognitions, emotion regulation, or behaviors. that is biologically influenced, unconsciously motivated, and difficult to change.

Answers

A psychological disorder is a syndrome marked by a clinically significant disturbance in a person's cognitions, emotion regulation, or behaviors.

Hence the correct answer is "in a person's cognitions, emotion regulation, or behaviors".

A mental disorder is characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior. It is usually associated with distress or impairment in important areas of functioning. There are many different types of mental disorders.

Emotions signal threats and rewards. Much like a compass that guides us in the right direction, emotions have the power to guide us to the right actions.

For example, when a child commits a mistake, they might get scared and lie to their parents about it, or avoid confronting them for fear of punishment.

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3.You are a public health official trying to determine the identity of the pathogen circulating within your city. Explain which genetic technologies would be most useful in this process.

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In the process of identifying the pathogen circulating within a city, genetic technologies like PCR, Real-time PCR, microarrays play a crucial role in providing valuable insights.

The word "gene technology" refers to a wide variety of activities dealing with figuring out how genes express themselves, making use of genetic variation found naturally, changing genes, and transferring genes to different hosts. All living things contain genes, which are passed down from one generation to the next.

Here are some genetic technologies that would be useful in this process:

Polymerase Chain Reaction (PCR): PCR is a technique used to amplify specific regions of DNA or RNA. It allows for the rapid production of numerous copies of a specific DNA sequence, making it an essential tool for detecting the presence of pathogens in a sample.

DNA Sequencing: DNA sequencing techniques enable the determination of the precise nucleotide sequence of a pathogen's genome such as virulence genes or unique regions, which can help in distinguishing and characterizing the pathogen.

Genomic Microarrays: Microarrays can be used to identify specific DNA sequences or variations in the pathogen's genome. By comparing the patterns of hybridization on the microarray, it is possible to identify the presence of specific genes or genetic variations associated with a particular pathogen.

Therefore, above given are some of the technologies that can be used to determine the identity of the pathogen circulating in the city.

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6. Explain why household measurement devices, such as teaspoons and tablespoons, should be avoided when measuring dosages?

Answers

Im not entirely sure, but they probably are not accurate enough (spillage etc.), whereas a syringe or another device is more contained and able to be effectively and scientifically measured, so there is less human error incorporated in the dosage amount. Hope this helps

What would be the Plan for someone who suffered a possible ACL tear? How can we confirm an ACL tear?

Answers

Answer:

Your doctor will check for stability, movement, and tenderness in both the injured and uninjured knee. You may need X-rays, which can show damage to the knee bones. Or you may need other imaging tests, such as an MRI. An MRI can show damage to ligaments, tendons, muscles, and knee cartilage.

A detailed list of items in stock or in possession of an individual or business size s a/an:

Answers

Answer:

size small

Explanation:

What is the condition in which tissue from the uterus moves out of the uterus

Answers

The condition in which tissue from the uterus moves out of the uterus and into other areas of the body is called endometriosis.

What is the condition?

Endometriosis condition can cause pain and discomfort, especially during menstrual periods.

Endometriosis can also lead to infertility in some cases. Treatment for endometriosis can include medication, surgery, or a combination of both, depending on the severity of the condition and the individual's symptoms.

Hence, this is the condition that is under study here.

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Which procedure evaluates the effect of fetal movement on fetal heart activity?a.Non-stress test (NST). b.Correctc.Sonography.d. Biophysical profile.e. Contraction test.

Answers

The procedure that evaluates the effect of fetal movement on fetal heart activity is called a non-stress test (NST). This test is a common procedure used during pregnancy to monitor the well-being of the fetus. During an NST, a healthcare provider will use a fetal monitor to record the baby's heart rate while the mother is at rest and while the baby is moving. The test is called a non-stress test because there is no stress applied to the fetus during the procedure. The purpose of the NST is to assess the baby's oxygen supply and ensure that the baby is not experiencing any distress. The test is typically performed in the third trimester of pregnancy and can provide valuable information about the health of the baby. Other tests that may be used to evaluate fetal well-being include sonography, biophysical profile, and contraction stress test.

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The non-stress test (NST) is a procedure used to evaluate the effect of fetal movement on fetal heart activity. b. Non-stress test (NST).

It is a common prenatal test that assesses the well-being of the fetus. During an NST, the pregnant woman's abdomen is monitored using a device called a Doppler ultrasound transducer or a fetal heart rate monitor. The fetal heart rate is recorded and compared to the baseline. The test is called a non-stress test because it is performed while the fetus is at rest, without any artificial stimulation. The purpose of the test is to assess the fetus's heart rate response to its own movements. If the heart rate increases appropriately with fetal movement, it is considered a reassuring sign of fetal well-being.

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Grace the is taking 7/8 of a tablespoon of cold medicine 3 times a day. How much cold medicine is she taking in one day?

Answers

Answer:

2 5/8 tablespoons a day

Explanation:

3x 7/8= 21/8

Ethical Principles From the case study provided: a) Identify the meaning of a fragility hip fracture and the impact this can have on an elderly person. b) Describe the specific situation in this case study. c) Using the Framework of Ethical Decision Making (Corey et al., 2014) d) Identify the problem or dilemma Describe the potential issues involved f) Review relevant ethics principles as they apply to this case (eg; informed consent, confidentiality, beneficence, etc. g) Consider possible and probable courses of action h) Describe the consequences of various decisions i) What is the best course of action? Provide a reflection of your learning with this case study. What did you learn? How will you apply this learning in the future? 1 Assignment #2 Ethical Principles From the case study provided: a) Identify the meaning of a fragility hip fracture and the impact this can have on an elderly person. b) Describe the specific situation in this case study. c) Using the Framework of Ethical Decision Making (Corey et al., 2014) d) Identify the problem or dilemma Describe the potential issues involved f) Review relevant ethics principles as they apply to this case (eg; informed consent, confidentiality, beneficence, etc. g) Consider possible and probable courses of action h) Describe the consequences of various decisions i) What is the best course of action? Provide a reflection of your learning with this case study. What did you learn? How will you apply this learning in the future?

Answers

a) A fragility hip fracture is a broken hip bone resulting from minimal trauma or a fall in the elderly person which leads to pain, mobility loss, and reduced independence.

b) The specific situation in the given case study involves an elderly individual experiencing a fragility hip fracture and being admitted to the hospital for treatment. The fracture caused severe pain, limited mobility, and required surgery. A person's independence and quality of life are severely compromised and require support and rehabilitation to restore function. 

c) Using the Framework of Ethical Decision Making, the problem or dilemma is how to address the treatment and care of the elderly patient with a fragility hip fracture.

d) The potential issues involved in this scenario includes ensuring informed consent, maintaining patient confidentiality, promoting beneficence, and balancing autonomy with the patient's best interests.

f) Relevant ethics principles include informed consent, confidentiality, beneficence (doing good for the patient), and autonomy.

g) Possible courses of action may include surgical intervention, pain management, rehabilitation, and ensuring proper support and care for the patient.

h) Consequences of decisions can vary which includes successful recovery, complications, functional limitations, and impact on the patient's quality of life.

i) The best course of action depends on individual circumstances, but it may involve a comprehensive treatment plan that considers the patient's preferences, involves shared decision-making, and prioritizes their overall well-being.

Reflection: This case studies highlight the importance of considering ethical principles in medical decision-making, especially when dealing with vulnerable populations such as the elderly. It stresses the importance of informed consent, confidentiality and the promotion of the patient's best interests.

We learnt the significance of considering individual values and preferences, as well as involving the person and their support system in decision-making. In the future, we can apply this learning by ensuring a patient-centered approach, promoting open communication, and advocating for the well-being and autonomy of individuals in my healthcare practice.

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The net income under Alternative 2-Drive-Thru would be $_____________ if CCC was unable to increase sales in units (sales units remain the same as last year). *Round to nearest DOLLAR (No cents). Enter any negative numbers with a - sign. 59150 Use the same number of units sold as last year under alternative 2 sale price and variable cost

Answers

Answer:

To determine the net income under Alternative 2-Drive-Thru when sales units remain the same as last year, we would need the specific values for the sale price, variable cost, and any fixed costs associated with Alternative 2. Unfortunately, you mentioned using the same number of units sold as last year for Alternative 2 but did not provide the necessary information.

If you can provide the sale price, variable cost, and any fixed costs associated with Alternative 2, I can help you calculate the net income.

We can reach the temperature 120 C In water bath Instrument from :

A) It is not possible.

B) Set up the pressure on 1.5 Kg/cm2.

C) Set up the temperature on 100 C

D) Set up the temperature on 120 C​

Answers

Answer:

option b is the correct answer

In kentucky, you are considered intoxicated if your blood alcohol concentration (bac) is at least:

Answers

In Kentucky, as in most states in the United States, the legal limit for blood alcohol concentration (BAC) is 0.08%. If your BAC is at least 0.08%, you are considered intoxicated for the purposes of driving under the influence (DUI) laws.

Driving with a BAC at or above 0.08% is considered illegal and can result in legal consequences, such as fines, license suspension, mandatory alcohol education or treatment programs, and potential imprisonment. It is important to note that these penalties can vary depending on the specific circumstances, previous offenses, and other factors.

It is crucial to prioritize safety and responsible behavior when it comes to alcohol consumption and driving. It is generally recommended to avoid driving after consuming alcoholic beverages or to designate a sober driver if alcohol has been consumed. It is always best to err on the side of caution and to follow local laws and regulations regarding alcohol consumption and driving to ensure the safety of yourself and others on the road.

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Healthcare Information Technology Mind Map

Answers

nah g yhu askin fo to much❌ yhu ain’t gonna get nun from me but stay outta dem guttas❌

Help pls
Explain how macronutrients are different than micronutrients. Please provide details and/or examples

Answers

Answer:

Macronutrients are the nutrients your body needs in larger amounts, namely carbohydrates, protein, and fat. These provide your body with energy, or calories. Micronutrients are the nutrients your body needs in smaller amounts, which are commonly referred to as vitamins and minerals.Feb 14, 2020

Explanation:

Answer:

I'm also stuck on that one

Are ependymal cells cns or pns?

Answers

Answer:

pns

Explanation:

cns is a diffrent thing

pns. have a good day


Explain why PPE should be the last resprt when it
comes to addressing the COVID-19 pamdemic.

Answers

PPE, or Personal Protective Equipment, should be the last resort when addressing the COVID-19 pandemic for several reasons.

1. Limited Supply: PPE includes masks, gloves, gowns, and face shields, which are crucial for healthcare workers. However, there is a limited supply of PPE globally. Prioritizing its use ensures that healthcare workers who are in direct contact with COVID-19 patients have access to these essential resources.

2. Hierarchy of Controls: PPE is considered the last line of defense according to the hierarchy of controls, which prioritizes strategies to eliminate or minimize hazards. First, efforts should focus on engineering controls like ventilation systems, administrative controls such as social distancing and frequent handwashing, and finally, the use of PPE if other measures are insufficient.

3. Effectiveness: While PPE provides a physical barrier, it is not foolproof. Proper training and compliance are necessary for it to be effective. Additionally, PPE may not provide complete protection against aerosolized particles or when not worn correctly. Thus, it is crucial to rely on other preventive measures like vaccination and maintaining a safe distance.

4. Psychological Impact: Relying heavily on PPE can have psychological consequences. People may develop a false sense of security, leading to complacency in following other preventive measures. Overdependence on PPE can result in neglecting crucial practices like hand hygiene and social distancing.

In conclusion, PPE should be the last resort when addressing the COVID-19 pandemic due to its limited supply, the hierarchy of controls, its effectiveness limitations, and potential psychological impacts. Emphasizing other preventive measures and ensuring adequate availability of PPE for healthcare workers are essential steps in effectively managing the pandemic.

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Feeling short of breath was one of the symptoms that led Josie to see her doctor originally. What do you think happens to oxygen levels in the blood when the left side of the heart fails

Answers

Answer:

blood oxygen levels would lower

Explanation:

The left side of the heart is connected to the lungs, so if that part of the heart fails, blood will be unable to become oxygenated, and no oxygen rich blood will be passed through Josie's body.

which of the following is the result of histamine and other chemicals in the body during anaphylaxis?

Answers

During anaphylaxis, the immune system overreacts to an allergen and releases large amounts of histamine and other chemicals. Histamine causes blood vessels to widen and become leaky, which can cause symptoms such as swelling, hives, low blood pressure, and shock.

Other chemicals released during anaphylaxis can cause additional symptoms such as constriction of airways, rapid heartbeat, nausea and vomiting, and anxiety. If left untreated, anaphylaxis can be life-threatening, and immediate medical attention is necessary. Treatment for anaphylaxis may include epinephrine, antihistamines, and corticosteroids, as well as supportive measures such as oxygen, intravenous fluids, and monitoring of vital signs.

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which decision is supported by a manufacturing information system (mfis)? a. monitoring of cost trends b. determination of portfolio structures c. analysis of price changes and discounts d. improvement of routing and delivery schedules PQ has endpoints at P(-5, 4) and Q (7,-5). What is the length of PQ? Here are summary statistics for randomly selected weights of newborn girls: n=174, x= 30.7 hg, s = 7.7 hg. Construct a confidence interval estimate of the mean. Use a 98% confidence level. Are these r a company's balance sheet shows cash of $35,000, accounts receivable of $41,000, equipment of $72,000, and equity of $83,000. what is the amount of liabilities? The black codes instituted by southern state governments created under andrew johnson's reconstruction plan aimed to achieve what goal? All fungi are ProkaryoticEukaryoticUnicellularMulticellular He only realized. His keys when he reached his front door. (Correct forms of verb: lode) Read this excerpt from Phillis Wheatley's poem "To His Excellency General Washington," and complete the sentence that follows.Celestial choir! enthron'd in realms of light,Columbia's scenes of glorious toils I write.While freedom's cause her anxious breast alarms,She flashes dreadful in refulgent arms.See mother earth her offspring's fate bemoan,And nations gaze at scenes before unknown!See the bright beams of heaven's revolving lightInvolved in sorrows and the veil of night! How do i reflect triangle ABC if A (2,3), B (1,1), C(4,-3) over the x axis. Also rotating the triangle 90 degrees clockwise about the origin. Right form of verbsYour letter regarding your joyful picnic (come) to me just now as a marvelous one. In your letter you (want) to know about the picnic that we (enjoy) recently. Now I (write) to you about it. We, the students of class 7(choose) Sonargaon as our picnic spot. We (be) 30 in number. One of our teachers (be) with us. We (reach) there at about 10 a.m. We (enjoy) the day very much at last we ( return) home safely. We never (forget) the day. A plane travels 1743 KM in 2 hours 30 minutes. How fast was the plane traveling? The increasing gap in economic conditions between core and peripheral regions as a result of the globalization of the economy is calles uneven development. True or false? What are 3 examples of irony in The Interlopers? A hot-rolled steel has a yield strength of S_yt = S_yc = 100 kpsi and a true strain at fracture of epsilon_f = 0.55. Estimate the factor of safety for the following principal stress states: sigma_x = 70 kpsi, sigma_y = 70 kpsi, T_xy = 0 kpsi sigma_x = 60 kpsi, sigma_y = 40 kpsi, T_xy = -15 kpsi sigma_x = 0 kpsi, sigma_y = 40 kpsi, T_xy = 45 kpsi sigma_x = -40 kpsi, sigma_y = -60 kpsi, T_xy = 15 kpsi sigma_1 = 30 kpsi, sigma_2 = 30 kpsi, sigma_3 = 30 kpsi Use applicable maximum shear stress. Distortion energy, and Coulomb-Mohr methods. How does jefferson develop the idea that government should be a servant to the people The standard unit of mass is the : A.gram B.kilogram C.pound D.cubic centimeter give the 5 concepts of physical activity and give a short example each A sequence has the recursive definition f(1)= 2/3, f(n)= f(n-1) 3/2 for n > 2Write the first 5 terms of the sequence. Keep the answers as fractions. Can someone help me answer this please in mammalian kidneys, liquid flows from bowmans capsule directly into the