If you are a nurse working in a hospital and administering IV to a patient, how would you manually check to see if the patient is getting the right amount of medicine? Explain step-by-step what you would do if all you had access to was the doctor’s order of 120 ml/hour and IV tubing with a gtt factor of 10 gtt/ml already in use.

Answers

Answer 1

As a nurse working in a hospital and administering IV to a patient, the way to manually check to see if the patient is getting the right amount of medicine is simply by double-checking the label to determine the appropriate dose and to check the drip chamber.

A liquid drug, on the other hand, might be more difficult to administer since the dose must be measured by the person administering it. We recommend using an oral syringe rather than a household teaspoon to measure the amount.

How to resolve medical calculation involving proportion of

First Set up a known ratioSet up a proportion with known and desired units. Use x for the quantity that is desired or unknownCross multiplySolve for x

Solution:

= (120ml x 10gtt)/60min/hr

= 1200/60

= 20gtts/mins

So all that needs to be done is to ensure that the patient is getting 20 guttae (drops) per minute.

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Related Questions

Jamie is a medical assistant. Part of her job is performing the billing duties for the physician's office. Which one of the following choices will she use to submit paper claims? a) CMSH1500 b) UPIN c) Federal Tax D d) MMDDCCYY​

Answers

i think its possibly CMSH1500

Which of the following results could receive a Fully Meets rating for the query [New York Spanish food], English (US)

Answers

The queries that would receive  a Fully Meets rating are;

[hawaiian photographers], English (US) (True)[new York times online], English (US) (True)

What is a fully meets rating for a query?

A search result may be rated as "Fully Meets" if it delivers extremely accurate and relevant data that fulfills the user's search intent.

Additionally, the end product might be straightforward to navigate, clearly presented, and devoid of any faults or false information.

The information needed to answer the questions of the consumers or readers would be on these two websites.

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Missing parts;

Which of the following queries can have a Fully Meets result? Select all that apply. True False [adobe website], English (US) True False [country music], English (US) True False [hawaiian photographers], English (US) True False [new york times online], English (US)

Identify one health condition not mentioned in this activity that would warrant the use of a wearable device. What data might the wearable device record? What form of analysis might occur?

Answers

osteoporosis yeet yeet
There are no activity’s shown i’m sorry.

Alice plans to speak with her partner in the morning about never having unprotected sex again. She knows that her partner will be readily available to talk then.

What method is Alice exercising for her STI discussion?

choosing the right time
giving a clear message
repeating the message
acting on the decision

Answers

Answer: choosing the right time

Explanation:

It’s A

Answer:

A; Choosing the right time.

Explanation:

got it right on the test

Select all that apply The great majority of vaccines are administered by the following routes. Multiple select question. Orally Intradermal injection Subcutaneous injection Absorption from a patch. Intranasally Intramuscular injection

Answers

Intramuscular, Intranasally, rarely orally but polio is or was oral

1. Note what quality makes Orpheus special. According to the first sentence, how much did the Greeks value this quality?
2. What questions do you have about what the underworld is like?
3. Recall the rule Hades gave to Orpheus.
4. Reread lines 66–74. What is the “dim shade” at Orpheus’ heels? Why does the shade disappear? If you’re not sure, try rereading lines 41–45 and then rereading this passage to clarify your understanding.
5. How are Orpheus and Eurydice reunited?
6. Why does Hades at first agree to return Eurydice to Orpheus?
7. Compare “Orpheus and Eurydice” to William Shakespeare’s “Song of Orpheus” on page 657. Identify the part of the myth the poem describes. Which literary work, the myth or the poem, better helps you visualize the scene? Explain your answer with details from the selection you choose.
8. What kind of behavior do you think this myth was meant to encourage?
9. In this myth, the gods often disapprove of the way people conduct themselves. Explain how the gods react to humans’ behavior. Use at least two of the Academic Vocabulary words in your response.

In the myth of Orpheus and Eurydice

Answers

1.The quality that makes Orpheus special is his ability to charm even the gods with his music. The Greeks valued this quality highly, as evidenced by the fact that Orpheus was considered the greatest musician of all time and was said to have enchanted all living things with his songs.

2.Some questions one might have about the underworld include: What is it like to be dead? What do people do in the underworld? What kind of punishment or reward awaits people in the afterlife?

3.The rule that Hades gave to Orpheus was that he could lead Eurydice out of the underworld, but he must not look back at her until they were both in the land of the living again.

4.The "dim shade" at Orpheus' heels is Eurydice, who is following him out of the underworld. The shade disappears because Orpheus looks back at her before they have reached the land of the living, breaking the rule that Hades had given him.

5.Orpheus and Eurydice are reunited briefly in the underworld, but their reunion is cut short when Orpheus breaks the rule that Hades gave him and looks back at Eurydice as they are leaving the underworld, causing her to be pulled back into the underworld and lost to him forever.

6.Hades at first agrees to return Eurydice to Orpheus because he is moved by Orpheus' music and sees that he truly loves Eurydice. However, he sets the condition that Orpheus must not look back at Eurydice until they have both left the underworld.

7."Song of Orpheus" by William Shakespeare describes the part of the myth where Orpheus sings and plays his lyre to charm the animals and trees.

The myth better helps me visualize the scene, as it provides more detail and context about Orpheus and his music, as well as the story of his love for Eurydice and his journey to the underworld.

8.This myth was likely meant to encourage people to follow rules and trust in the gods, as well as to warn against the dangers of giving into temptation or curiosity.

9.The gods in this myth react to humans' behavior with a mix of compassion and punishment. For example, Hades initially agrees to return Eurydice to Orpheus out of compassion for their love, but when Orpheus breaks the rule and looks back at Eurydice, he is punished with the loss of his beloved.

The gods in this myth also use their powers to teach humans important lessons, such as the importance of following rules and the consequences of giving into temptation.

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Which terms describe types of B-cells? Check all that apply.

helper
antibody
plasma
memory
cytotoxic
dendritic

Answers

The types of B-cells include antibody, plasma, memory, and dendritic cells.

The different types of B-cells play distinct roles in the immune response. One of the primary functions of B-cells is to produce antibodies, which are proteins that recognize and neutralize foreign substances, such as pathogens. Antibody-producing B-cells are crucial in the humoral immune response.

Plasma cells are a specialized type of B-cell that are responsible for the large-scale production and secretion of antibodies. They are derived from activated B-cells and play a vital role in the immune response by producing specific antibodies to combat infections.Memory B-cells are a long-lived subset of B-cells that "remember" encountered pathogens and provide a faster and more robust response upon re-exposure to the same pathogen. They contribute to the establishment of immunological memory, which allows for a quicker and more efficient immune response during subsequent infections.Dendritic cells, although not exclusive to B-cells, are antigen-presenting cells that help initiate and shape the immune response. They capture antigens, process them, and present them to B-cells and other immune cells, thus triggering an immune response.

Helper B-cells and cytotoxic B-cells are not commonly recognized terms in immunology. Helper cells (also known as T-helper cells) are a type of T-cell, not a subtype of B-cell. Cytotoxic cells are typically associated with T-cells and natural killer (NK) cells, which are different from B-cells.

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1. How does differential diagnosis help a doctor determine appropriate treatments for their patient?

Answers

Answer:

A differential diagnosis looks at the possible disorders that could be causing your symptoms. It often involves several tests. These tests can rule out conditions and/or determine if you need more testing.

Explanation:

It's important as it guides in looking for these diseases in a patient during diagnosis. If a disease is not included in differential diagnosis, it is not likely to be diagnosed.

Pls help, I will give brainliest if correct. This is Family and consumer science class btw.

A credit card is a plastic card used to purchase goods with borrowed money.

True or False

Answers

Answer:

true i think but it could be metalic

Answer:

the answer is true..

Explanation:

mark me brainliest

What type of energy change occurs with these devices

Answers

Answer:

.the sun transforms nuclear energyinto heat and light energy

.our bodiesconviert chemicalenergy in our food into mechanical energy for us to move

.an electricfan transforms electrical energy into kinetic energy.

Explanation:

i hope it's help or not

A case-control study was conducted to evaluate the relationship between aspirin use and the risk of colon cancer. 2,000 cases and 2,000 controls were enrolled in the study. 1,800 of the cases reported using aspirin in the past while 1,200 of the controls reported using aspirin in the past. What measure of association should be calculated to determine the strength of the relationship between aspirin and colon cancer

Answers

Answer:

0000000000000000pppppp000000000000

7. Dodder is a species of parasitic plant that obtains glucose by feeding on the sap and vascular fluids of ot
plants. Unlike many plants, Dodder is entirely yellow. Which of the following statements is likely true about
Dodder? [1]
(1) Dodder plants have chloroplasts, but lack mitochondria
(2) Dodder plants have mitochondria, but lack chloroplasts and chlorophyll.
Dodder plants are unable to produce ATP
(4) Dodder plants lack any metabolic activities.

Answers

Dodder plants do not have chlorophyll and chloroplasts. They do, however, have mitochondria.

What are dodder plants?

These parasitic plants are also called devil’s hair/ strangleweed. They feed off of other plants. They do this by attaching themselves to the host by haustorium, a special organ. They then extract nutrients from the host.

Dodder plants lack roots and leaves. And without the presence of leaves, they can barely photosynthesize. Since it has no leaves, it is usually attached to the stem of other plants.

In order to find host plants, the dodder sniffs out the chemical scents released by leaves of nearby plants.

Therefore, it also has no chloroplast or chlorophyll, but does contain mitochondria.

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What are medical codes used to translate? Check all that apply.
health conditions
procedures
medical equipment
medications
patients’ names

Answers

Answer:

I think procedures and medications but I'm not for sure I may be wrong

Read the following scenario found in the Reflection
Activity for Chapter 32 of the textbook:
Imagine that you have been assigned to a patient who has suffered a left hemisphere stroke to the brain. The patient has limited right side mobility and needs assistance to sit, stand, walk, and lay down.
2. After learning about the different ambulatory devices this week:
• What are some of those pieces of equipment that you could use for this patient to help them?
Explain why you choose it.

Answers

We can see that there are a number of ambulatory devices that could be used to help a patient who has suffered a left hemisphere stroke and has limited right side mobility. Some of the most common devices include:

WalkersCanesWheelchairs

What is hemisphere stroke?

A hemisphere stroke, also known as a cerebral hemisphere stroke, refers to a type of stroke that occurs in one of the cerebral hemispheres of the brain. The brain is divided into two hemispheres: the left hemisphere and the right hemisphere. Each hemisphere controls and coordinates different functions of the body.

During a hemisphere stroke, there is a disruption of blood flow to a specific region of one hemisphere, leading to damage in that area.

The use of assistive devices can help patients with stroke regain their mobility and independence. With the right support, patients can make a full recovery and live a normal life.

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Working can generate each of the following feelings:


career advancement

companionship with coworkers

self-fulfillment

making a contribution

Answers

Answer:

companionship with coworkers

self-fulfillment

making a contribution

Answer:

All

Explanation:

working can develop feelings with all of them, which is great!

one squirt of hand sanitizer kills 99.99% of germs that means there is still 0.01% of germs left so if you use two squirt do you kill 100% of germs or do you kill 99.99of that 0.01%of germs that was left from the last squirt

100 points and brain to whom gets it right

Answers

Answer:

No, It wouldn't

Explanation:

I don't think it would, because the 0.01% of germs are not able to be killed by the hand sanitizer on the first squirt, the reason is that the germs are most likely to be something the hand sanitizer couldn't kill because the sanitizer would be too weak to kill that 0.01% of germs

No I don’t think so because, in reality scientists can’t actually prove that any antibiotics (hand sanitizer) kill germs.

Local public health officials in a small county in Florida have noticed a decrease in the rates of children entering kindergarten having completed the required immunization series. Officials decide to compare the immunization records of the four pediatric practices in the county to see if there is a difference in immunization rates among the different practices. This review is an example of which core public health function

Answers

Answer:

Local public health officials in a small county in Florida have noticed a decrease in the rates of children entering kindergarten having completed the required immunization series. Officials decide to compare the immunization records of the four pediatric practices in the county to see if there is a difference in immunization rates among the different practices. This review is an example of which core public health function?

Explanation:

ACTIVITY 2: LOCAL NAMES OF CONSTELLATION

Maybe Answer Previous Two English Questions Please Thank You

Subject Is Science​

Good Perfect Complete=Brainlist

Copy Wrong Incomplete=Report

Good Luck Answer Brainly Users:⁠-⁠)​

ACTIVITY 2: LOCAL NAMES OF CONSTELLATIONMaybe Answer Previous Two English Questions Please Thank YouSubject

Answers

The local names of the constellations are:

ParilaySubra Batang Sata, Tag-arawMaarir Sowaa, Kalawit Sisiutl Saratan, Tag-ulanWhat are constellations?

Constellations are collections of stars that, when viewed from Earth, create patterns or recognisable forms in the sky. They have been named and categorized by humans for countless years, and they are frequently employed for cultural or religious purposes, navigation, and storytelling.

The table goes like:

Parilay (or Arcturus) | Taurus | December-February | Clearing/Preparation

Subra (or Alcyone) | Pleiades | January | Planning of crops to be planted

Batang (or Alnilam) | Orion's Belt | February | Start of planning

Sata (or Aldebaran) | Tag-araw | March | Planting of rice, corn, vegetables

Maarir (or Betelgeuse) | Gemini | April-May | End of planting

Sowaa (or Sirius) | Kalawit | May | Stop planting

Sisiutl (or Altair) | Aquila | Late May | Cleaning and Harvesting

Saratan (or Cancri) | Tag-ulan | June | Rainy Season

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What does ethyl alcohol do?

increases brain and spinal cord activity
increases the rate of digestion
slows down brain and spinal cord activity
slows down the rate of digestion

Answers

Answer:

Pain signals are carried to the brain from the spinal cord through nerves. Alcohol slows down the brain and central nervous system, allowing a pain relief.

Explanation:

A physician leaves the house at 0700, drives 30 minutes to the hospital, makes rounds for one hour, and then drive 25 minutes to the office. His/her first patient should be scheduled at

Answers

Answer:

At 9:00

Explanation:

If it takes 30 minutes to drive to the hospital and stays for one hour that would be 8:30 and then it takes them 25 minutes to get to the office which it would now be 8:55. And takes about five minutes to get to his office in the building.

Melissa gathers and organizes books, journals, and magazines for healthcare providers to reference when they need information. Melissa also
uses computer technology to create and manage online information centers for the healthcare facility where she works.
Melissa is a medical ........

Answers

Melissa is a medical librarian

The current data suggest that focusing on a single training variable in one workout (i.e., focusing on strength, hypertrophy, power, and endurance) is better than focusing on multiple variables.
*With the one exception being concurrent power training.


True or false

Answers

Answer:

False is better to focus on strength power hypertrophy and endurance

The aorta is the most muscular and largest artery in the circulatory system. Its structure is directly related to its function of ______.

Answers

Answer:

delivering a large volume of high-pressure blood to the body.

                                     or in my words

transporting a large capacity of blood to the whole body.

Explanation:

What action should a client suffering from constipation take to help alleviate the condition

Answers

Answer:

Getting more exercise

Increase your fibre intake

Drinking more water

The answer Increase your fiber intake. Adding fiber to your diet increases the weight of your stool and speeds its passage through your intestines. ...
Exercise most days of the week. Physical activity increases muscle activity in your intestines. ...
Don't ignore the urge to have a bowel movement.

A 32 year old woman comes to her primary care provider for a return visit with the chief complaint of joint pain and swelling for several months. At first the pain involved the left wrist and elbow and the right knee, but gradually became bilateral and now involves the metacarpophalangeal and proximal interphalangeal joints. Every morning, she has stiffness that slowly gets better after a couple of hours, but the generalized fatigue and weakness lasts all day. Her eyes often feel gritty and dry. She has had some weight loss over the past few months. There is no skin rash or oral ulcers. However, the oral cavity appears overly dry. There is no history of fever or diarrhea. On examination, the affected joints are bilaterally warm, swollen and tender. The rest of her physical exam is unremarkable. What is your presumptive differential diagnosis

Answers

Answer:

psoriatic arthritis

pending blood analysis

Susan has made some friends at her new high school who offer her cigarettes during their lunch break. She does not want to smoke but does so in order to fit in.

Susan is most likely being influenced by __________.
A.
physical environment
B.
peer pressure
C.
media
D.
location

Answers

Peer pressure because her friends told her too

Answer: (B) peer pressure

Explanation: because she does not want to to do she is just trying to fit in.

What are some stigmas on separation anxiety disorder? Pls hellppp

Answers

Separation anxiety disorder is a mental health condition characterized by excessive anxiety and fear when separated from a person or place that provides a sense of security.

What are the stigmas of Separation anxiety disorder?

There are several stigmas associated with this disorder that can make it difficult for those who suffer from it to seek help or receive proper treatment.

Here are some common stigmas on separation anxiety disorder:

It's a childish disorder: Some people believe that separation anxiety disorder is only something that children experience, and that adults should be able to "grow out of it." However, the disorder can affect people of all ages, and it is not something that can simply be overcome with willpower.

It's not a real disorder: Some people dismiss separation anxiety disorder as a made-up condition or a sign of weakness. However, the disorder is recognized by mental health professionals and can be a serious condition that can significantly impact a person's daily life.

It's only caused by bad parenting: Some people believe that separation anxiety disorder is the result of overprotective or negligent parenting. However, while parenting can play a role in the development of the disorder, it is not the only cause.

It's just a phase: Some people believe that separation anxiety disorder is a temporary condition that will go away on its own. However, without proper treatment, the disorder can persist and lead to other mental health issues.

It's easy to overcome: Some people believe that separation anxiety disorder is something that can be easily overcome with exposure therapy or other types of treatment. However, the disorder can be very difficult to manage and may require ongoing therapy and support.

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hi i have separation anxiety and lot of people think it’s super childish as the other person said or that it’s just for dogs

For a patient to be transferred to another hospital, the transferring hospital and receiving hospital coordinate the entire transfer. transferring hospital coordinates the entire transfer. receiving hospital and the ambulatory service coordinate the entire transfer. ambulatory service coordinates the entire transfer.

Answers

For a patient to be transferred to another hospital, a) The transferring hospital and receiving hospital coordinate the entire transfer.

When a patient needs to be transferred to another hospital, the process typically involves coordination and collaboration between the transferring hospital and the receiving hospital. Both institutions work together to ensure a smooth and safe transfer of the patient.

The transferring hospital takes the responsibility to initiate and coordinate the transfer process. This includes assessing the patient's condition, determining the need for transfer, obtaining necessary medical records and documentation, and arranging for the mode of transportation (such as an ambulance or medical flight). The transferring hospital also communicates with the receiving hospital to provide relevant medical information and ensure that the receiving facility is prepared to accept the patient.

On the other hand, the receiving hospital prepares for the arrival of the patient by coordinating with the transferring hospital. They arrange for the necessary resources, such as appropriate medical staff, specialized equipment, and available bed capacity. The receiving hospital ensures that they have the appropriate medical specialties or services to meet the patient's needs upon arrival.

While ambulatory services may be involved in the transportation aspect of the transfer, they typically coordinate with the transferring hospital and follow their instructions regarding the transfer logistics. The primary coordination and responsibility for the transfer lie with the transferring hospital and receiving hospital, as they are responsible for the overall management and continuity of care during the transfer process.

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As individuals with Alzheimer's disease progress into the last stage, individuals will?

Answers

Answer:

In the last stage of Alzheimer's disease, individuals typically experience severe cognitive decline and may lose the ability to communicate and perform basic tasks. They may also become more vulnerable to infections and other medical conditions. They may require around-the-clock care and assistance with daily activities such as eating, bathing, and dressing. Eventually, individuals with Alzheimer's disease in the last stage may become bedridden and completely dependent on others for their care

Explanation:

MARK ME AS BRIANLIST

In the Standard American Diet, what percentage of calories typically come from carbohydrates?
O 20-30%
O 25-40%
O50-50%
O 55-65%

Answers

Answer:    55% - 65%

In the Standard American Diet, 55% - 65% of calories typically come from carbohydrates

Plz mark brainliest:)

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1. You have a menu item that is very profitable, but not many of them are sold. List 3 reasons why this could happen and expand on how you would fix the issues. 2. What is a sales mixed analysis and how do you use it to determine popularity and profitability of a menu item ? you wrote eight call option contracts with a strike price of $37.50 at a call price of $1.10 per share. what is your net profit or loss on this investment if the price of the underlying stock is $40.30 per share on the option expiration date? The volume of a prism is 100 and it's height it 20. What is the are of the base? Salinity affects density What is trade balance Sarah can run 8.2 miles per hour. How many miles can she run in 2.5 hours? .21. Write the corresponding sampling terms to the given statements below: (20 points) The effect of computer based education to student achievement selecting all 4th grade students at NEU where the researcher is teaching. randomly selecting 10% of all 4th grade students(30% female and 70% male) by preserving same female-male ratio. selecting 100 4th grade students by sorting the name of the all 4th grade students alphabetically(A to Z) and choosing every 10th student from the list. _selecting 4th grade students whose their CGPA are low(3.00) selecting 5% of the 4th grade students studying at NEU. _selecting 100 4th grade students from all 4th grade students studying at TRNC from a list of their alphabetically sorted names(A to Z) by using table of random numbers. All 4th grade students studying at TRNC universities. All 4th grade students studying at NEU. a treasury bond that you own at the beginning of the year is worth $1,090. during the year, it pays $46 in interest payments and ends the year valued at $1,100. what was your dollar return and percent return? We know the following expected returns for stocks A and B, given different states of the economy: States(s) Probability E(rAS) E(rB,) Recession 0.2 -0.1 0.04 Normal 0.5 0.08 0.05 Expansion 0.3 0.1 0.07 1. What is the expected return for stock A? 2. What is the expected return for stock B? The probability of an annual flood is .75%. If one wished to have one or fewer floods over a 75 year period, what risk per year should you tolerate?Please show work. What factors affect the speed of a wave? Check all that apply.the amplitude of the wavethe energy of the wavethe temperature of the mediumthe type of wavethe type of medium 9. y + 7 = 2x2y = 4x - 14Solve each system of equations by substitution In Bullfight, how does Goya create a dynamic composition that both balances the composition and heightens the sense of tension? Using the table find then relative frequency of each color, to 3 decimal places In Act 5 of Romeo and Juliet, cite at least two examples of dramatic irony and two examples of foreshadowing The circumference of a circular garden is 62.8 feet. What is the diameter of the garden? Use 3.14 for I and do nI feet A drug is any substance, besides food, taken into the body that changesthe way you think, feel, or act.*True or false ? 84. What is the effect of pulmonary surfactant on alveolar surface tension? a. Decreases surface tension by increasing hydrogen bonding between water molecules b. Decreases surface tension by interfer Question 7 Multiple Choice Worth 2 points)(04.01 MC)Read the excerpt from Plato's Apology. Then answer the question that follows.How you have felt, O men of Athens, at hearing the speeches of my accusers, I cannot tell; but I know that their persuasive words almost made me forget who I was-such wasthe effect of them; and yet they have hardly spoken a word of truth. But many as their falsehoods were, there was one of them which quite amazed me;-I mean when they toldyou to be upon your guard, and not to let yourselves be deceived by the force of my eloquence. They ought to have been ashamed of saying this, because they were sure to bedetected as soon as I opened my lips and displayed my deficiency; they certainly did appear to be most shameless in saying this, unless by the force of eloquence they mean theforce of truth; for then I do indeed admit that I am eloquent. But in how different a way from theirs! Well, as I was saying, they have hardly uttered a word, or not more than a word,of truth; but you shall hear from me the whole truth: not, however, delivered after their manner, in a set oration duly ornamented with words and phrases. No indeed! but I shall usethe words and arguments which occur to me at the moment; for I am certain that this is right, and that at my time of life I ought not to be appearing before you, O men of Athens,in the character of a juvenile orator-let no one expect this of me. And I must beg of you to grant me one favor, which is this-If you hear me using the same words in my defencewhich I have been in the habit of using, and which most of you may have heard in the agora, and at the tables of the money-changers, or anywhere else, I would ask you not to besurprised at this, and not to interrupt me. For I am more than seventy years of age, and this is the first time that I have ever appeared in a court of law, and I am quite a stranger tothe ways of the place; and therefore I would have you regard me as if I were really a stranger, whom you would excuse if he spoke in his native tongue, and after the fashion of hiscountry-that I think is not an unfair request. Never mind the manner, which may or may not be good; but think only of the justice of my cause, and give heed to that: let thejudge decide justly and the speaker speak truly.Which statement best reflects Plato's purpose for writing?To inform the reader how a jury and trial operate in ancient GreeceTo entertain the reader by telling them a story about a trial that is about to beginTo persuade the members of the jury to listen to him carefully so he can have a fair trialTo evaluate the procedure the trial will follow based on a set of strict criteria he provides in the family life-cycle stage of families as launching centers, they are faced with the establishment of _____ identities for parents and grown children, _____ of martial relationship, _____ of relationships to include in-laws and grandchildren, and dealing with ____ and ____ of older generation