The nurse is caring for a client at risk for thrombosis. what is an appropriate nursing action when evaluating this client?

Answers

Answer 1

Examine the legs for color, capillary refill time, and tissue integrity when evaluating a client at risk for thrombosis.

Deep vein thrombosis is a condition when a blood clot (a thrombus) develops in a vein (DVT). This can dislodge and go into the bloodstream prior to reaching the lungs, where it can cause a pulmonary embolism (PE), a blockage in the pulmonary circulation that can be fatal.

In both primary and secondary care, nurses will be required to recognize and screen for deep vein thrombosis, therefore they must have the ability to evaluate the patient's clinical risk.

To utilize the Wells screening equipment properly, the leg must be extensively checked. Nurses ought to:

Find any asymmetry or unilateral swelling, skin changes, wounds, oedema, erythema, or varicosities on both legs by keeping an eye out for them.Before palpating both legs, feel for heat with your hand over the suspected DVT location. Also feel for pain and any cracks in the skin.DVT symptoms can include deep venous system-specific pain.The difference in the calves' circumference is measured 10 cm below the tibial tuberosity. A DVT is the likely diagnosis if there is a discrepancy of more than 3 cm from the asymptomatic side. Check capillary refill time is between two and three seconds; this is a sign of peripheral perfusion by palpating the foot pulses.

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Related Questions

Which of these actions is legally required when dealing with medical records?

Answers

Medical records have an unusual legal status. They are medical care practitioners’ primary business records, but they are also confidential records of information whose dissemination is at least partially controlled by the patient. This is further complicated by the ambiguous nature of rules governing physician–patient communications.

what 2 aspects of echocerdiography are more reproducible in 4d echo imaging over 2d

Answers

The two aspects of echocardiography that are more reproducible in 4D echo imaging over 2D are left ventricular volume and systolic function.

What is echocardiography?

Echocardiography is a diagnostic technique that uses ultrasound echoing to measure the functioning of the heart.

The instrument used is called an echocardiogram and the results of an echocardiogram can be obtained in either 2D, 3D, or 4D.

2D echocardiography imaging only produces images

4D echocardiography produces live video feeds about the functioning of the heart.

Hence, results produced by 4D echocardiography are more accurate and reproducible.

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Lanoxin pediatric solution available in 0.5mg/ml. If a patient takes 0.25 mg of lanoxin per day, what will be the dispensed quantity im ml for 30 bdays

Answers

Answer:

15 mL

Explanation:

order/on hand x # days

0.25 mg/0.5 x 30

A bag contains 2 striped cubes, 3 dotted cubes, 4 white cubes and 3 red cubes. What is the probability of drawing a white cube, not replacing it, and then drawing a dotted cube?

Answers

Answer:

I think that Dependent should be the answer to this...

what effect did Covid 19 have on Medical Technology ?

Answers

Answer:

Covid-19 has had a major effect on medical technology. The pandemic has driven rapid innovation across the medical technology industry. Digital health solutions, such as telemedicine, have become increasingly popular, while artificial intelligence and machine learning are being used to improve the accuracy and speed of diagnosis. Remote monitoring technologies have been used to track patients in their own homes. Robotics have been used for disinfection and contactless delivery of medical supplies, while 3D printing has been used to rapidly produce medical equipment. Finally, companies have developed new tests and treatments for Covid-19, such as vaccines and monoclonal antibody therapies.

Answer:

The medical technology sector has experienced a substantial impact as a result of COVID-19. Many medical device makers have stopped developing new products and slowed down production of some types of medical equipment and devices as a result of the infection. Additionally, COVID-19 has occasionally caused an all-time peak in demand for specific medical products.

MAJOR IMPACT :

->The COVID-19 has had a considerable effect on the medical technology sector, and more specifically, manufacturers. As was already indicated, several gadget manufacturers were forced to suspend production, postpone the creation of new products, and slow down sales. The medical technology sector is probably going to be affected by these changes in the long run.

->Hospitals and health systems have been influenced by COVID-19 in a number of ways. Numerous elective surgeries have been delayed or cancelled as a result of the illness. The cost of medical care has increased as a result of the necessity for many institutions to develop safety guidelines for the use of medical technology.


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where is the tibia located?​

Answers

Answer:

it is located in the lower front portion of a leg.

Answer:

The tibia and fibula are the two long bones in the lower leg. They are closely linked at the knee and ankle, but they are two separate bones. The tibia is the bone that forms the shin and is the larger of the two lower-leg bones.

Which of the following pulse rhythms is characterized by a regularly irregular pattern?
A. Bigeminy
B. Second degree AV block
C. Atrial flutter
D. Atrial fibrillation

Answers

Answer:

A

Explanation:

Bigeminy is a cardiac arrhythmia in which there is a single ectopic beat, or irregular heartbeat, following each regular heartbeat

Which best describes the authors purpose in writing Reading Lolita in Tehran?



A. ) To portray an unmarried woman’s daily experience in living in Iran.



B. ) To portray a woman’s life in a culture of religious male dominance Iran.



C. ) To portray a typical persons experience living in an urban center in Iran.



D. ) To portray a typical persons experience living in Iran under a repressive government

Answers

Answer:

B. ) To portray a woman’s life in a culture of religious male dominance Iran.

What are some common male reproductive issues? Check all that apply.

amenorrhea
erectile dysfunction
undescended testicle
endometriosis
benign prostatic hypertrophy
premenstrual dysphoric disorder

Answers

Answer:

Erectile dysfunction

Undescended testicle

BPH

3. Which of the following statements is true?
a) Sugar component of a nucleotide is ribose
b) Sugar component of a nucleotide is deoxyribose
c) The bases in nucleotides are attached to a pentose sugar moiety by a glycosidic
linkage
d) The sugar molecule of the nucleotide is in L-configuration​

Answers

Answer:

b

it is a neclotidw and a deoxo

If a poison is ingested that prevents the release of acetylcholine, which one of the following would occur at a myoneural junction? Sodium and potassium gates on the motor end plate will not close. Sodium and potassium gates on the motor end plate will not open. Sodium and potassium gates on the axon will not close. Sodium and potassium gates on the axon plate will not close.

Answers

Answer:

When a poison prevents the release of acetylcholine, at the myoneural junction occurs that sodium and potassium gates on the motor end plate will not open.

Explanation:

In cholinergic transmission, acetylcholine released by the presynaptic neuron binds to a specific receptor in the postsynaptic terminal. The effect of acetylcholine on its receptor produces the opening of sodium and potassium gates, whose exchange determines the transmembrane action potential.

If an acetylcholine release inhibitor —like a poison— is ingested, the absence of acetylcholine at the myoneural junction prevents the opening of the sodium and potassium gates. This results in the function of the effector, the muscle, not being performed.

    The other options are not correct because obviously the action of acetylcholine is the opening of the sodium and potassium gates, not their closing.

Answer:

B

Explanation:

Just did it

a patient who is unable to breathe easily is brought to the emergency department. the emergency team quickly determines that this is caused by collapse or incomplete expansion of the alveoli, a condition called

Answers

A patient who is unable to breathe easily is brought to the emergency department. the emergency team quickly determines that this is caused by collapse or incomplete expansion of the alveoli, a condition called Atelectasis,

When the alveoli in your lung or a portion of your lung deflate, it is known as atelectasis and can result in a partial or full collapse of the lung.

The collapse of one or more lungs causes atelectasis. The little air sacs known as alveoli are specifically impacted.

Your lungs swell with air when you breathe in. The oxygen from the air enters your blood through alveoli, which are little sacs in your lungs. Organs and tissues all around your body receive oxygen from the blood.

A small portion of the lung or the entire lung may have atelectasis. Your blood might not get enough oxygen if a significant portion of your lung is compromised, which could have negative effects on your health.

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caffeine, nicotine, amphetamines, and cocaine are members of a class of drugs known as ________.

Answers

Caffeine, nicotine, amphetamines, and cocaine are members of a class of drugs known as stimulants.

Stimulants, also referred to as "uppers," are substances that increase the activity of the central nervous system, which in turn enhances mental alertness, physical energy, and elevates mood. These drugs work by increasing the levels of neurotransmitters such as dopamine, norepinephrine, and serotonin in the brain, leading to enhanced cognitive and physical performance. Caffeine is commonly found in coffee, tea, and energy drinks, while nicotine is the primary addictive substance in tobacco products. Amphetamines are a class of synthetic stimulants, which are commonly used to treat attention deficit hyperactivity disorder (ADHD) and narcolepsy, although they can be misused for recreational purposes.

Cocaine, on the other hand, is an illicit drug derived from the coca plant, which is known for its powerful and addictive properties. Although stimulants may provide temporary benefits, their misuse can lead to various negative consequences, such as addiction, heart problems, anxiety, insomnia, and even overdose, it is essential to use these substances responsibly and under proper medical guidance when required. Caffeine, nicotine, amphetamines, and cocaine are members of a class of drugs known as stimulants.

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How much cation is people

Answers

Answer: 4

Explanation:

iron atoms can form 2+ cations or 3+ cations.

. 1. Could an automated medical diagnosis system ever replace live doctors? Why or why not? at least 200 words

Answers

The question of whether an automated medical diagnosis system could replace live doctors is a complex and multifaceted one.

While automated systems have made significant advancements in medical diagnosis and decision support, there are several factors to consider that suggest complete replacement is unlikely.

First and foremost, medicine is not solely about diagnosis. It encompasses a broad range of skills and expertise that extend beyond pattern recognition. Doctors possess comprehensive knowledge acquired through years of education, clinical experience, and patient interactions. They possess critical thinking abilities, empathy, and the capacity to assess complex medical situations holistically. These qualities are currently challenging for automated systems to replicate fully.

Additionally, medicine involves a human element. The doctor-patient relationship is built on trust, compassion, and effective communication. Patients often seek emotional support, counseling, and reassurance from their doctors. These aspects of healthcare delivery cannot be replicated by machines, as they require empathy, understanding, and the ability to address the unique needs and concerns of individual patients.

Furthermore, medical decision-making is influenced by a variety of factors, including patient preferences, values, and social context. Doctors consider multiple variables, weigh risks and benefits, and tailor treatments accordingly. Automated systems, although capable of analyzing vast amounts of medical data, may struggle to incorporate these nuanced aspects into their recommendations.

Another critical aspect to consider is the ethical and legal implications of automated medical diagnosis. Medical decision-making involves complex ethical considerations, such as patient autonomy, privacy, and accountability. Implementing fully automated systems raises questions about responsibility and liability in the event of errors or adverse outcomes.

That being said, automated medical diagnosis systems can be valuable tools for doctors. They can enhance efficiency, accuracy, and access to information, allowing doctors to make more informed decisions. These systems can assist with data analysis, provide evidence-based guidelines, and offer support in diagnosing rare conditions or complex cases. However, they should be viewed as aids rather than replacements for human clinicians.

In conclusion, while automated medical diagnosis systems have the potential to augment healthcare delivery, it is unlikely that they will completely replace live doctors. The practice of medicine encompasses not only diagnosis but also a multitude of skills, qualities, and human interactions that are challenging to replicate in machines. The human element, ethical considerations, and the holistic nature of medical decision-making make doctors indispensable in providing comprehensive and personalized care to patients.

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Instructions
Compare The Joint Commission Hospital Standards to Ambulatory Standards

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

Answers

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

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

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

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

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

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

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Which prefix means around?

Answers

Answer: Circum

Explanation:

Change the stimulus to read: Edward Jenner? ’s smallpox inoculation experiment was based on his observation that dairymaids who had had cowpox did not contract smallpox. How did Jenner form his hypothesis from this observation? He asked what would happen if he inoculated a person with cowpox fluid and then later with smallpox fluid. He tested different existing inoculations to see which one was most effective in preventing smallpox. He observed dairymaids who had contracted cowpox to see whether they became immune to smallpox. He drew a conclusion about dairymaids who got cowpox becoming immune to getting smallpox.

Answers

Answer: Option A) He asked what would happen if he deliberately inoculated someone with cowpox fluid from another person.

Explanation : Edward Jenner wanted to know what would happen if he deliberately inoculate the cowpox fluid from some person to another. He tested this experimental results and later on came up with the hypothesis. Which roughly state that someone will not get smallpox because they already had cowpox.

Edward Jenner deliberately inoculates the cowpox fluid from one person to another person to know what would happen to that person. Thus, option A is correct.

What is smallpox?

Smallpox has been a contagious disease that affects in the term of acute diseases and spread with contact with the infected person.

The discovery of a vaccine for smallpox was awarded to Edward Jenner with his research considering the exposure to cowpox as the vaccine to protect against smallpox.

Edward Jenner wanted to know the result of his hypothesis whether the person with cowpox will get affected by smallpox or not.

Later on, Edward Jenner discovered vaccination. He observed that the dairymaids who were working with cows got lesions on their hands.

Thus, he concluded that these dairymaids were immune to smallpox. Hence, option A is correct.

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2.External jugular vein ends by opening into, *
Internal jugular vein
subclavian vein
Brachiocephalic vein
superior venacava

Answers

Answer:

External jugular vein ends by opening into

subclavian vein

infuse bretylol 2 mg/min via infusion pump. supply bretylol 1mg/500ml d5w. how many ml/hr

Answers

In the given statement, you need to infuse bretylol at a rate of 120 mL/hr using an infusion pump.

To calculate the infusion rate for bretylol, we will use the following formula:
Infusion rate (mL/hr) = (Dose × Volume) / (Concentration × Time)
In this case, the dose is 2 mg/min, the volume is 500 mL, and the concentration is 1 mg/500 mL. First, we need to convert the dose to an hourly rate:
2 mg/min × 60 min/hr = 120 mg/hr
Now we can use the formula:
Infusion rate (mL/hr) = (120 mg/hr × 500 mL) / (1 mg/500 mL × 1 hr)
Infusion rate (mL/hr) = 60,000 mL / 500 mg
Infusion rate (mL/hr) = 120 mL/hr

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What types of information are found by using specific rates such as cause-specific, age- specific, and sex-specific rates instead of crude rates? Explain what information is found using crude rates. (4 points)

Answers

The information found by using specific rates such as cause-specific, age- specific, and sex-specific rates instead of crude rates is with respect to a particular event.

A crude rate has the entire population as its denominator. A specific rate is one that evaluates morbidity or mortality for a particular population or group of illnesses. Cause-specific rates concentrate on the underlying reasons for an occurrence, such as sickness or demise. Researchers and experts in public health can learn more about a population's prevalence, incidence, and effects of particular diseases and disorders by looking at cause-specific rates. Planning interventions, establishing health objectives, and assessing success of disease prevention strategies benefit greatly from this knowledge.

Information on the frequency of an incident or disease among various age groups of a population is provided by age-specific rates. This makes it possible to examine age-specific patterns and trends, which might offer insightful information on the age-related sensitivity or risk to particular diseases or ailments. For researching problems that significantly rely on age, such as some malignancies, chronic diseases, or developmental abnormalities, age-specific rates are crucial.

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In an EPSP (Excitatory Postsynaptic potential) which ion gate is open:
Hydrogen
Sodium
Potassium
Calcium
Oxygen

Answers

Answer:

POTTASIUM

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a premenopausal woman has been bothered with recurrent urinary tract infections. what antibiotic after sexual intercourse would assist in preventing the recurrence of infection?

Answers

The antibiotic that can assist in preventing the recurrence of urinary tract infections after sexual intercourse in premenopausal women is trimethoprim-sulfamethoxazole (TMP-SMX).

This antibiotic can be taken as a single dose after sexual intercourse to prevent the growth of bacteria in the urinary tract.

Other strategies to prevent recurrent urinary tract infections may include drinking plenty of fluids, urinating frequently, wiping from front to back after using the toilet, and avoiding irritants such as perfumed products in the genital area.

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When taking a history on a patient about to have a bladder scan, it is most important to inquire about the patients

Answers

Answer:

Sexual Activity, previous issues and maybe if the patient has had any kidney stones

owever, studies are mixed about the usefulness of this practice. One problem in practice is that it is difficult to consume such a high level of carbohydrates over several days. Event distance is a factor. Also, studies have failed to consistently show that performance, speed, and/or endurance, improves even when the diet is followed. Although some athletes report improved performance, it is possible that this is a placebo effect. Genetic and gender differences may also play a role. Regardless of its efficacy, what is the reasoning behind carbohydrate loading

Answers

Answer:

Although the text of your question is incomplete, we can affirm that the reasoning behind the carbohydrate loading is that if an individual increases the amount of carbohydrates that he or she ingests, he or she will have more energy and will be able to perform activities that require a lot of effort physical, with less fatigue.

Explanation:

Carbohydrate is an energetic molecule, as it provides fast energy to our body. Carbohydrate can be acquired through food, mainly in pasta, sweet potatoes, rice, cassava and other foods.

the more carbohydrates a person eats, the more fast energy that person will have and that is the basis of the reasoning behind the carbohydrate loading.

The carbohydrate loading is the term that refers to a type of diet practiced by athletes who participate in exercises that require a lot of resistance, such as marathon runners, for example. This diet consists of greatly increasing the intake of carbohydrates, allowing the athlete to have a lot of body energy and be able to finish his activities with less tiredness. However, this diet is very controversial, first because there is no scientific proof that it works and because the amount of carbohydrate it requires is very difficult to achieve.

You are assessing a 28-year-old patient and you notice he has pinpoint pupils. You suspect a drug overdose. What drug is the likely cause of this phenomenon?

Answers

According to the research, heroin drug is the likely cause of this phenomenon of pinpoint pupils in the 28-year-old patient.

What is heroin?

It is an opioid with narcotic properties (generates drowsiness and modifies sensitivity) and sedatives.

The effect of heroin is very intense and fast, causing a depression of the central nervous system and can cause pinpoint pupils.

Therefore, we can conclude that according to the research, heroin drug is the likely cause of this phenomenon of pinpoint pupils in the 28-year-old patient.

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A rectangle is 8 centimeters wide. The area of the rectangle is 120 square cm. What is the length of the rectangle?

Answers

Answer:

15 cm

Explanation:

To find the length, divide the area by the width. We do this since the width times the length equals the area

120 ÷ 8 = 15

Therefore, the length is 15 cm

Answer: The length of the rectangle is 15 centimeters.

Explanation:

Area ÷  Width = Length

In this case, 120cm (Area) ÷ 8cm (Width) = 15cm (Length)

The medical model values client-determination and empowerment. True or False

Answers

False. The medical model is focused on diagnosing and treating medical conditions and may not always prioritize client-determination and empowerment. Other models, such as the person-centered approach, prioritize these values.
The medical model primarily focuses on diagnosing and treating illnesses, often with less emphasis on client-determination and empowerment. It is the person-centered or social model that values client-determination and empowerment by considering the individual's needs, preferences, and active involvement in decision-making.

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how important is the function of each organ in our body​

Answers

They are all very important since they each have different jobs. You can live with only one kidney though.

access to the care of specialist physicians is limited in which type of health plan?

Answers

Answer:

Access to the care of specialist physicians may be limited in a health plan that has a limited provider network or a health maintenance organization (HMO) plan.

Limited provider network plans typically have a smaller group of healthcare providers, hospitals, and specialists that are covered by the plan. If a patient seeks treatment from a specialist who is not in the network, they may need to pay higher out-of-pocket costs or may not be covered at all.

HMO plans require that patients see physicians and specialists within the plan's network to receive coverage. If a patient seeks treatment from a specialist outside of the network, they may not be covered for the care, except in cases of emergency or with prior authorization.

On the other hand, Preferred Provider Organization (PPO) plans typically have a larger provider network, which allows patients to choose from a broader range of specialists and providers. However, patients may need to pay higher out-of-pocket costs for choosing out-of-network providers.

Access to the care of specialist physicians is primarily limited in a type of health plan known as Health Maintenance Organization (HMO) plans. HMOs are structured to provide healthcare services within a specific network of healthcare providers.

In an HMO, patients choose a primary care physician (PCP) who acts as a gatekeeper for their healthcare needs. The PCP is responsible for providing basic care, diagnosing medical issues, and referring patients to specialist physicians when necessary.However, to see a specialist, patients usually need a referral from their PCP, which can sometimes result in delayed access to specialized care. Moreover, HMOs often require patients to choose specialists within their network, limiting their options further. This can lead to longer waiting times and a potentially limited selection of specialists.Additionally, HMOs may impose restrictions on the type or amount of care provided by a specialist, and patients may not receive coverage for out-of-network care unless it is deemed necessary and authorized by the HMO.In contrast, other health plans such as Preferred Provider Organization (PPO) plans or Point of Service (POS) plans offer greater flexibility in choosing specialists and often do not require referrals from a primary care physician. However, these plans may come with higher out-of-pocket costs for patients.In summary, access to specialist physicians is most limited in HMO health plans, where patients need referrals from their primary care physician and must choose specialists within the HMO's network. This can result in longer waiting times and limited choices for patients seeking specialized care.

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Other Questions
Please help! I need it political parties in texas are currently more influential in some parts of the state than in others. match the party with the areas in texas in which it tends to dominate. Suppose that you want to design a set of four congruent square pyramids whose combined volume is the same as the volume of a single rectangular pyramid. What values of l and h for the four square pyramids and what values of l, w, and h for the rectangular pyramid will produce identical volumes? There is more than one correct answer. American Airlines sold a certain number of tickets from Los Angeles to the bay island in Honduras. They charged $120 for flight x and the remaining tickets for $280 for flight y. If the airline sold 59 tickets and collected a total of $12,520 from the sale of those tickets. A) how many tickets of each flight were sold. B) how much money was made from each flight? Buenos das --la voz de Maria Isabel era apenas un murmullo. Se habaparado frente al escritorio de la maestra porque no saba a dnde ir. Antonio, lahaba dejado frente a la puerta de la oficina y se haba ido a la escuela intermedia,que quedaba en la prxima cuadra. La secretaria le haba dado a Mara Isabel unpapelito rosado y le haba pedido a un nio que le indicara a Mara Isabel dondequedaba el saln 17. Y ahora que estaba all, ella no saba qu hacer.Los otros nios haban ido cada uno rpidamente a su escritorio. Algunossacaban libros o papeles. Otros, parecan esperar rdenes. Pero mientras tanto sesonrean unos a otros. E incluso conversaban en voz baja.Mara Isabel mir la pared detrs del escritorio de la maestra. Haba unenorme pavo hecho de papel de construccin de colores. En cada una de las plumasde la cola tena escrito un nombre. Mara Isabel empez a leer: Jonathan, Eric,Michelle, Salomon, Laurie, Freddie, Marta, Ricardo, Mara Snchez.La maestra no haba levantado la vista. Estaba revisando un cuadernogrande, en el que, se vea una lista de nombres. Mara Isabel empez a oir lasrisitas calladas detrs de ella. Slo cuando aument el ruido, la maestra levant lavista y la mir.Hola! le dijo en ingls a Mara Isabel. Sonrea, pero su sonrisa no logrhacer que Mara Isabel se sintiera cmoda. -As que t eres..-Mara Isabel Salazar Lpez -respondi la nia. En espaol hubiera aadidopara servirle", pero no saba cmo decir eso en ingls. As que no aadi nada y leentreg el papelito rosado.-Ah... Mara Lpez- dijo la maestra. -En esta clase ya tenemos dos Maras...As que mejor te llamaremos Mary. Sintate alli, al lado de Marta Prez. Luego tedar tus libros.Mara Isabel se sent calladamente donde le haba indicado. La nia que lamaestra haba llamado Marta Prez levant la vista del libro que tena abierto y lamir. Tena el pelo corto y un cerquillo sobre la frente. Mara Isabel baj los ojos.Ninguna de las dos dijo nada.Al poco rato la maestra le trajo un libro. Era grueso, con tapas verdes.Estaba nuevo y en su cubierta brillante se vea saltar un delfin. Mara Isabel sepregunt intrigada si sabra leerlo y de qu tratara. Habra alguna historia sobredelfines? Lo abri interesada porque le encantaba el mar y siempre haba soadocon ver un delfin de verdad. En la parte de adentro estaba escrito Mary Lpez.Mara Isabel se qued mirando las palabras. La letra de la maestra eraprecisa y bonita. Pareca imposible que alguien escribiera con una letra tanhermosa... casi pareca de imprenta.Mientras miraba las letras parejas y perfectas de aquel nombre extrao,Mary Lpez, a Mara Isabel le vinieron a la memoria sus cuadernos del aoanterior. Qu gusto le daba abrirlos y mirar la primera pgina! La letra de sumadre no era tan bonita como la de la maestra. Pero cuando se haba sentado a lamesa de la cocina para escribir en cada uno de los cuadernos Maria Isabel SalazarLpez, le haba dicho: - "Mara" por tu abuelita Mara, que no conociste, pero quete hubiera querido mucho."Isabel" por tu abuelita Chabela, que tanto te quiere."Salazar" por tu pap, y claro tu abuelito Antonio. Y "Lpez" por m, y claro,tambin por mi Papa, por tu abuelo Manuel. No te acuerdas de l, porque muricuando eras muy pequea -y haba suspirado, para luego aadir, sonriendo- pero tehubiera gustado mucho. Saba contar unos cuentos!Mara Isabel siempre se haba sentido orgullosa de que le hubieran puesto elnombre de sus dos abuelas. La abuela Mara no era sino so, un nombre. Porquenunca la haba conocido. Pero haba visto la foto que su pap cuidaba con muchocario. Cada vez que se haban mudado era lo ltimo que empaquetaban, bienenvuelta, para que no fuera a daarse el marco ni a romperse el cristal. Y luego,era lo primero que colocaban en la pared de cada nuevo apartamento.Y le gustaba llamarse como la abuelita Chabela, la abuelita risuea que vivaen Puerto Rico y que ola a ans, a manzanilla, a canela, que cocinaba dulces tanricos que todos venan a probarlos y a comprarlos. Y que guardaba en una lata degalletas vaca el producto de la venta de sus dulces: -Para que algn da puedasestudiar, hijita. Y no te pases la vida en una cocina.La abuelita Chabela que le haba regalado la tela amarilla del vestido que sehaba manchado esta maana con la sangre de su rodilla rasmillada.-Mary. Mary Lopez, Mary LOPEEEZ. La voz de la maestra habia idosubiendo de tono. Pero pareca que lo que habia sacado a Mara Isabel de susrecuerdos no era tanto esa voz que ahora casi pareca chillar, sino precisamente elsilencio que se haba hecho en el aula.-Te estoy hablando, Mary-. La maestra estaba de pie junto a ella. La mirabacon una mezcla de sorpresa e impaciencia. Mara Isabel se encogi en el asiento ymir al delfin que saltaba en la cubierta del libro. Cmo explicar que ella no sereconoca en ese nombre ajeno? g it is estimated that 0.32 percent of the callers to the customer service department of dell incorporated will receive a busy signal.what is the probability that of today's 1,000 callers at least 5 received a busy signal? (round your answer to 4 decimal places.) What is the name for the level of crop output from a given level of input?A. Green revolutionB. YieldC. MonocultureD. Productivity PLEASE HELP QUICK!A pencil cup is shaped like a right rectangular prism. It has a base area of 9 square inches and a height of 312 inches.What is the volume of the pencil cup?1212 in1534 in2114 in3112 in Una ciclopista para andar en bicicleta tiene 17/6 de km cuantos km se recorren al dar dos vueltas a la pista PLEASE HELPP2. Usa la informacin anterior para inferir el significado de las siguientes palabras. Escribe unadefinicin y comprala con la de un(a) compaero(a).a. transterritorial:b. multicultural:C. pluralidad:d. globalizacin: Which of these lines from the passage is an example of euphemism DESCRIBE two reasons the Western Roman empire fell which ecosystem is most resilient to change due to its high diversity?(1 point) P. 3. Evaluate DA, 1x2 + y where R is the triangle region bounded by y = x, x = 2y, y = 3. Seztunda. A poll of students showed that 45 percent liked basketball, 45 percent liked soccer, 40 percent liked football, 15 percent liked both basketball and soccer, 15 percent liked both soccer and footbal, 15 percent liked both basketball and football, and10 percent liked all three sports. What percentage of students like only one sport? What percentage does not like any of the three sports?What percent of students the only one sport? Whatpercent of students do not like any of the three sports? hich of the following statements is true regarding the International Committee of Medical Journal Editors (ICMJE) guidelines Alfred Wegener noted that fossils from a particular type of reptile are found on both sides of the Atlantic ocean. Which of the following would be the best explanation of how this occurred? 2.3y + 4.4y - 3.7= 16.4 Which one of the following CUDA code maps from a 3D grid of 2D blocks to a ID array of thread IDs?a.int blockId = blockIdx.x + blockIdx.y * gridDim.x;int threadId = threadIdx.x + blockId * (blockDim.x * blockDim.y) + (threadIdx.y * blockDim.x);b.int threadId = threadIdx.x + blockId * (blockDim.x * blockDim.y * blockDim.z) + (threadIdx.y * blockDim.x)+ (threadIdx.z * (blockDim.x * blockDim.y));c.int blockId = blockIdx.x + gridDim.x * gridDim.y * blockIdx.z + blockIdx.y * gridDim.x;int threadId = threadIdx.x + blockId * blockDim.x;d.int blockId = blockIdx.x + gridDim.x * gridDim.y * blockIdx.z + blockIdx.y * gridDim.x;int threadId = threadIdx.x + (threadIdx.y * blockDim.x) + blockId * (blockDim.x * blockDim.y); Which graph shows a vehicle traveling at a constant speed?(look at the attached photo)