the nurse is teaching the patient about fluid management between dialysis treatments. which instruction by the nurse is the most accurate?

Answers

Answer 1

The nurse should instruct the patient to limit their fluid intake between dialysis treatments to prevent fluid overload.

It is important for the patient to monitor their weight and urine output to ensure they are not retaining excess fluid.

Additionally, the nurse should advise the patient to avoid high-sodium foods and to follow a low-sodium diet to help manage fluid balance.

It is also important for the patient to take their prescribed medications as directed and to follow up regularly with their healthcare provider to monitor their fluid levels and adjust their treatment plan as needed.

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Answer 2

By following these instructions, the patient can effectively manage fluid intake between dialysis treatments, leading to better treatment outcomes and overall well-being.

The most accurate instruction a nurse can provide a patient regarding fluid management is as follows:

1. Monitor daily fluid intake: Keep track of the amount of fluids consumed throughout the day, including water, beverages, and even fluids in food. It is essential to stay within the prescribed fluid limit set by the healthcare team

. 2. Limit sodium intake: Consuming high amounts of sodium can cause thirst and lead to excessive fluid intake. To prevent this, avoid salty foods and opt for low-sodium alternatives.

3. Choose appropriate beverages: Certain beverages like alcohol and caffeinated drinks can increase thirst, leading to overconsumption of fluids. It's better to choose water, herbal teas, or other non-caffeinated beverages.

4. Use smaller cups: Drinking from smaller cups can help control fluid intake by making it easier to track the amount consumed.

5. Manage thirst: Sipping on ice chips, chewing gum, or using a mouth spray can help alleviate thirst without significantly increasing fluid intake.

6. Weigh yourself daily: Monitoring weight can help identify sudden increases, which might indicate excessive fluid retention. Report any significant changes to your healthcare team.

7. Attend all dialysis appointments: Regular dialysis sessions are essential to maintain proper fluid balance and overall health.

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Related Questions

ASAP!! Based on the graphic below, which of the following positions is responsible for the largest number of personnel?
firefighter->Lieutenant->Captain->Chief
a) firefighter
b) Lieutenant
c) Captain
d) Chief

Answers

Answer: C


Hope it’s right
I can confirm that it is C

“My toe is on fire.” HPI RH is a 78-year-old man who presents to the ED complaining of significant toe pain. Mr RH states, “I think I’m paying the price for my fun at the festival.” He reports having spent the weekend indulging on beer and sausage at the local festival. In the early hours of Monday morning (approximately 3 hours ago), he awoke to sudden excruciating pain in his right big toe. Over the past hour, this toe has become red, swollen, and so painful that he cannot walk. He has not experienced any trauma or injuries. He also denies having experienced these symptoms previously. PMH HTN × 28 years PUD × 15 years Obesity × 40 years SH The patient typically drinks “a can of beer or two” daily but drank significantly on Friday, Saturday, and Sunday. He does not smoke or use illicit drugs. Meds Chlorthalidone 25 mg PO daily, started 1 month ago Pantoprazole 20 mg PO daily All NKDA ROS Other than feeling somewhat dehydrated from all of his drinking, the patient has no major complaints prior to this ED visit. No chest pain, nausea/vomiting, or respiratory symptoms. Bowel habits are normal. He has no prior history of arthritic symptoms or joint problems. PE Gen A healthy-appearing, obese man in acute distress VS BP 135/70 mm Hg, P 105 bpm, RR 17, T 37.5°C; Wt 88 kg, Ht 158 cm Skin Poor skin turgor. No rashes or other dermatologic abnormalities. HEENT PERRLA, dry mucous membranes, throat/ears clear of redness or inflammation Neck/Lymph Nodes Negative for lymph node swelling or masses Lungs/Thorax Clear to auscultation bilaterally, symmetric movement with inspiration CV Tachycardic, normal rhythm, normal S1 and S2 Abd Obese, but soft, nontender; positive bowel sounds in all quadrants. Genit/Rect Deferred MS/Ext Erythematous, edematous right first metatarsophalangeal joint, which is very warm to touch; joint is exquisitely painful with patient relating the pain as currently a 10/10 (on a 1–10 scale with 0 being no pain and 10 being the worse pain the patient has ever suffered); no s

Answers

Answer:

Based on the information provided, it appears that the patient is experiencing a possible case of gout. Gout is a type of arthritis that occurs when there is an excess of uric acid in the body, which can cause the formation of crystals in the joints. Common symptoms of gout include sudden, severe pain in a joint (often the big toe), redness and swelling in the affected joint, and warmth in the affected area. It is possible that the patient's increased alcohol intake over the weekend may have contributed to the development of gout. Other risk factors for gout include obesity, high blood pressure, and certain medications. It is important for the patient to see a healthcare professional for proper diagnosis and treatment of their condition. Treatment options for gout may include medications to reduce inflammation and pain, and lifestyle changes such as weight loss and reducing alcohol intake to prevent future gout attacks.

Which of the following resources on the BON web page would assist a nurse in determining his or her scope of nursing practice?

Answers

The continuing competency info sheet would assist a nurse in determining his or her scope of nursing practice.

The Board's continuing competency rule, Board Rule 216, outlines all requirements in full detail.

All nurses who want to keep their Texas licenses active must show they are still competent in order to renew them.

This is in line with the Texas Board of Nursing's (BON or Board) purpose to safeguard and advance the welfare of Texas residents by ensuring that every nurse holding a valid license in the state is qualified to practice safely.

Additional qualifications apply to APRNs, or advanced practice registered nurses. Additionally, some nurses have focused on continuing education needs. The choice and participation in suitable continuing competency exercises fall on each individual nurse.

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. A client threatens to leave the hospital against medical advice and the nurse notes that this is the client’s rights. In addition, to having the client sign an against medical advice form, what is the nurses priority action?

Answers

A nurse's priority action when a client threatens to leave the hospital against medical advice and signs the against medical advice form is to: Convey the risks of the decision.

A nurse is obligated to convey the risks associated with leaving the hospital against medical advice to the client, as well as any potential consequences or complications of this decision. The nurse should also have a conversation with the patient to understand why they want to leave and if their decision is made after considering all the available options to make sure that the patient is making an informed decision.

The nurse should try to understand why the client wants to leave and whether they have taken into account all of the available options before making such a decision. The nurse should also communicate the potential consequences of the client's decision to leave the hospital against medical advice. The nurse should document this conversation in the client's medical records to protect themselves from any legal implications.

The nurse should ensure that the client's decision is made with complete and informed knowledge of the potential risks, outcomes, and complications, and the nurse should also document the patient's decision in their medical records to cover themselves in case of any legal issues. It's the nurse's responsibility to respect the patient's autonomy, but the nurse should always make sure that the patient's decision is made based on complete information.

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A patient is to receive Duramorph 6 mg IV a 4 h for pain. Duramorph is available in a
10mg/10ml vial How many ml will you administer?

Answers

Answer:

you would administer 60 ml every four hours

Explanation

Which insurance benefits are determined by fee schedules or fee-for-service plans? What might be the advantages of this?

Answers

Answer:

Providers are often based off of the Physician's fee-for-schedule because they Gucci, and like they are like girl boss. Fee-for-service can help with two separate policies, basic coverage, and hospitalization and surgery.

Explanation:

Physicians, AKA girl boss peeps are all free-for-schedule because like I know one. Like Fee-for-service is so good because it can help with basic coverage, and why would people want to have fees for their time, along with hospitalization and surgery.

The advantage of a fee-for-service plan is that patients get highly valued services and the provider is also able to offer suitable recommendations.

It should be noted that a fee-for-service plan enables the individual to see the provider such as doctors, hospitals, etc. In this case, the health plan either pays the provider directly or the individual is reimbursed.

The fee-for-service plan is that patients get highly valued services and the provider is also able to offer suitable recommendations. It is also important as it offers widest network of hospitals and doctors when compared to other plans.

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Why is it important to obtain a medical history on a patient who has sustained trauma?​

Answers

It's crucial to obtain a medical history of a patient who has sustained trauma because with that information you are able to see what the patient is allergic to, or what the patient has gone through. Without the medical history, the procedure may undergo some faults.

the use of patient restraints limits which ethical principle?

Answers

The use of patient restraints limits the ethical principle of autonomy.

Autonomy refers to an individual's right to make decisions about their own healthcare and the right to be free from coercion or restraint. When patients are restrained, their ability to make decisions and act freely is restricted, which can be seen as a violation of their autonomy. There are situations where the use of patient restraints may be necessary to protect the safety of the patient or others, such as in cases of severe agitation or violent behavior. However, the decision to use restraints should be made only after careful consideration of all other options, and with the goal of minimizing the use of restraint as much as possible. The use of patient restraints can indeed limit the ethical principle of autonomy.

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Mitochondria are
A. found in the plasma membrane.
B. organelles that contain the genetic material for the cell.
C. cells with flagella.
D. "batteries" that provide energy for cells.

Answers

Answer:

D

Mitochondria are the powerhouses of cells

The correct answer is D

There is a severe shortage of critical care doctors and nurses to provide intensive-care services in hospitals. To offset this shortage, many hospitals, such as emory hospital in atlanta, are using electronic intensive-care units (eicus) to help provide this care to patients (emory university news center). Eicus use electronic monitoring tools and two-way communication through video and audio so that a centralized staff of specially trained doctors and nurses - who can be located as far away as australia - can provide critical care services to patients located in remote hospitals without fully staffed icus. One of the most important metrics tracked by these eicus is the time that a patient must wait for the first video interaction between the patient and the eicu staff. Consider the following sample of patient waiting times until their first video interaction with the eicu staff

Answers

The range of the sample is 38.1 minutes, which means that the maximum waiting time is 55.2 minutes, and the minimum waiting time is 17.1 minutes.

Electronic intensive-care units (EICUs) have become a popular means of meeting the needs of patients in need of critical care. With a lack of skilled critical care doctors and nurses to provide intensive-care services in hospitals, EICUs have proven to be an effective solution.

They use electronic monitoring tools and two-way communication through video and audio so that a centralized staff of specially trained doctors and nurses can provide critical care services to patients located in remote hospitals without fully staffed ICUs. Hospitals, such as Emory Hospital in Atlanta, use EICUs to help provide this care to patients (Emory University News Center).

Patient waiting time is an important metric that EICUs track. Below is a sample of the time patients must wait for the first video interaction with EICU staff:17.1, 18.5, 22.3, 24.2, 25.7, 26.1, 26.7, 27.3, 28.9, 31.8, 33.1, 34.1, 34.3, 36.1, 37.4, 40.3, 43.9, 44.2, 50.5, 55.2.The mean patient waiting time until their first video interaction with the EICU staff is 31.1 minutes, and the median waiting time is 28.9 minutes. This suggests that the sample has a slight positive skew because the median value is less than the mean value. In other words, the patient waiting times are not evenly distributed but instead have a few outliers that are more significant than the rest of the data.

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Which of the following positions reports directly to the deputy chief

A) lieutenant

B) division chief

C) fire captain

D) paramedic

Answers

Answer:

fire Captin

Explanation:

I got 100%

Answer:

its division chief, the person above wrong

Explanation:

edge 2022

In normal healthy adult, Calculate the Gain of control system of cold temperature if A cold exposure is expected to bring the body temperature down to 20°C but brings it down only to 36.5°C?

Answers

Answer:

Increased intraluminal pressure may help maintain vasodilation in a dependent arm even after hypothermia triggers centrally mediated thermoregulatory vasoconstriction. We therefore tested the hypotheses that the threshold (triggering core temperature) and gain (increase in vasoconstriction per degree centigrade) of cold-induced vasoconstriction is reduced in the dependent arm during anesthesia. Anesthesia was maintained with 0.4 minimum alveolar anesthetic concentration of desflurane in 10 volunteers in the left-lateral position. Mean skin temperature was reduced to 31 degrees C to decrease core body temperature. Fingertip blood flow in both arms was measured, as was core body temperature. The vasoconstriction threshold was slightly, but significantly, less in the dependent arm (36.2 degrees C +/- 0.3 degrees C, mean +/- SD) than in the upper arm (36.5 degrees C +/- 0.3 degrees C). However, the gain of vasoconstriction in the dependent arm was 2.3-fold greater than in the upper arm. Consequently, intense vasoconstriction (i.e., a fingertip blood flow of 0.15 mL/min) occurred at similar core temperatures. In the lateral position, the vasoconstriction threshold was reduced in the dependent arm; however, gain was also increased in the dependent arm. The thermoregulatory system may thus recognize that hydrostatic forces reduce the vasoconstriction threshold and may compensate by sufficiently augmenting gain.

Implications: The threshold for cold-induced vasoconstriction is reduced in the dependent arm, but the gain of vasoconstriction is increased. Consequently, the core temperature triggering intense vasoconstriction was similar in each arm, suggesting that the thermoregulatory system compensates for the hydrostatic effects of the lateral position.

Why do plasma potassium levels fall whist sodium levels increase in response to aldosterone? (20 marks).

Answers

Answer:

Aldosterone affects the body's ability to regulate blood pressure. It sends the signal to organs, like the kidney and colon, that can increase the amount of sodium the body sends into the bloodstream or the amount of potassium released in the urine.

Explanation:

Generally, when aldosterone increases, serum potassium decreases, because it promotes secretion in the distal tubules.

2. Disposable gloves are a precaution used to protect first
aid providers from
bodily fluids.
A) persistent
B) contaminated
C) messy

Answers

I think the answer is A.

There are three major types of cancer treatments: surgery to remove cancerous tissue, chemotherapy, and radiation. Which treatment would paclitaxel be considered

Answers

Answer:

Chemotherapy

Explanation:

did this quiz.

I hope you have a great grade love! Good luck!

Brunner cells releases

Answers

Answer:

Yes

Explanation:

Because it releases

What are the differences between Exogenous, Systemic, and Health Care-Associated infections?

Answers

Exogenous infections are caused by pathogens acquired from the external environment, while systemic infections spread throughout the entire body. Healthcare-associated infections are acquired in medical settings, such as hospitals, due to exposure to pathogens during treatment or procedures.

Exogenous, systemic, and healthcare-associated infections are distinct categories based on different factors and contexts.

Exogenous infections: Exogenous infections originate from external sources. They are caused by pathogens that enter the body from the environment or other individuals.

Common examples include respiratory infections transmitted through the air, foodborne illnesses, or infections acquired through contact with contaminated surfaces. Exogenous infections typically occur when the immune system fails to prevent the entry or proliferation of pathogens.

Systemic infections: Systemic infections are characterized by the spread of pathogens throughout the body via the bloodstream or lymphatic system. These infections can affect multiple organs and tissues, leading to severe illness.

Examples include sepsis, where bacteria or fungi cause a systemic inflammatory response, and viral infections like HIV or influenza that can disseminate widely. Systemic infections often pose a greater risk to overall health and can result in life-threatening complications.

Healthcare-associated infections (HAIs): HAIs occur in healthcare settings, such as hospitals, clinics, or long-term care facilities. These infections are specifically linked to receiving medical care and can be caused by healthcare procedures, contaminated equipment, or exposure to healthcare personnel or other patients with infectious agents.

HAIs can include surgical site infections, urinary tract infections, bloodstream infections, and pneumonia contracted during hospital stays. Preventing HAIs is a critical focus in healthcare to minimize patient risk and ensure safety.

In summary, exogenous infections originate from external sources, systemic infections spread throughout the body, and healthcare-associated infections occur in healthcare settings as a result of medical care. Understanding these distinctions helps in identifying the sources, routes of transmission, and appropriate prevention strategies for each type of infection.

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which of the following is the least preferable way to refuse when someone offers you drugs at a patty?

Answers

Answer:

B."What? Drugs are illegal and you know it. If you ask me to try it again, I'll call the police."

Explanation:

Umm b/c u sound like a snitch if u say dis

Match the healthcare facility to the client.

1. hospice
2. rehabilitation center
3. public hospital
4. mental health facility


A. Nita suffers from severe depression.

B. Mike has been diagnosed with stage 4 cancer,
and the doctor has told him that he has just a
few months to live.

C. Janice has an alcohol addiction.

D. Yasmin has injured her leg in a car accident.

Answers

Answer:

1=B, 2=C, 3=D, 4=A Hope this helps you.

hospice - mike
rehab- janice
pubic hospital- yasmin
mental health- nita

which area of the brain is involved in pain?

hippocampus

adjacent cortex

amygdala

PAQ

Answers

The first one ‘hippocampus'
Hippocampus. Or the first one

38. A pregnant client experiences persistent severe headaches and unexplained spells of dizziness during training, what should the trainer do?

Answers

Answer:

The coach should immediately stop physical activity and then take your blood pressure.

Explanation:

Many pregnant women tend to suffer from preclampcia, which is high blood pressure during pregnancy, which is very careful since it is risky for the mother and the baby.

High blood pressure in pregnant women can cause detachments of the placenta, interruption of pregnancy or spontaneous abortion.

It is very risky not to perceive these signs or said pathology, those pregnant women who are diagnosed with high blood pressure should do strict rest and monitoring.

Pregnant women bear the weight and physiological conditions of the baby and child. The trainer should immediately halt the training and check for the vitals of the women.

The trainer should do the following:

1. The trainer should immediately stop the training if the woman is experiencing dizziness and persistent severe headaches.

2. The symptoms could indicate the cause of preeclampsia, which is one of the most common complications of pregnancy. It has symptoms of high blood pressure, damage to the organ systems, and dizziness.

3. The trainer should immediately check for the vitals and measure the blood pressure of the pregnant women. The trainer should immediately contact the medical physician for monitoring and checking of the pregnant women.

Thus, the trainer should stop exercising and check the blood pressure.

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Terrence F. Ackerman believes that:

a. paternalism is never justified.
b. illness can be an obstacle to personal autonomy.
c. depressed people are fully autonomous.
d. patients are never wrong about their medical decisions.

Answers

A…………………..……or c………..

ASAP
Drugs & AlcoholAssignment 1.3OTC Drug BrochureName:Date:Directions: For this assignment you will be creating an informative brochure about onespecific over the counter drug. This brochure should explain the effects of the drug andthe proper usage. You are encouraged to choose an OTC drug that you are unfamiliarwith. You will need to do some research to find information in creating your brochure,Your brochure can be created in a word-processing or desktop publishing document, Becreative and be sure to include the following information in your brochure.1. Give the name and a basic description of the OTC drug you havechosen. (4 points)

Answers

Answer:

the drug that I chose is Acataminophen and some of the side effects or warnings that this otc drug may cause are nausea, stomach pain, loss of appetite, itching, rash, dark urine, clay-colored stools. If you have 325mg acataminophen then you take it every 4 to 6 hours and the safest maximum daily dosage for most adults is 8 pills and never take more than 12 pills in 24 hours that is 3900mg, if you have 500mg acataminophen then you take it every 4 to 6 hours and the safest maximum daily doseage for most adults is 6 pills and never take more than 8 pills in 24 hours that is 4000mg. The basic description of Acataminophen is a p-aminophen derivative with analgesic and antipyretic activities.

Most common complication of vesicoureteral reflux

Answers

The most common complication of vesicoureteral reflux (VUR) is urinary tract infection (UTI), which can lead to further kidney damage if left untreated.

Other complications of VUR can include renal scarring, hypertension, and chronic kidney disease. However, with proper management and treatment, these complications can be minimized or prevented.The most common complication of vesicoureteral reflux is recurrent urinary tract infections (UTIs). This occurs due to the abnormal backward flow of urine from the bladder to the kidneys, which can lead to bacterial infections in the upper urinary tract. If left untreated, it may result in kidney damage or scarring, also known as reflux nephropathy.

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what disease spiked up significantly as a result of the radiation

Answers

Thyroid cancer is the disease spiked up significantly as a result of the radiation.

Radiation is a proven risk factor for thyroid cancer. Certain medical treatments and radiation fallout from power plant accidents or nuclear weapons are examples of such sources.

Childhood radiation treatments to the head or neck are a risk factor for thyroid cancer. The risk is proportional to the amount of radiation administered and the age of the child. In general, the risk increases with higher doses and younger age at treatment.

Prior to the 1960s, children were sometimes treated with low doses of radiation for conditions that we no longer use radiation for, such as acne, fungus infections of the scalp (ringworm), or enlarged tonsils or adenoids. People who received these treatments were later found to have a higher risk of thyroid cancer.

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All of the following are nouns except:

Answers

Answer:

you should post the answers too

how knowledge of histologyvan help develop regenrative

Answers

Answer:

Histology is the science responsible for studying all of the fundamental aspects of organic tissues.

an evening shift nurse is caring for a client scheduled for a colon resection in the morning. the client tells the nurse that the client is nervous about the surgery. the best response by the nurse is to:

Answers

The patient confesses to the nurse that she is anxious about the procedure of colon resection. The ideal answer from the nurse is to inquire as to why the patient believes they will awaken during the operation.

Nurses must be extremely cautious in how they handle client communication. This is especially true when speaking in terms of medical language. A seasoned nurse is introducing a new nurse to the patient care area.

Because colonic resection is considered significant surgery, it should not be performed on a patient who is not physically capable of enduring such an operation. Prior to surgery, reversible and changeable risk factors should be addressed. A patient may also need intensive or high-dependence facilities after surgery.

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Medicare Part D covers
A. occupational therapy visits.
B. hospital inpatient stays.
C. physician surgeries.
D. prescription drugs.

Answers

Answer:

D

Explanation:

Medicare Part D, the prescription drug benefit, is the part of Medicare that covers most outpatient prescription drugs.

What type of evidence produced through quantitative research would be helpful to better understand the selected practice issue?

Answers

Answer:

Numerical type of evidence.

Explanation:

Numerical type of evidence produced through quantitative research that would be helpful to better understand the selected practice issue. Quantitative research is the process of collecting and analyzing numerical data so we can say that for numerical type of evidence is formed and analyzed with the help of quantitative research and it will help to understand the problem.

It should be noted that Numerical type of evidence produced through quantitative research.

According to this question, we are to discuss about Numerical type of evidence.

As a result of this we can see that Numerical type of evidence helps to  to better understand the selected practice issue and it is one of the best type of evidence.

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What are all the multiples of 7 up to 1000? Find the slope of the line $3x+5y=20$. The nurse is planning care for a client newly diagnosed with essential hypertension. which interventions should the nurse include in the client's plan of care? The Hudson is a mixed-used (residential and commercial) building converted from a former Hudson's Bay Company store.It contains 152 suites,of which the majority are residential condominiums.The table below gives the prices (in 000's of $) of 10 of the condominiums. 300240225260500 1502503501,000255 What is the value for the interquartile range? Round your answer to two decimal places. Combine each sentence pair and rewrite it. For compound and complex sentences, use the conjunction shown in the parentheses. 1. Mr. Biggley tended to the other customers. He pulled out the latest sheets of stamps. (after) 2. Allie and Lulu looked at the stamps once again. The bell above the door rang. (while) 3. Ms. Nguyen was a new customer. Mr. Biggley, hoping to make a good impression, introduced himself. Who betrayed Jim in Huckleberry Finn? all long-term-care nurse assistants must be competency evaluated and must complete a distinct educational course. these requirements are set by A small publishing company is planning to publish a new book. The production costs will include one-time fixed costs (such as editing) and variable costs (such as printing). There are two production methods it could use. With one method, the one-time fixed costs will total 44,907, and the variable costs will be per book. With the other method, the one-time fixed costs will total 22,907, and the variable costs will be 23.25 per book. For how many books produced will the costs from the two methods be the same? F)Determine the range of prices that the charity could consider, in order to make a monthly profit of at least $3000. (2 marks) Simplify: 1/6x + 42 + 2/5x - 8/3 -19A: 97/30x + 23B: 21/10x - 23C: -21/10x + 23D: 97/30x - 23 1,889 divided by 4 pls help !! Which selection below is from the 15th Amendment (1870) which was born as a result of both slavery and racist policies to restrict the rights of black Americans after the Civil War?Select one:A. voting rights cannot be restricted on the basis of raceB. voting rights can be extended to slavesC. women also have the right to voteD. sale of alcohol was prohibited 2 FeO(s)2 Fe(s)+O2(g) Keq=110^6 at 1000KCO2(g)C(s)+O2(g) Keq=110^32 at 1000KThe formation of Fe(s) and O2(g) from FeO(s) is not thermodynamically favorable at room temperature. In an effort to make the process favorable, C(s) is added to the FeO(s) at elevated temperatures. Based on the information above, which of the following gives the value of Keq and the sign of G for the reaction represented by the equation below at 1000K?2 FeO(s)+C(s)2 Fe(s)+CO2(g)a. Keq: 110^38 G: Positiveb. Keq: 110^38 G: Negativec. Keq: 110^26 G: Positived. Keq: 110^26 G: Negative Anyone have a clue cuz I need help It is estimated that t-weeks into a semester, the average amount of sleep a college math student gets per day S(t) changes at a rate of (-6t)/e^(t^2) hours per day. When the semester begins, math students sleep an average of 8 hours per day. What is S(t), 6 week(s) into the semester? which codon is the code for the amino acid serine how does air help plants grow how to avg work hours on certain project sql query A highway bridge is needed for crossing the Peking-Hangzhou Canal with twoway four lanes. The total spanning length is about 300 m (one span or multispans), connecting two busy main roads at its ends. No more than 5 spans. Navigation is required.[please visit the existing bridges along the river] The bridge type could be 1) Arch bridge(deck arch bridge, half-through arch bridge, through arch bridge). The material could be P (R) C or Steel-Concrete Composition. - P (R) C-Prestressed reinforced concrete( most popular material in bridge engineering - Steel-RC composition-Mainly steel for tension and concrete for compression The arch ribs or arch shell could be RC, or CFST, or Steel. The shape of arch ribs be tube, rectangular, or truss. 2) One-towered cable stayed bridge. The material could be P (R) C or Steel-Concrete Composition. 3) Beam bridge. The material could be P (R) C or Steel-Concrete Composition. The main beam could be T-shaped girder, hollow slab, or small box girder, depending on span length you decided. Try to minimize the number of expansion joints by using continuous beam. A simple curve is to be laid out so that its middle ordinate is at least 75ft. If the tangents intersect at an angle of 40 , what is the highest degree of curve that can be used?