07 Bones: Carpals 2 Flashcards

As a nurse on a gastrointestinal (Gl) unit, you receive a call from an affiliate outpatient clinic notifying you of a direct admission with an estimated time of arrival of 60 minutes. The clinic nurse gives you the following information: A.G. is an 82-year-old woman with a 3-day history of intermittent abdominal pain, abdominal bloating, and nausea and vomiting (N/V). A.G. moved from Italy to join her grandson and his family only 2 months ago, and she speaks very little English. All information was obtained through her grandson. Her medical history includes colectomy for colon cancer 6 years ago and ventral hernia repair 2 years ago. She has no history of coronary artery disease, diabetes mellitus, or pulmonary disease. She takes only ibuprofen (Motrin) occasionally for mild arthritis. Allergies include sulfa drugs and meperidine. A.G.'s tentative diagnosis is small bowel obstruction (SBO) secondary to adhesions. A.G. is being admitted to your floor for diagnostic workup. Her vital signs are stable, she is receiving an IV infusion of $\mathrm{D}_5 1 / 2 \mathrm{NS}$ with $20 \mathrm{mEq} \mathrm{KCl}$ at $100 \mathrm{~mL} / \mathrm{hr}$ , and $2 \mathrm{~L}$ oxygen by nasal cannula.

Are there other signs and symptoms of a bowel obstruction that you should observe for while A.G. is in your care?

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chemistry

Hydrogenation reactions, which involve the addition of $H _2$ to a molecule, are widely used in industry to transform one compound into another. For example, 1-butene $\left( C _4 H _8\right)$ is converted to butane $\left( C _4 H _{10}\right)$ by addition of $H _2$ .
Use the bond dissociation enthalpies in Table $8.9$ to estimate the enthalpy change for this hydrogenation reaction.

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physics

Ultrasound, which consists of sound waves with frequencies above the human audible range, can be used to produce an image of the interior of a human body. Moreover, ultrasound can be used to measure the speed of the blood in the body; it does so by comparing the frequency of the ultrasound sent into the body with the frequency of the ultrasound reflected back to the body's surface by the blood. As the blood pulses, this detected frequency varies. Suppose that an ultrasound image of the arm of a patient shows an artery that is angled at theta=20^degree to the ultrasound's line of travel (in the given figure). Suppose also that the frequency of the ultrasound reflected by the blood in the artery is increased by a maximum of 5495 Hz from the original ultrasound frequency of 5.000000 MHz. If angle theta were greater, would the reflected frequency be greater or less?

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computer science

What is the output of the following code?

int values[5], count;
for (count = 0; count < 5; count++)
    values[count] = count + 1;
for (count = 0; count < 5; count++)
    cout << values[count] << endl;

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07 Bones: Carpals 2

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