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A nurse is planning care for a patient who has a decreased level of consciousness. The patient is receiving continuous enteral feedings via a gastrostomy tube due to an inability to swallow. What is the priority action by the nurse?

A hypothetical population of grey mice live in a dark brown sandy environment and are preyed upon by brown hawks. Which of the following mutations in the mice would be considered to increase Darwinian fitness?

If the selling price is 25, the cost to produce is 10, and the salvage price (price you can sell leftovers at) is 2, what is the underage cost?

Academic Integrity Statement As a Penn State student and future professional, the highest level of professional ethical conduct and academic honesty are expected on this exam. Failure to comply with Penn State Academic Integrity requirements may result in a 0 for this exam, reduction in course grade and/or “F” in course at the discretion of the course instructor. I understand that any form of academic dishonesty, including any forms of cheating (using a cellphone, smart watch, smart devices, web search engines, communicating with others, etc.), fabrication, facilitating academic dishonesty and plagiarism, will not be tolerated and after several infractions, could result in serious sanctions, including an XF for the course, or suspension or expulsion from the university. Write your name below to begin your exam.

A nurse is caring for a client with type 1 diabetes who reports feeling shaky and sweaty. The nurse checks the blood glucose and finds it is 65 mg/dL. Which action should the nurse take first?

The nurse is planning care for a patient with an indwelling catheter. Which action reduces CAUTI risk?

Problem #3 (continued) Design suitable deep-groove ball bearings for a 10% failure rate to support the load shown below for at least 100×106 cycles at 1800 rpm. Take the shaft diameter to be 40 mm and the reaction force on the left bearing to be Rleft = 6275 N and the reaction force on the right bearing to be Rright = 7525 N. (c) Would your dynamic load rating, C, increase or decrease if you sought a probability of failure of 5% for the bearings?  

Before giving the patient an intermittent gastric tube feeding, what should the nurse do first?

Read the case scenario carefully. Then, answer the following questions based on your clinical judgment and understanding of nursing care for a client with multiple chronic health conditions. Client: James Holloway  Age: 76  Medical History: Type 2 Diabetes, Congestive Heart Failure, Hypertension, Stroke in 2021  Admission: Post-operative Day 2 following bowel obstruction surgery  Clinical Notes:  Foley catheter in place since surgery  Central line (right internal jugular) for antibiotics and fluids  Bedrest with bathroom privileges  NPO, awaiting bowel sounds  Wound is dry and intact  No documented bowel movement yet  Question:  Which of the following is the most appropriate nursing intervention to prevent a catheter-associated urinary tract infection (CAUTI) in Mr. Holloway? 

Problem #6 (continued) A rectangular key is used to connect a shaft of diameter d = 30 mm to a pulley. The key (see image) has a width of w = 10 mm, height of h = 6 mm, and length of L = 30 mm (into the page). The system is subject to a time-varying torque (T) that leads to the following forces on the key: Fmin = 40 kN and Fmax = 60 kN.   (b) What is the bearing stress of the key? Express your answer in MPa.