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A postpartum woman develops fatigue, weight gain, and constipation. Laboratory values reveal elevated TSH and decreased T3 and T4 levels. What will the APRN tell this patient?

Answer the following questions         If the coding strand of DNA has a sequence   —- GACTCTGGCAGAAATC——   Write the sequence of the other strand of DNA     

A railroad tunnel is shaped like a semiellipse, as shown below.   The height of the tunnel at the center is 27 ft, and the vertical clearance must be 9 ft at a point 24 ft from the center. Find an equation for the ellipse. (5 points)

Find an equation in standard form for the hyperbola with vertices at (0, ±9) and foci at (0, ±10). (5 points)

A 78-year-old female patient with a history of hypertension, CHF, CAD, osteoarthritis, and mild cognitive impairment has been diagnosed with atrial fibrillation. The CHADS2-VASc scoring system is one validated measure to help estimate the annual risk of having a cerebrovascular accident with atrial fibrillation. ATRIAL FIBRILLATION: THE CHA2DS2-VASc SCORE Condition Points Patient Score CONGESTIVE HEART FAILURE Yes      1 point No       0 point HYPERTENSION Yes      1 point No       0 point AGE  >75     2 points 65-74 1 point

In order to make a diagnosis of dementia, delirium must be ruled out. However, patients with dementia are at increased risk of delirium and may have both diagnoses. Which of the following is more likely associated with dementia than delirium?

You are evaluating a 70-year-old male patient for syncope. Auscultation of his heart reveals a mid-systolic ejection murmur heard best to the right of the sternum in the second intercostal space. The harsh crescendo-decrescendo murmur is heard best with the diaphragm and it radiates to the neck. Which of the following murmurs does this represent? 

According to the American Society of Clinical Oncology (ASCO.org), melanoma accounts for about 1% of all skin cancers in the U.S., but it causes most of the deaths from skin cancer. Risk factors for malignant melanoma include:

Parkinson’s disease is a slowly progressive neurodegenerative disease.  The diagnosis of Parkinson’s disease is made by clinical evaluation and consists of a combination of 6 cardinal features. Which of the following is NOT a cardinal feature of Parkinson’s disease:

Describe how the graph of y= x2 can be transformed to the graph of the given equation. y = (x – 15)2 (5 points)