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No decimal. Do NOT use comma (“,”) to separate numbers. A beef packing plant in the U.S. typically processes approximately 1000 heads of cattle per day. At today’s carcass price of $2/lb, assuming an average live weight of 1250 lbs., a pencil shrink of 4%, a dressing percentage of 63%, this packing plant will have a daily incoming HCW of [a] lbs. and daily incoming cooler value (total value of HCW) of $[b]. If the packing plant uses a blast chill system, they will lose approximately [c]% of HCW, an equivalence of [d] lbs. or $[e]. However, by investing in a spray chill system, loss of HCW is reduced to [f]%, a saving equivalence of $[g] for this particular packing plant. Assuming that it costs $786240 to install a spray chill system, it only takes this packing plant [h] operating days to break even (cost = saving).

Which of the following is not considered “minimal processing”?

19. The nurse making rounds on several clients enters the room of a patient who says, “I tried to make it to the bathroom in time but I just couldn’t hold it.”  The nurse understands limitations to which of the following muscles can cause this type of occurrence in patients. 

49. Identify the sinus the red arrow is pointing at.  

44. A 25-year-old male presents to the clinic with fatigue and shortness of breath after moderate physical activity. His doctor suspects that his muscles are not receiving enough energy. Which of the following best describes the process that the body uses to convert glucose into energy, which is likely impaired in this patient’s muscles?

46. A 78-year-old patient comes to the clinic for a routine check-up, mentions feeling more unsteady, and has experienced a few near-falls while walking. What is the most likely reason for this patient’s increased risk of falling?

26. A client comes to the emergency room with reports of chest pain.  The client is seen immediately.  The nurse understands that the heart muscle can be damaged if which one of the following occurs?

45. A 72-year-old woman presents with sudden back pain after sitting down abruptly in the bathtub.  She reports that the pain is severe in her lower back and worsens when standing or walking. Which of the following types of fractures has the patient likely experienced?

3. The nurse is caring for a patient who was admitted with severe malnutrition.  The nurse notes that the patient appears as though there is very little muscle tissue and as though his skin is covering his bones.  The nurse understands the term used to document this type of muscle appearance is which of the following? 

43. A 30-year-old male athlete comes to the clinic complaining of sharp pain in his elbow after repeatedly throwing a baseball during practice.  The pain is worsened when he tries to extend his arm. The physician has determined the pain is related to inflammation in the structure that attaches the muscle to the bone.  Which of the following structures is involved in this injury?