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What might you assess in a 9-month old meeting their developmental milestones. [activity1] [activity2] [activity3]

An infant weighing 17 pounds is admitted to the Cardio Thoracic ICU and is being treated for Cardiomyopathy. The nurse reviews the following information in the patient’s chart: K+ = 5.3 mEq/L (normal level: 4.1 – 5.3 mEq/L) Digoxin level: 2.2 ng/mL (normal level: 0.8 – 2 ng/mL) BP 100/65 Apical pulse 76 RR 50 Order: Give maintenance dose of 8 mcg/kg/dose PO b.i.d. (per Lexicomp: for an infant, safe dose is 5.6 to 9.4 mcg/kg/dose PO b.i.d.) After reviewing all of the patient’s information above, how many mLs should the nurse administer? 

A 3-month old child is admitted to the hospital with suspected bronchiolitis. Vital signs show: axillary temp 98.7, HR 134, RR 59, SpO2 89-90% on room air. Moderate subcostal and intercostal retractions are present and rhonchi is heard when listening to lung sounds. What treatment(s) does the nurse anticipate being ordered for this patient? Select all that apply.

1 (35 pts). Consider the function f(x) = 2.6×2. Find the rate of change between x = 4 and x = 4.001. (Keep six decimal places in the middle of calculation.)   2 (35 pts). Consider the function f(x) = 0.6ex. Find the rate of change between x = 2 at x = 2.001. (Keep six decimal places in the middle of calculation.)

John, a 17-year-old African American male, arrives at the emergency department with complaints of sudden, intense pain in his chest and lower back. He describes the pain as “sharp and throbbing,” and rates it as a 9 out of 10. He has a known history of sickle cell anemia, diagnosed when he was a toddler. His mother reports that John has had similar painful episodes in the past, particularly after physical exertion or dehydration, but this episode seems more severe. Upon examination, John is found to be tachycardic (rapid heart rate) and mildly febrile (temperature of 100.8°F). He appears visibly uncomfortable and is reluctant to move due to the pain. Blood tests reveal a hemoglobin level of 7.5 g/dL (low), a high reticulocyte count, and an elevated white blood cell count, indicating inflammation or infection.  He does have a cough and is complaining of feeling like he can’t take a deep breath.   What are the potential complications of sickle cell anemia that John is at risk for in this situation?

What is one of the sustainability concerns in geothermal energy production in Iceland?

Which type of design involves the development of a new part?

Which component of a thermal system usually prevents overheating and potential leaks?

One reason for the SOX (2002) ban on auditors’ provision of certain types of non-audit services to clients is the potential for economic bonding which increases audit quality.  

At eight years old, Kim was first abused by her uncle and his best friend. The abuse occurred for over two years until the abuse was discovered by her father who killed both men in the girl’s presence. Kim was also sexually attacked in high school when she went to a party at one of her friend’s houses. There was a lot of alcohol consumed and Kim felt guilty that she had gone to the party. She never mentioned the incident to her mother, because of her guilt and her previous experiences. In college, Kim was drugged at a fraternity party and found herself in the bed of what she thought was a male friend being sexually attacked. Kim did not remember any of the abuse until she began therapy at age 30 years. She began to see a therapist after a car accident that caused her to have a flash back. Freud would consider using this kind of coping mechanism what?