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The emergency department nurse is caring for a client with severe altered mental status and a history of diabetes mellitus. After reviewing the client’s clinical data, which of the following actions by the nurse are appropriate? Select all that apply. Vital signs Temperature 99 F (37.2 C) Blood pressure 95/45 mm Hg Heart rate 130/min Respirations 36/min SpO2 95%   Laboratory Test Results Normal Reference Range Sodium 144 mEq/L  136-145 mEq/L Potassium 5.2 mEq/L 3.5-5 mEq/L BUN 46 mg/dL 10–20 mg/dL Creatinine 2.4 mg/dL Male: 0.6–1.3 mg/dLFemale: 0.5–1.1 mg/dL Glucose – Random 358 mg/dL 70-125 mg/dL Serum ketones Present Not present Arterial pH 7.25 7.35-7.45 Arterial PaCO2 29 mmHg 35-45 mmHg Arterial PaO2 90 mmHg 80-100 mmHg Arterial HCO3- 16 mEq/L 22-26 mEq/L

Thank you for completing the friendly exercise.  Be sure there is an answer to all Part B questions in the boxes above.  Then, please scan and submit your work for Part B to the assignment according to the assignment instructions above within a few minutes. 

(WCSP25) School nurses often provide “ice packs” to injured students.  These packs do not contain ice!  Instead, the pack is squeezed or cracked to break an internal package allowing two chemicals to mix: water and ammonium chloride (NH4Cl).  The temperature of the pack becomes quite cold! Complete the following statements to be true: a. The system [drop1] heat. b.  The chemical reaction taking place is [drop2].  c. The sign of ΔH is [drop3] with respect to the system. [drop3]

(WCSP25) Complete the table below ranking the examples according to the criteria given: smallest largest Atomic radius: C, O, S [blank1] [blank2] [blank3] Ion Size: K+, Ca2+, Cl- [blank5] [blank6] [blank7] Ionization energy: Na, Mg, K [blank9] [blank10] [blank11] Energy:  UV light, green light, microwaves [blank13] [blank14] [blank15]   Periodic Table

(WCSP25) Fill in the table for protons, neutrons, and electrons for…   Element/Ion Protons Neutrons Electrons a. The ion: 45Sc2+ [blank1] [blank2] [blank3] b. Neutral atom* [blank4] [blank5] 14 13  * Be sure to indicate the isotope using the format #X   Periodic Table

(WCSP25) What is the expected sign (+/-) of ionization energy ?  Explain why in just a few words. 

15. NASA detected a burst of gamma rays from a neutron star in space. The gamma radiation had a frequency of 1.0 × 1019 Hertz and the burst released a total of 1.0 × 1044 J of energy.  (WCSP[x], 10 points)  a. What is the wavelength of radiation emitted in m? b. How many moles of photons are released during the burst?   Periodic Table Data Sheet Enter the value for part b in the box below.   

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Arrange your pages in order: Q1, Q2, …, Q7 If you required more than one page for any problem, make a note at the bottom of the problem’s first page, “continued on last page”, and place the continuation work after Page 7. Show all pages, front and back, to the camera. Scan your pages to Gradescope (ideally using the Gradescope app). Link to the Gradescope page here for your convenience. Review your scans: Are they readable? Are they in order? Are they correctly oriented (portrait, not landscape)? Submit work to Gradescope. Submit this exam in D2L. This should close Honorlock. Remove the Honorlock extension.