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Your client is being discharged on a long acting bronchodilator and an inhaled steroid metered dose inhaler, 2 puffs each, BID.  Which of the following statements indicate that they understood the teaching regarding these two medications (Select all that apply)?

Functional Electrical Stimulation for decreasing shoulder subluxation in patients post-CVA is MOST effective if

A client presents to the clinic with complaints of muscle aches and weakness. Upon review of their medications, the nurse notes that the client is concurrently taking fenofibrate (Tricor) and atorvastatin (Lipitor) for his high cholesterol.  The nurse suspects:

Suppose people in France decide to permanently increase their savings rate.  Predict what will happen to the French bond market in the future.  Can France expect higher or lower domestic interest rates?  

Mandatory Question: Everyone MUST answer this question (14 pts total). Question 1:  The total number of immunoglobulin genes in humans are at 2.5 x 105, whereas the total repertoire of immunoglobulin diversity is estimated at 5 x 1013. How can there be so many Ig variants? 1a. “7 Pts” One of the key features of immunoglobulin and TCR genes is that there are multiple genes present in the genome. The accompanying Table lists a hypothetical number of variable, diversity and joining genes in humans for the heavy and c light chains. From this table, calculate heavy chain diversity, light chain diversity and total diversity.   1b. “ 7Pts” Is existence of multiple genes enough to explain all Ig diversity found in B cells. What mechanisms are in place create such diversity. What is the major mechanism of creating such diversity?

  A patient is to receive 450 mg in 500 mL over 4 hours. What is the flow rate in milligrams per hour?

 How many grams of active ingredient are in 220 mL of a 12% solution? 

 The pharmacy receives an order for 50 mL of a medication with a concentration of 5 mg/mL. Your pharmacy stocks the medication as 25 mg/mL. How much of the drug and a diluent will you need for this special dilution?

 A patient receives 10.2 mL of a medication. The pharmacy stock solution contains 40 mcg/2 mL. How many micrograms did the patient receive?

 If a medication is stocked as 225 mg/15 mL, how many milligrams are in 1.5 tablespoons?