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5) Weathering. Absorption by Plants. Absorption by Animals. Return to the Environment through Decomposition. These are the steps for: ___________________.

3) _________________: It’s a land area that channels rainfall and snowmelt to creeks, streams, and Rivers and eventually to outflow points such as reservoirs, bays, and the ocean.

36) ________________: he is acknowledged by some as the father of wildlife conservation in this country. His book, A Sand County Almanac, is one of the most influential in environmental ethics.

12) ___________ assume that human ingenuity can overcome environmental limitation, allowing indefinite growth.

23) The majority of our freshwater use is for _____________.

A patient presents with pain and numbness in her hands that awaken her a night. During the examination, she exhibits a positive Tinel’s test and weakness of her had grasp of the affected side. The APRN performs this test by:   

A 60 year-old male has been diagnosed with Benign Prostatic Hypertrophy. Which symptom is most suggestive of BPH?    

The daughter of a 77 year old client reports that over the past week her mother seems to be failing. She notes increased forgetfulness, impaired  cognitive ability, and short term memory loss and decreased appetite. The client has a history of HTN, CAD, denies history of head trauma, no changes in medication. Based on these findings, the APRN understands that the signs and symptoms suggest:  

 A 35 year-old woman presents with painful, burning, itchy new “bumps” on her external genitalia. She denies any other health issues. She is sexually active She has had 4 pregnancies and given birth to 2 children. She reports having had more than 10 sexual partners in her lifetime.    She is divorced and is recently involved with a new male partner. The APRN observes open lesions and vesicles on the labia. The lesions are tender to palpation.; the largest measures 0.5 cm. in diameter. The remainder of the examination is normal. What is the most likely cause of these lesions?

A 14 year-old adolescent presents to the clinic with his mother. He has had a sore throat or 2 days with fever to 101F. He has had a poor appetite and is only drinking liquids since the previous day. He also complains of abdominal pain. He denies earache, nasal congestion or cough. Two of his schoolmates have been out of school with similar symptoms. During the physical examination the APN notes posterior cervical adenopathy, + 3 tonsils with a yellow exudate bilaterally and there are petechiae on the roof of his mouth. Which of the following is the most likely cause of the patient’s symptoms?