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A stratified water column is separated into layers according to density.  The top layer is warmer and less dense than the colder bottom layer.

This politician is best known for his political maneuverings, including getting Polk nominated for president, and a series of debates he won against Abraham Lincoln.

Coastal areas tend to have greater primary productivity than the oceanic regions because of upwelling and rivers, both of which supply nutrients to the epipelagic.

A marketer must understand potential buyers’ needs and wants to be able to address and satisfy them. There are two key questions the marketer needs to ask. The first is “How do potential buyers go about making purchase decisions?” What is the other question?

A patient presents with burning and itching of the groin area. The patient has a history of diabetes, asthma, and obesity. The patient reports the itching is worse at night and is disrupting sleep. The NP notes deep erythema under the pannus and around the skin fold of the inguinal area. The NP recognizes which of the following conditions?

Which of the following is not a solution to avoid predators in the deep-sea?

A 41-year-old male has a history of intravenous drug use and sex with multiple persons. He comes to the clinic with fever, fatigue, abdominal pain, and jaundice. The NP orders laboratory studies and hepatitis studies. Which one of the following results indicate the patient is acutely infected with hepatitis B?

If a skateboard company allows customers to customize the color, design, and size of wheels on their skateboards, which area of marketing’s four Cs is it utilizing?

A patient with asthma was treated at a step 3 level with a daily medium dose inhaled corticosteroid (ICS) and long-acting beta agonist (LABA) and as needed short acting beta agonist (SABA). The patient presents a year later with no symptoms and an unremarkable physical exam. He reports that he is still using his ICS/LABA and has not had to use his SABA in 4 months because he has had no asthma flairs. He is out of his medications and is requesting refills. What is the NP’s next course of action?

A 30-year-old woman with a history of asthma presents to an outpatient clinic with worsening dyspnea over the last two weeks. After further questioning the NP discovers the patient’s symptoms worsened with the change of the weather (cold weather).  The patient is currently taking a fluticasone inhaled.   Based on the NP’s knowledge of the approach to asthma management what is the best treatment option?