The nurse is concerned that an older adult client with heart…
Questions
The nurse is cоncerned thаt аn оlder аdult client with heart failure is develоping pulmonary edema. What manifestation alerts the nurse to further assess the client for this complication?
Questiоns 1 - 10 аre bаsed оn the fоllowing pаssage. The Dry Tortugas: A Promise in Jeopardy 1Coral reefs are often called the rain forests of the sea and they are facing the same fate as their land- based cousins. One of the few places where it may not be too late is the Dry Tortugas. 2The series of seven islands, which in total are less than a single square mile of land, lie about 70 miles west of the Florida Keys. In 1935, a 115-square-mile area, which included the seven tiny islands, was designated as a national monument. In 1992, it was renamed and rededicated as a National Park. The national park status conferred more protection to the area's marine resources. In July 1997, the 2,800-square-nautical- mile ecosystem surrounding the Florida Keys, which includes the third largest barrier reef system in the world, was designated as a national marine sanctuary. 3Park use has doubled in the last three years, from 30,000 to 60,000 visitors and although fishing is prohibited within the park, it is allowed in the sanctuary. Up to 100 commercial fishing boats now work the area outside the park. Better boats, more people, increasingly efficient equipment and improved navigation have all combined to make the promise of the Dry Tortugas as one of the last wild ocean places in the continental United States a promise in jeopardy. 4The Dry Tortugas were first discovered by Ponce de Leon in his search for the fountain of youth. His crew caught an enormous number of sea turtles and ate them for dinner -- hence the name Tortugas, Spanish for turtle. They also found that there was no fresh water on the islands -- making them dry. 5The sandy islands have had a colorful history. They were once used as a pirate base, one was the site of the world's first marine laboratory, and the first underwater photograph was taken in the Tortugas. One of the islands is named for the giant fort with a moat that virtually covers it. Construction on Fort Jefferson was started in 1846 to help protect the Florida Straits, but by the time it was close to completion, weaponry developed for the Civil War had made it obsolete. Hospital Key once served as a quarantine colony for victims of yellow fever, and Bush Key was used as pasture for cows and hogs -- until it completely disappeared after a hurricane in 1870, only to reappear later. 6Despite this colorful and tumultuous history, its relative isolation has saved it from the fate of its brethren: overfishing, overuse, pollution and damage. Up until now, that is. Today, the coral reefs, seagrass beds and hardbottom communities of the Tortugas region remain relatively pristine. In contrast, it's estimated that 13 of 15 commercially targeted reef fish in the Florida Keys are overfished. 7To protect the Tortugas, a group of state and federal agencies and conservation groups are taking some baby steps toward working together to include the area in a marine ecological reserve. An ecological reserve is an area of the sanctuary set aside as a "no-take" area, consisting of contiguous, diverse habitats, where human influences can be minimized. 8Several things make including the Tortugas in the ecological reserve area absolutely imperative, according to David Holtz, Center for Marine Conservation. For one thing, the region's characteristics are ecologically unique. It is North America's only breeding ground for sooty terns, brown noddies, and frigate birds, all of which depend on healthy fish communities for their prey. The Center for Marine Conservation is actively involved in the Tortugas debate. Commercial and recreational fishermen, owners of tourism boats, divers and others all have a stake in the outcome of the boundaries decision. CMC wants to make certain that the general public understands what's at stake for them and their children. Which of the following statements is false?
Questiоns 11 - 15 аre bаsed оn the fоllowing pаssage. 1I remember the day we were driving to a friend's house. 2We were trying to turn left into a residential neighborhood, but there was a car stopped, blocking the lane ahead. 3I could see a man in the car holding a woman around the neck with his right arm and slugging (punching) her in the face with his left fist. 4I jumped out of the car and pulled open her door. 5As I pulled her out of the car, he swung open his door and headed for us both. 6It occurred to me then that I had always inserted myself into these situations on the premise that a man wouldn't hit a woman, and that premise clearly didn't apply here. 7But as he stepped toward us, my husband was standing there. 8"Calm down, man," my husband said. 9He walked the man back along the road, talking to him, almost whispering to him, as I took the woman across the street, into someone's yard under a tree and went to the house to get help. 10Her face was covered in blood. 11The police came, but the woman wouldn't press charges. 12The police would not arrest him based on what I saw without her complaint, and so we all got back in our cars and drove away. 13I saw them both about a year later at the grocery store, an old yellow bruise on her cheek. 14I suppose I had always thought that even strangers could intervene and make things right, if only they would, and this was a hard lesson that it wasn't that easy. 15You couldn't always fix everything. The passage