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write my assignment 26570

Endocrine – 2

You are working in a community outpatient clinic where you perform the intake assessment on R.M., a 38 year old woman who is attending graduate school and is very sedentary. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She complains of generalized body aches and pains with frequent muscle cramps and constipation. You notice she is dressed inappropriately warmly for the weather.

Vital signs:

BP 142/84 mmHg

HR 52 beats/minute

RR 12 breaths/minute

Temperature 96.8F (36C)

Laboratory Test Results:

Thyroid-stimulating hormone (TSH) 20.9 mu/l (2-10mu/L)

Thyrotropin-releasing hormone (TRH) 18.8 ng/dl (2-10/ng/dl)

T3       24 mu/l (70-205 ng/dl)

Free T4      0.2 ng/dl (0.8-2.4 ng/dl)

1.   Interpret R.M.s laboratory results

2.   The practitioner affirms a diagnosis of hypothyroidism. With this diagnosis, what other signs and symptoms would you want to assess for in R.M.?

3.   What general teaching issues will you address with R.M. concerning hypothyroidism?

4.   What teaching needs will your review with R.M. with regard to her medication?

5.   What should you teach R.M. regarding prevention of myxedema coma?

6.   Which statements indicate R.M. understands your teaching regarding hypothyroidism and using Synthroid?

a.   “it may take several weeks before I feel better.”

b.   The best time to take my medicine is with breakfast”.

c.   If my heart rate is over 100, I will hold my medication until it is back below 100″.

d.   “I will be able to discontinue my medication after the symptoms are under control”

e.   “I will come in when you need me to so my blood levels can be checked to make sure the medicine is working”

7.   Before R.M. leaves the clinic, she asks how she will know whether the medication is “doing its job”. Outline simple expected outcomes for R.M.

8.   A few weeks later, R.M. calls the clinic stating she cannot remember whether she took her thyroid medication. What additional data should you obtain, and how would you advise her? 

 

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August 6, 2022by

write my assignment 27143

C++ Program

part 1

The program will then write the following output according to the following rules:

1. If the number is divisible by 3. The program will give the output “Number: # – Fizz”

Please enter a number, then press Enter key: 6

Output: Number: 6 – Fizz

2. If the number is divisible by 5. The program will give the output “Number: # – Buzz”

Please enter a number, then press Enter key: 10

Output: Number: 10 – Buzz

3. If the number is both divisible by 3 and 5. The program will give the output “Number: # – FizzBuzz”

Note. If the number is NOT divisible by either 3 or 5, the program will give the output “Please enter another number.”

Please enter a number, then press the Enter Key: 30

Output: Number: 30 – FizzBuzz

Expand the application to accept a comma separated list of numbers and print the output of each number according to the rules above.

Example: Please enter an array of number(s): 3,10,30

Output: Number: 3 – Fizz, Number: 10 – Buzz, Number: 30 – FizzBuzz

Note. Utilize pointers where appropriate.

part 2

Modify the FizzBuzz program developed in Week Two to record the user input using an array. The function must have the prototype int FizzBuzz(int, int), where the function takes the row number input from user as the first parameter and the column input amount by the user as secondparameter. Create the function to output the number of guesses user takes until they get a FizzBuzz output.

Replace this code in the body of your program with a switch statement. When the user successfully enters a number that gets desired FizzBuzz ouput, prompt to ask if the user wants to play again.

Include the proper header and make sure you properly comment your program. Also, make sure you use proper coding conventions.

part 3

Modify the FizzBuzz program further by designinga class CFizzbuzz with two private data members that store a name up to 14 characters long and an integer item number. Define a getFizzbuzz() function member of the CFizzbuzz class that will set values for the data members by reading input from the keyboard and a putFizzbuzz() function member that outputs the values of the data members. Implement the getRecord() function so that a calling program can detect when a zero item number is entered. Test your CFizzbuzz class with a main() function that reads and outputs CFizzbuzz objects until a zero item number is entered.

Include the proper header and make sure you properly comment your program. Also, make sure you use proper coding conventions.

 

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August 6, 2022by

write my assignment 9455

Deception plays a large part in the romantic relationships in A Midsummer Night’s Dream. 

What does Oberon hope to gain by using the tactic of deception?  Is Oberon’s employment of deception by non-violent force more problematic, or destructive to the targeted relationships?  

(Deception by non-violent force is often used as punishment to embarrass or humiliated the intended.   Someone who can’t be persuaded by reason/words will succumb to other means.) 

 Demetrius practices deception by idealization before, and after being charmed by Puck.  Describe how Demetrius’ pursuits are in spite of, or oblivious to, reactions from his intended.     

(Romantic pursuit rooted in deception by idealization is not solely based on the character or personality of the intended but can often include a fixation on a higher social /economic status to be gained from the relationship.  The effort of the pursuit itself convinces the pursuer that their intended is “the only one for them”.

 

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August 6, 2022by

write my assignment 16875

Chemistry 151

  1. Balance the following reactions:
  2. ___Cu (s) + ___AgNO3 (aq)  ___Cu(NO3)2 (aq) + ___Ag (s)
  3. ___Na (s) + ___Cl2  ___NaCl (s)
  4. ___Pb(NO3)2 (aq) + ___KI (aq)  ___PbI2 (s) + ___KNO3 (aq)
  5. ___Fe2O3 (s) + ___Al (s)  ___Fe (l) + ___Al2O3 (s)
  6. ___HNO3 (aq) + ___Ca(OH)2 (aq)  ___H2O (l) + ___Ca(NO3)2 (aq)
  7. ___CH3CO2H (l) + ___O2 (g)  ___CO2 (g) + ___H2O (g)
  8. Classify the reactions in question 1 in as many ways as possible.
  9. Write balance reactions for the following, including physical states. 
  10. Lithium sulfate + barium nitrate  barium sulfate + lithium nitrate
  11. Oxygen gas + propane (C3H6)  carbon dioxide + water
  12. Magnesium + hydrochloric acid  magnesium chloride + hydrogen gas
  13. Ammonium carbonate  carbon dioxide + water + ammonia
  14. Which compounds are soluble in water?
  1. Ba(C2H3O2)2
  2. CaSO4
  3. NH4Cl
  4. Na2CO3
  5. Hg2Cl2
  6. Sr(OH)2
  7. FeI3
  8. Pb(NO3)2
  9. Cu3(PO4)2
  10. CuSO4
  11. CoS
  12. KBr
  13. Ba(NO3)2
  14. NH4OH
  1. Complete and balance the following double displacement reactions. Include physical states.
  2. Ba(NO3)2 (aq) + CuSO4 (aq) 
  3. KOH (aq) + H2SO4 (aq) 
  4. NaHCO3 (aq) + LiOH (aq) 
  5. AgC2H3O2 (aq) + NaBr (aq) 
  6. CaCl2 (aq) + K3PO4 (aq) 
  7. NaOH (aq) + K2SO3 (aq) 
  8. Hydrochloric acid + sodium hydroxide 
  9. Ammonium sulfide + iron(III) nitrate 
  1. Write a complete net ionic equations for the reactions in question 5.

 

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August 6, 2022by