The charge nurse is observing a new nurse care for a client who is at high risk for falls. Which actions by the new nurse would require the charge nurse to intervene?

Answers

Answer 1

The charge nurse is observing new nurse care for a client who is at high risk for falls. Actions by the new nurse would require the charge nurse to intervene while waiting outside of the closed bathroom door while the client uses the toilet.

When all other therapies have failed, medical teams may use restraints to prevent patients from hurting themselves or others, among other purposes. When other safety measures, such as de-escalation and crisis management, have failed to keep the person and others safe, restraints should only be used for the shortest amount of time.

When there is a substantial risk of injury to the patient or others and all other interventions have failed, nurses may use restraints in an emergency without the patient's consent. The health care team should regularly evaluate the use of restraints and should reduce or end them as soon as practicable.

Interprofessional teams should do a debriefing with the patient, the patient's family, or a substitute decision-maker after ending restraints in order to go over the current intervention, any past interventions, and restraint alternatives.

Nurses must be careful to actively involve the patient, the patient's family, alternate decision-makers, and the larger healthcare team with any intervention, such as the use of restraints. The documentation of nursing care, including assessment, planning, intervention, and evaluation, is another duty of nurses.

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Related Questions

The nurse is assisting a physician with an endotracheal intubation for a client in respiratory failure. it is most important for the nurse to assess for:_____.

Answers

It is important that the nurse assess for the symmetry of the client's chest expansion.

When someone is having trouble breathing, intubation is a technique that can assist save their life. A laryngoscope is used by a medical professional to insert an endotracheal tube (ETT) into the mouth, nose, voice box, and trachea. The tube maintains the airway's opening, allowing air to reach the lungs.

Typically, intubation is carried out at a hospital before or during a surgery. If both sides of the chest expand equally and simultaneously, the expansion is said to be symmetrical. Chest enlargement that is asymmetrical is abnormal. Less space is expanded on the abnormal side, which is behind the normal side.

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Which actions would the nurse take to communicate effectively with a patient?

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Honesty and forthrightness are essential components of effective communication between nurses and patients. To develop effective nurse-patient communication, nurses must have a genuine desire to understand their patients' concerns and show them care and civility.

Nonverbal communication factors such as facial expressions, eye contact, and tone of voice are also important in establishing rapport. Smiling can go a long way. You can also show interest in what the patient is saying by maintaining eye contact and nodding your head. Allow them time to talk. Resist the desire to finish statements or offer words. In addition to words, use drawings, gestures, writing, and facial expressions to communicate.

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MANY HITS, RATHER THAN A BIG ONE, POSE GREATEST CONCUSSION RISK answers

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A player's brain function changed more as their number of hits increased.

The results confirm the growing theory that a concussion results from a series of blows, not simply one big impact.Specialized helmets with sensors were worn by the athletes, who could count and assess the force of head strikes. The kids underwent a test of thinking and memory while the players were placed in an MRI scanner to measure their brain activity.The brain scans and the hits were then compared. Those were common hits.The quantity and distribution of hits were connected to the changes in brain function that were observed over time in the MRIs. Brain activity did vary, but mental performance did not.The brain may be employing other areas to replace those impacted by the blows in order to get around those alterations.

Therefore, a player hit several times has more chances of concussion.

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The family of a client in hospice decides to place their loved one in a long-term care facility to establish an effective pain control regimen. Which aspects of hospice care is the family using?

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The family of a client in hospice decides to place their loved one in a long-term care facility to establish an effective pain control regimen so the aspects of hospice care which the family is using is palliative care.

Long term care facilities offer residential look after individuals with disabilities and aged people who cannot look after themselves. A semipermanent care facility (LTCF) will describe something from an individual's home to a medical centre.

Hospice care focuses on the care, comfort, and quality of lifetime of an individual with a heavy illness who is approaching the tip of life. At some purpose, it's going to not be doable to cure a heavy illness, or a patient might select to not bear sure treatments. Hospice is meant for this situation.

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When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report which clinical manifestation?

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When obtaining a health history from a client recently diagnosed with type 1 diabetes, the nurse expects the client to report Polyuria.

What is Polyuria?

Polyuria is the term for an excessive or unusually high flow or production of urine. Diuresis is another word for increased urine production and flow. Even while it is possible to have one without the other, and the latter may be a cause or an effect, polydipsia, or increased thirst, frequently cooccurs with polyuria. Polyuria could develop as a primary polydipsia. Although polyuria is typically thought of as a symptom or indicator of another problem rather than as a separate illness, it is possible to classify it as a disorder, at least when its underlying causes are unclear.

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Sleep often is disrupted for critically ill patients. which nursing intervention is most appropriate to promote sleep and rest?

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The most appropriate nursing intervention is Consultation with the pharmacist to adjust medication times to allow periods of sleep or rest between intervals.

What are nursing interventions?

Nursing interventions are the steps that a nurse takes to carry out their patient care plan, such as any treatments, procedures, or learning opportunities meant to increase the patient's health and comfort.

Some of the common nursing intervention includes: Bedside care and assistance, Administration of medication, Postpartum support, Feeding assistance, Monitoring of vitals and recovery progress.

Patients who are seriously ill frequently experience disturbed sleep. The pharmacist consultation to change medication schedules to allow for periods of sleep or rest between intervals is the nursing intervention that is best suitable to promote sleep and rest.

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An adolescent girl with a seizure disorder controlled with phenytoin and carbamazepine asks the nurse about getting married and having children. which response by the nurse would be most appropriate?

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The response by the nurse for an adolescent girl with a seizure disorder controlled with phenytoin is to consult with her healthcare provider to change medication.

What is phenytoin?

Phenytoin is a special drug medication used for the treatment of seizures which has been associated with increased risks during the pregnancy stage.

In conclusion, the response by the nurse that would be most appropriate if an adolescent girl with a seizure disorder controlled with phenytoin and carbamazepine asks the nurse about having children is to consult with her healthcare provider to change medication.

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The community health nurse is reviewing the health status of the community. which is the best factor for the nurse to examine?

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The best factor for the community health nurse to examine is leading causes of death and illness.

What is community nursing?

Community nursing is the practice of providing nursing care outside of acute hospitals, such as in homes, offices for general practitioners, community hospitals, jails, schools, and nursing homes. A community nurse in the UK must possess a degree recognized by the Nursing and Midwifery Council and at least one to two years of experience working as a licensed adult nurse.

The community health nurse is evaluating the state of the local population. The best thing for a nurse to consider is what the major illnesses and fatalities are caused by.

A negative state of mind, body, and, to some extent, spirit is generally referred to as being "illness," according to this definition. It is the general impression of being ill or poorly, separate from the person's experience of good health.

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Select the correct answer.
It is okay to use a pool noodle when learning to tread water.
A.
True
B.
False

Answers

Answer: true !!!!!!!!

Answer:

True

Explanation:

It won't get you tangled with a floatation device too

Which structure of the integumentary is responsible for producing sweat and helping
to cool the body?
sebaceous gland
epidermis
sudoriferous gland
dermis

Answers

Answer: Sudoriferous glands

Explanation: These are the glands that secrete sweat through your skin. There are two types of sweat glands: eccrine glands and apocrine glands. Eccrine glands are all over your body and open to your pores, while apocrine glands open into your hair follicles.

A nurse is caring for a client with a history of migraines with auras. what are the stages?

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A nurse who is caring for a client with a history of migraines with auras and the stages include the following:

PodromeAuraAttackPost-drome.

What is Migraine?

This is referred to as a neurological disease which is characterized by strong headache and usually felt as a throbbing pain at the front or side of the head.

It consists of four stages which are mentioned above and the prodrome stage is the first which signals that the headache is about to start and the pain can be stopped with the right approach such as the use of medications while post-drome refers to the recovery phase.

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0. The most important change to Western cooking resulted from the A. invention of the fork B. increased affordability of Asian and Indian spices C. war between Spain and France D. first voyages to the Americas​

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The most important change to Western cooking resulted from the first voyages to the Americas​.

In essence, Western cuisine is the origin of French cuisine or Western food. The foundation of the modern culinary world is Auguste Escoffier's modification of traditional French cooking methods. Western cuisine does adhere to some standards that maintain the integrity of the classics, despite its constantly shifting definition. For instance, plating hasn't altered all that much. Even today, a main course often consists of a protein source (such as meat, fish, or poultry), a starchy side dish (such as potatoes, rice, or pasta), and some vegetables. For their emphasis on regionally specific foods and cuisine, Nordic nations including Denmark, Norway, Sweden, and Finland have recently come under the spotlight. In addition to this, technology is a factor in the evolution of western cuisine.

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Why did the world health organization decide to delete the sugar recommendation from reports?

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The World Health Organization decide to delete the sugar recommendation from reports because it continues to receive funding from around the world.

World Health Organisation works worldwide to push health, keep the globe safe, and serve the vulnerable. Their goal is to confirm that more than a billion folks have universal health coverage, to safeguard more than a billion folks from health emergencies, and supply an extra billion folks with higher health and well-being.

The sugar industry lobbied to possess it removed and vulnerable to withhold funding they typically contributed to the WHO. A new WHO guideline recommends adults and youngsters scale back their daily intake of free sugars to less than 10% of their total energy intake. An additional reduction could be of 5%.

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List 5 positive things about Southwest Detroit

Answers

Answer:

1. The startup community is booming, which means your career options are limitless

2. It's easy to get around

3. The cost of living in Detroit is below the national average

4. is innovative

5. It’s a mecca for arts and culture

Explanation:

Hope this was helpful!

One of your responsibilities today is obtaining an initial health history for jason. you know that a health history gathers _________ data.

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One of your responsibilities today is obtaining an initial health history for jason. you know that a health history gathers Subjective data.

Jason will have a thorough first medical history. The following information has to be included in Jason's first medical history

His medical history The medical histories of his family members The psychosocial historiesThe histories of his diet A review of systems

Observed in records or charts, subjective data is information gleaned via interviews.

Subjective data is facts accumulated through an interview or the inspection of data or charts. medical group of workers contributors accumulate affected person information thru a physical exam to offer goal statistics. To get genuine statistics, evaluation strategies inclusive of exam, auscultation, percussion, and palpation are done.

even though tremendous when developmental screening is conducted, statistics on a infant's boom and development (obtained as part of the kid's scientific history) isn't blanketed in an initial fitness records. Developmental screening entails the use of checklists, giving checks, and evaluating a child's bodily health to peer if they're growing commonly.

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What is TRUE about Newton’s first law of motion?

A. It explains how the SAID principle works.
B. It cannot be applied to personal fitness routines.
C. It has been widely disproven over centuries of testing.
D. It says that moving objects will keep moving if possible.

Answers

Answer:

D. It says that moving objects will keep moving if possible.

While teaching a patient about sublingual nitroglycerin, the nurse explains proper use and storage. when the patient asks whether the medication ever expires, the nurse should respond that it?

Answers

While teaching a patient about sublingual nitroglycerin, the nurse explains proper use and storage and when the patient asks whether the medication ever expires, the nurse should respond that it should be replaced every six months.

Sublingual nitroglycerin tablets are used to treat episodes of angina (chest pain) in those who have coronary artery disease. It's conjointly used simply before activities that will cause episodes of angina so as to stop the angina from occurring.

Storage of the sublingual nitroglycerin is at room temperature, faraway from heat, moisture, and direct light.

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The nurse is performing a general survery. which action is a component of the general survey?

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The nurse is performing a general survey and the actions which is a component of the general survey include observing the following below:

Patient's physical appearance.Body structure.Mobility.Behavior.

What is a Survey?

This is referred to s method in which information is collected from a group or something by asking questions or through the process of observation.

In the healthcare system, actions which form a survey include observing the patient's physical appearance, mobility etc which gives information about the current health status of the individual which could be mentally or physically depending on the type which is being used.

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Why does the nurse elevate the head of the bed to 30 degrees for a patient receiving an intermittent tube feeding?

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The nurse elevate the head of the bed to 30 degrees for a patient receiving an intermittent tube feeding because elevating the head of the bed reduces the risk for aspiration.

Tube feeding is a medical aid wherever a feeding tube provides nutrients to people that cannot get enough nutrition through feeding. a versatile tube is inserted through the nose or belly space to supply nutrients by delivering liquid nutrition directly into the abdomen or intestine.

A number of interventions are projected to reduce aspiration. For instance, a research-based guideline issued by the Centers for Disease Control and Prevention recommends a head-of-bed position elevated to a minimum of 30 degrees to cut back risk for aspiration-related pneumonia.

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Given that the national institute for occupational safety and health (niosh) has published numerous standards, what is the significance of the osh act's general-duty clause?

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The significance of the OSHA act's general-duty clause is the ensure that the working conditions in organizations are safe thereby reducing the risk of different forms of hazard.

What is OSHA?

This is referred to as Occupational Safety and Health Administration and is a regulatory agency which ensures that staff's welfare is excellent and very encouraging.

The General Duty Clause from the OSHA Act of 1970 states that all employers provide a work environment "free from recognized hazards that are causing or are likely to cause death or serious physical harm."

This clause was coined to ensure that workers health and physical conditions are prioritized so as to ensure a better and efficient working environment.

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Which physical finding may be seen in a cleint who is the victum of intimate partner violence?

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Women are the primary victims, physical finding may be seen in a cleint who is the victum of intimate partner violence.

It is important to report the crime as soon as possible after it is committed. Interviews revealed that nurses played the following roles when caring for women who have experienced IPV: identifying abuse, taking care of patients' physical health needs, attending to their safety, making referrals, and providing support and advice.

There are more cases of domestic violence among males living with male partners than among males who live with female partners. Sympathize with the victims by saying things .

“You've been through something very frightening. I'm sorry”; “What you're feeling is completely normal”; and “This was a terrible crime. I'm sorry it happened to you.”

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Avoiding which outcome is the primary reason for establishing professional boundaries with clients?

Answers

Avoiding loss of therapeutic effectiveness outcome is the primary reason for establishing professional boundaries with clients.

What is therapeutic effectiveness?

The term "therapeutic effects" refers to the response(s) to a therapy of any type, the results of which are thought to be positive or favorable. This is true whether the result was expected, unanticipated, or even an unintentional consequence.

A negative or unpleasant reaction is the reverse and is referred to as an unfavorable consequence (including nocebo) (s). What is viewed as a therapeutic impact vs. a side effect depends on the nature of the problem and the therapy's goals. There is no inherent difference between the two reactions; they are both behavioral/physiologic changes that occur in response to the treatment strategy or drug.

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After completing the health history, the nurse assessing the musculoskeletal system will begin by:__________

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After completing the health history, the nurse assessing the musculoskeletal system will begin by observing the patient's body build and muscle configuration.

What is musculoskeletal system ?

Your bones, cartilage, ligaments, tendons, and connective tissues all make up your musculoskeletal system. Your muscles and other soft tissues are supported by your bones. They assist you in moving, support the weight of your body, and keep your posture.

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While assessing the nails of an older adult, the nurse observes early clubbing. the nurse should further evaluate the client for signs and symptoms of?

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While assessing the nails of an older adult, the nurse observes early clubbing so the nurse should further evaluate the client for signs and symptoms of hypoxia.

The nails change with aging, growing a lot of slowly, and changing into boring and brittle. the colour might modification from semitransparent to yellow and opaque. Nails, particularly toenails, could also become exhausting and thick and ingrowing toenails might be a lot of common. the tips of the fingernails might fragment.

Signs and symptoms of hypoxia include restlessness, headache, confusion, anxiety, rapid heart rate (tachycardia), rapid breathing (tachypnea) and difficulty breathing or shortness of breath (dyspnea).

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The nurse is providing care for a 3-year-old toddler and needs to take the child's temperature rectally. how far should the nurse insert the probe into the rectum?

Answers

One inch (2.5 cm) should be put into the rectum for taking a child's or infant's rectal temperature.

How temperature is measured rectally?

By carefully inserting the thermometer  into your child's rectum, you can take their rectal temperature. The rectum marks the bowel's termination. The anus is the name for the rectum's entrance. Your child's anus is the opening in their bottom where their BMs exit the body.

A Rectal Thermometer: What Is It?

To measure the body's internal temperature, a rectal thermometer is inserted into the rectum. Its bulb-like shape is comparable to that of an oral thermometer, but its tip is often shorter and stubbier enabling simpler entry into the rectum.

Because they are typically more trustworthy and accurate than conventional thermometers, pediatricians advise using them on children under the age of three. For instance, ingesting hot or cold beverages can readily affect the results from mouth thermometers, while the temperature of the surrounding area might affect readings from skin thermometers.

Rectal thermometers provide a more accurate reading since they measure interior body temperature, which makes them less susceptible to such influences.

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The difference between a ""moderate"" and ""vigorous"" level of intensity can best be judged by the presence of rapid breathing when the exercise becomes more intense. True or false?.

Answers

The intensity of exercise can cause breathing to get more rapid. So, the statement is True.

While exercising, our body works hard, and more oxygen is required while more Carbon Dioxide is produced in us. To co-operate with this demand of our body we breathe faster in order to supply enough oxygen to our body. The heart pumps faster in order to provide oxygen to the body faster.

The harder we work the intensity of our breathing increases. A normal person while resting breathes 15 times per minute and in an exercise, session breathing can go up to 40 to 60 times a minute according to the intensity of the exercise.

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A nurse is preparing the playroom on a newly opened pediatric unit. the nurse should include which items to foster the development of the preschool child?

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A nurse is preparing the playroom on a newly opened pediatric unit so the nurse should include large blocks and alphabet flash cards to foster the development of the preschool child.

The pediatric unit is that the section of the hospital that has sick kids with the very best level of medical aid. It differs from different components of the hospital, just like the general medical floors. Within the pediatric unit, children get intensive medical care and shut observance of things like pulse, breathing, and blood pressure level.

Preschool kids like to play, particularly once their play activities involve make-believe. This special variety of play, referred to as fake play, is especially vital for young children's development.

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A patient is receiving instructions regarding the use of caffeine. the nurse shares that caffeine should be used with caution if which of these conditions is present?

Answers

The nurses should indicate that caffeine must be used with caution in patients having a record of peptic ulcers, migraines, asthma, and or record of kidney stones.

What is caffeine?

Caffeine is a substance that acts as a stimulant present in coffee that may have some side effects in individuals exhibit different conditions such as for example, peptic ulcers, migraines and asthma.

In conclusion, the nurses should indicate that caffeine must be used with caution in patients having a record of peptic ulcers, migraines, asthma, and or record of kidney stones.

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Which is the nurse's most therapeutic statement when the client and nurse move from the orientation stage to the working stage of the therapeutic relationship?

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"Which identified problems would you like for us to initially address?" is the  nurse's most therapeutic statement when the client and nurse move from the orientation stage to the working stage of the therapeutic relationship.

Relationship which is based on mutual respect and faith while being sensitive to others and self while assisting patients physical, emotional needs through knowledge and skills is therapeutic relationship.

Identified goals are addressed through mutual therapeutic work which promotes client behavioral change.

Orientation stage of the nurse client relationship should be focused on establishing rapport and developing treatment goals. There are four stages in therapeutic relationship: commitment, process, change, and termination.

There are also four phases of  nurse client relationship which are  pre interaction, orientation, working and termination.

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Which actions of the nurse convey an attitude of respect toward the client?

Answers

Empathy is demonstrated when one can see the problem from the client's perspective. Respect is shown to the client by encouraging a private environment during therapeutic discussions.

What is the therapeutic relationship?A therapeutic relationship is one that exists between a client or patient and a healthcare provider.It is a way for a therapist and a client to communicate and work toward the client's positive improvement.The working alliance, transference/countertransference, and the genuine connection are the three components that psychoanalysis theorizes make up the therapeutic relationship.Evidence has been acquired on the interplay between components as well as on each component's own contribution to the outcome.The therapeutic connection, as opposed to a social one, is centered on the client's needs and objectives.

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Budget company pays a dividend to its shareholders for $5,000. recording this transaction will include a debit to? Plss help mee plsCan someone answer this or look for the answer keys pls help Which intervention would the nurse use during the initial interaction with a 76-year-old widower who is terminally ill, very quiet, and unwilling to have visitors? Part 1: Mapping DiagramsLook at the mapping diagrams below, which represent two different relations. The relation on theleft is a function since each value in the blue set is paired with one value in the yellow set. Forthe function on the left, the domain is {0, 1, 2, 3) and the range is {0, 1.69, 3.38, 5.07).1. Is the relation on the right a function? Explain.2070-603-625 Forces37. Any push or pull on an object is called a38. The units for force are39. Forces can be40.41.orwhich can be abbreviatedforces cause a change in an object's motion or acceleration.forces do not change an object's motion or it does not move.42. The force that two surfaces exert on each other is called43. The force that pulls objects towards each other is44. The measure of the force of gravity on an object is its45. One unit for distance is46. One unit for time isand the abbreviation isand the abbreviation is After 1540, the most important economic activity in new spain from the spanish viewpoint was? What do you know about the sun from experience? The physical assessment technique most frequently used to assess joint symmetry is? What is the actual order that information follows as it travels through a neuron? In which way can podcasts be organized when used by organizations? check all that apply. What kind of damage do steering wheel and seat covers protect the vehicle from?Tears in materials.Water contamination.Grease and oil which may be on the technician's hands, clothes or shoes.Sharp edges of tools or objects. A woman is scheduled to undergo a modified radical mastectomy. which information would the nurse include when describing this surgery to the client? What are all the solutions for the inequality m> 9?m=3m= 20m= 12m= 2 Which of the graphs of the inequality y+1 Alguien me podria ayudar a resolver o explicar como cintestar ests problemas, fue el primer dia de uni y no lo explico bien el maestro porque segun es nuevo.Could someone help me solve these problems or explain me how to solve them, it was the first day of university and the teacher didn't explain quiet well because supposedly he is new ________ is the degree to which employees believe the organization values their contribution and cares about their well-being. What were the major events that lead to the rise of the Roman empire In which position would the nurse place the patient to administer a rectal suppository? Can anyone please help me with #3 ASAP Ill mark you brainly The 1st, 2nd and 3rd terms of a geometric progression are the 1st, 9th and 21st terms of an arithmetic progression respectively. Given that the 1st term of both progressions is 8 and the common ratio of the geometric progression, r not equation of 1 .Find .a.The value of rb.the 4th term of each progression