A vasoactive medication is prescribed for a patient in shock to help maintain MAP and hemodynamic stability. the act of rotating the arm or the leg so that the palm of the hand or sole of the foot is turned forward or upward. Surface cells (not within the glands) are enterocytes. A fall in blood pressure would be most likely to result in: In the kidney the increasing osmolarity from the cortex through the medulla is mostly due to: T/F: Anatomic Dead-Space allows exchange of water vapour between air and tissues, T/F: Anatomic Dead-Space allows exchange of carbon-dioxide between air and tissues, T/F: Anatomic Dead-Space allows exchange of oxygen between air and tissues, Reducing the affinity of haemoglobin for oxygen. A patient with idiopathic thrombocytopenic purpura underwent a laparoscopic splenectomy. The core of the needle is discharged, and the sample is placed. Previously frozen stem cells were thawed, without washing. The leads were anchored at exit sites from the vein attached to the pacemaker. The nurse is caring for a client in septic shock. Which of the following behaviors of the graduate nurse would the other nurse identify as not adhering to strict infection control practices? Current blood pressure is 90/58, pulse is 118 beats/minute, and respirations are 30 breaths/minute. Select the proper code(s). "During an operation on a patient's arm a surgeon cuts down through the skin, opening up a muscle compartment. WebStudy with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. Physician inserted a catheter into the spleen and injected 20 cubic centimeters of radiopaque dye for splenoportography. Select all that apply. This muscle originates on the zygomatic arch and inserts at the angle and ramus of the mandible. WebThe Home Depot store location(s) (city, state) to which you would like to apply; If you are a third-party organization supporting individuals with disabilities, please send an email to [email protected]homedepot.com.In your email please include the following. The nurse next, Administers oxygen by nasal cannula at 2 liters per minute. The _________ is a large, saw-toothed, flat, fan-shaped muscle positioned between the ribs and the scapula. WebStudy with Quizlet and memorize flashcards containing terms like Dr. Short completed an injection procedure for a splenoportography. Blood supply to the skeletal muscles increases. C. the highest possible quality of life. Which of the following processes produces molecules of ATP and has two pyruvic acid molecules as end products? This toxin prevents the release of ACh from the motor neuron. A student places a mixture of the two gases into a closed gas tube and allows the reaction to reach equilibrium at The area is thoroughly irrigated, and the incision wound is closed with 4-0 Prolene sutures. A stiff neck due to spasmodic contraction of the neck muscles that pull the head toward the affected side; also known as wryneck. located in the posterior upper arm, extends the elbow. To a person standing on the earth, the sun subtends an angle of A client is unstable and receiving dopamine to increase blood pressure. The student is caring for a client in the compensatory stage of shock who is hypovolemic. The location of a muscle's insertion and origin can determine _____. $$ The correct order of structures in the chicken leg, from proximal to distal, is: hip joint - femur - knee joint - tibiotarsus. 1 Penicillin G 2 Doxycycline 3 Tetracycline 4 Erythromycin, Which blood gas result should the nurse expect an adolescent with diabetic ketoacidosis to exhibit? angle and ramus of mandible diaphragm latissimus dorsi pectoralis major sarahscheidler25. BP: Requires mechanical or pharmacologic support, Requires intubation and mechanical ventilation and oxygenation. An additional two incisions are made to insert trocars for the procedure. Cardiopulmonary bypass is provided. The needle and catheter are secured with a suture. A nurse consults with the health care provider about inotropic agents for a client in cardiogenic shock. This two-headed muscle bulges when the forearm is flexed. What can the nurse include in the plan of care to ensure early intervention along the continuum of shock to improve the client's prognosis? and more. and the concentration of Do these problems very carefully because polar forms will be needed frequently. a) Dilation, effacement, position b) Dilation, duration, and frequency c) Duration, frequency, and intensity d) Frequency, duration, maternal position, A nurse is caring A nursing baby is using what muscle to suckle? Patient returned to surgery for exploration of postoperative hemorrhage in abdomen. C. triceps brachii is the synergist and biceps brachii is the antagonist. Which muscles help us in the initial breakdown of food? This powerful muscle is the prime mover of arm extension. A small venotomy was made, and the ventricular and then the atrial leads were placed into position. Which zone of articular cartilage are the chondrocytes most likely to be in? A 14-year-old patient was in a motor vehicle crash and suffered blunt abdominal trauma. flex and rotate the vertebral column; flex the torso and compress the abdomen. (Thick The muscle that forms a partition between the thoracic and abdominal cavities is the: The deepest of the abdominal muscles are the _________ muscles. A client is lethargic with a systolic blood pressure of 74, heart rate of 162 beats/min, and rapid, shallow respirations. En route to the emergency room, a client's systolic blood pressure (BP) was 96 mm Hg and falling. Webthe location of their origin and insertion Submit. If it affected the phrenic nerve, the diaphragm muscle would be paralyzed. The client's skin is cool and clammy. What lab values does the nurse understand will elevate in response to the release of aldosterone and catecholamines? Study with Quizlet and memorize flashcards containing terms like Dr. Short completed an injection procedure for a splenoportography. Patient underwent banding of pulmonary artery. The common, external, and internal carotid arteries were dissected. .". Which of the following structures is the student most likely to find? In the male, makes up the bulk of the chest muscles. All of these muscles, except one, have their origin on the scapula. The leads were tested and found to be working satisfactorily. Angiotensin II is released in response to: In a healthy individual, the partial pressure of carbon-dioxide in systemic arterial blood. Repair of anomalous coronary artery from pulmonary artery origin by graft, with endarterectomy, without cardiopulmonary bypass. Which nursing intervention is most appropriate for the nurse to implement? A sinusoidal transverse wave of wavelength $20.0 \mathrm{~cm}$ and frequency 500 . As previously mentioned, this toxin can cause a fatal disease known as botulism. 30. Select the proper code(s). Study with Quizlet and memorize flashcards containing terms like The Client with an Upper Respiratory Tract Infection A nurse is completing the health history for a client who has been taking Echinacea for a head cold. This can cause spasms of the diaphragm and bronchi, which lead to asphyxiation. 1 Penicillin G 2 Doxycycline 3 Tetracycline 4 Erythromycin, Which blood gas result should the nurse expect an adolescent with diabetic ketoacidosis to exhibit? The blood of this fish contains NO haemoglobin. The grafted vein is sutured to the opening in the aorta at one end and below the blockage at the other end. Choose the option that best explains this result. Despite this, the fish function normally. The nurse is monitoring a patient in the compensatory stage of shock. flexes and rotates head. They are performed to improve the open and unblocked status of a blood vessel of lower extremity synthetic or autogenous arterial bypass grafts. Glomerular capillary endothelial cells (podocytes) of the kidney are found within the: Which of the following lists the nephron regions in the correct order of fluid flow? The damaged mitral valve is identified and removed. The buccinator muscle is innervated by the __________. The coracobrachialis muscle originates on the __________. A patient has an enlarged lymph node of the axillary region. The wound is closed in layers. B. biceps brachii is the antagonist and triceps brachii is the agonist. 5.95 \times 10 ^ { - 1 } \mathrm { M } The pacemaker was tested, was functioning, and was placed in the subcutaneous pocket. If there were an obstruction in the renal artery, one might expect to see: Both a decrease in glomerular filtration rate (GFR) and an increase in the release of renin are correct. Pericardiectomy with cardiopulmonary bypass. At the same time that the ball is thrown upward, a student at the window drops an identical ball. WebWhen the diaphragm contracts, it partially: a. descends into the abdominal cavity. \mathrm { N } _ { 2 } \mathrm { O } _ { 4 } ( \mathrm { g } ) \Longleftrightarrow 2 \mathrm { NO } _ { 2 } ( \mathrm { g } ) The physician numbs the skin and inserts a needle into the iliac bone. The nurse is caring for a critically ill client. [Hint: See Section $26-5$ and assume the discharge of the capacitor is approximately linear. The most powerful movement at the ankle joint is __________, and the ________ is one of the prime movers of this movement. located on the shoulder, is shaped like an inverted triangle. The hygroma is deep in the neurovascular section of the neck. WebStudy with Quizlet and memorize flashcards containing terms like E, C, E and more. Study with Quizlet and memorize flashcards containing terms like parallel, trapezius, action and more. Blood vessels are identified, and bleeders are cauterized. No villi are present. The wave oscillations take place in the $x z$-plane and have an amplitude of $3.00 \mathrm{~cm}$. WebAbout Our Coalition. This muscle works as a fixator of the shoulder when you attempt to lift a heavy table with your forearm. At equilibrium, the concentration of Which of the following features is the student likely to observe? This muscle has its origin on the manubrium and sternal end of the clavicle and its insertion on the mastoid process. groups muscles with similar functions together. The patient has a history of ureteral cancer and now has pelvic pain and swelling. the location of their origin and insertion. No obstruction or other deformity was noted. WebStudy with Quizlet and memorize flashcards containing terms like , 15)A client who was brought to the ED 3 days ago remains unresponsive in the ICU. ascending colon, transverse colon, descending colon, sigmoid colon. Select all that apply. You are talking with the family of a client who is in the irreversible stage of shock. After intravenous sedation was obtained, the entire left chest and neck were prepped. What is the insertion of the highlighted muscle? After adequate anesthesia, an incision was made and the electrodes were removed from the generator. To an order of magnitude, through how many revolutions will it turn over its lifetime? Treatment has been ineffective, and the client's body is no longer compensating for shock symptoms. muscle moves the head and shoulder blade. IV infusion should be started at how many milliliters per hour? Study with Quizlet and memorize flashcards containing terms like What is the type of chemical reaction used to rebuild ADP into ATP?, Which of the following processes produces molecules of ATP and has two pyruvic acid molecules as end products?, Which of the following processes produces 36 ATP? The incision is closed in layers with sutures. b. ascends into the thoracic cavity. This muscle closes the eyes, allowing you to wink or blink. What value would the nurse document as normal for the patient? WebStudy with Quizlet and memorize flashcards containing terms like For elbow flexion: A. biceps brachii is the agonist and triceps brachii is the antagonist. An automobile tire is rated to last for 50000 miles. The nurse formulates a nursing diagnosis of Risk for injury. Which other area should the nurse mention as a site of arterial baroreceptors? Two sutures are placed around the vein. 40-40c) is called ripple voltage. Prop 30 is supported by a coalition including CalFire Firefighters, the American Lung Association, environmental organizations, electrical workers and businesses that want to improve Californias air quality by fighting and preventing wildfires and reducing air pollution from vehicles. is made up of four muscles, including the vastus lateralis and vastus medialis, which flex and extend the leg at the knee. The procedure begins with placing the patient on heart-lung bypass machine. Krebs cycle and oxidative phosphorylation. Does the result surprise you. sarahscheidler25. Which colloid is expensive but rapidly expands plasma volume? Select all that apply. Study with Quizlet and memorize flashcards containing terms like The nurse is required initially to restrain all four of a client's extremities. The wound is closed in layers with Prolene and Vicryl. The nurse knows to closely monitor the client. the client asks "why isn't this helping me feel better" which of the following responses by the nurse would be the most accurate: there is limited The alignment of osteons in compact bone: the transfer of tensile force of the muscle to its tendon order, Choose the option which, when entered into the following statement in the corresponding order would make it correct. Based on your knowledge of muscle physiology, why do you think Sarin has these effects? Stimulation of the motor neuron causes contraction of the muscle fiber through activity at the neuromuscular junction and excitation-contraction coupling. means in straight alignment with the vertical axis of the body. (Thick Filament, Thin Filament, or Neither) -Myosin -Myosin Heads, Match each protein with the appropriate filament. What are expected changes in this client's condition? Gas is introduced into the abdominal cavity. Which of the following organs will always be protected? WebStudy with Quizlet and memorize flashcards containing terms like A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical procedure in the morning. A patient with leukemia requires a bone marrow donor. A client with shock brought on by hemorrhage has a temperature of 97.6 F (36.4 C), a heart rate of 140 beats/minute, a respiratory rate of 28 breaths/minute, and a blood pressure of 60/30 mm Hg. 22 terms. Which of the following is a category of shock? Radiological supervision and interpretation were included. Prior to assigning the code for the extensive drainage, the coder should, Dr. Long placed a long-bore needle into the The physician contacts the national bone marrow donor registry and provides medical information on the patient. Which vasodilator medication is used in the treatment of shock? Transluminal balloon angioplasty of renal artery and angioscopy. The child has been crying despite his parents presence at his bedside. Cardiopulmonary bypass is provided., 18-year-old patient underwent repair of ductus arteriosus. WebStudy with Quizlet and memorize flashcards containing terms like E) circular, E) circular, C) parallel and more. jmq5045. Maintain sterile technique when changing the central venous line dressing. Which of the following is NOT a feature of the stomach? WebStudy with Quizlet and memorize flashcards containing terms like E) circular, E) circular, C) parallel and more. Which CPT code is assigned? What part of the board should Harris lift? The instructor asks the student to name the different categories of shock. Physician uses a transfemoral approach to advance a catheter to the ascending aorta, where nonradioactive contrast media is injected and the descending thoracic aortography and abdominal aortography are performed. Select all that apply. Select the proper code(s). The wound is closed in layers. What is the relevant urinary output for this condition? Prior to assigning the code for the extensive drainage, the coder should, Dr. Long placed a long-bore needle into the marrow cavity of the The patient is in shock. Cardiopulmonary bypass is provided., 18-year-old patient underwent repair of ductus arteriosus. diaphragm. Standard thromboendarterectomy was performed, transecting the proximal end and working distally. Repiratory Ch. ", Is the air that one can inspire in addition to the tidal volume. Which type of muscle fiber has a large quantity of glycogen and mainly uses glycolysis to synthesize ATP? The patient will have another check before discharge from the hospital tomorrow. is found to be Treatment has been ineffective, and the client's body is no longer compensating for shock symptoms. (Select all that apply. Why? The physician asks for the pulse pressure. Study with Quizlet and memorize flashcards containing terms like , 15)A client who was brought to the ED 3 days ago remains unresponsive in the ICU. Percutaneous venous transluminal balloon angioplasty performed as a distinct procedural service. Suture repair of aorta without shunt or cardiopulmonary bypass. The nurse evaluates the following as a complication of the therapy: The right foot is cooler than the left foot. The block is completely submerged in iced water at $0^\circ C$ that is well stirred, and the heat transfer coefficient is so high that the temperatures on both sides of the block can be taken to be $0^\circ C,$ The bottom surface of the bar is covered with a low-conductivity material so that heat transfer through the bottom surface is negligible. pyruvic acid is converted back to lactic acid, The "rest and recovery" period, where the muscle restores depleted reserves, includes all of the following processes. gluteus maximus. Which muscle or group is responsible for adduction of the toes? Vital signs: temperature, 97.2 F; pulse, 68 beats/minute, thready; respiration, 28 breaths/minute, blood pressure, 102/78 mm Hg; and pedal pulses, palpable. This student's slide shows the combined aponeurosis of the medial and lateral knee flexor muscles and its insertion. E. Given the cavities: 1) abdominal cavity 2) pelvic cavity insertion b) antagonist c) prime mover d) agonist e) origin. origin and insertion. diana_zhan. Ideally, the physician would use the intra-aortic balloon pump (IABP) to support the injured myocardium. Two weeks later the patient underwent electronic analysis and reprogramming of the recorder on May 16. 1 pH 7.30, CO2 40 mm Hg, HCO3- Contrast media was injected into both veins, and the structures were well visualized. Dense connective tissue cords that anchor muscles to bone are called _____. The insertion of the extensor carpi radialis longus muscle is on __________. Given these events: The graft was flushed with saline and then clamped below the anastomosis. Which CPT code is assigned? Which of the following do you think would be a clinical application of these drugs? The client's Glasgow Coma Score changes from 15 to 13. 1) Superficial transversus perinei 2) Levator ani 3) Coccygeus Insertion 2) Origin. (Thick Filament, Thin Filament, or Neither) -Myosin -Myosin Heads, Match each protein with the appropriate filament. WebStudy with Quizlet and memorize flashcards containing terms like The Client with an Upper Respiratory Tract Infection A nurse is completing the health history for a client who has been taking Echinacea for a head cold. An adult has more muscle mass than a child. It is removed in total. 22 terms. Which structure is indicated by the arrow? Study with Quizlet and memorize flashcards containing terms like Patient undergoes aortic valve replacement with stentless tissue valve, by division. b. ascends into the thoracic cavity. myoclonus of the diaphragm that causes the characteristic hiccup sound with each spasm. State the quantities you measure or estimate and the values you take for them. A client admitted for outpatient surgery has been NPO for several hours. Posterolateral thoracotomy was performed to access the heart., Patient underwent coronary artery Since the blood pressure is within normal range for this patient, what stage of shock does the nurse realize this patient is experiencing? The client who is in the first 15 minutes of receiving 1 unit of PRBCs. A student throws a ball vertically upward so it just reaches the height of a window on the second floor of a dormitory. The tissue surrounding the hygroma is removed via excision. Which of the following is most likely the drug that is ordered? $$ There was a good signal in the arteries. The patient's heart is stopped via cardioplegia infused through a heart-lung bypass machine. attached to the bones of the skeleton and make body motions possible. Myasthenia gravis, a disease in which the ACh receptors are damaged and the muscle becomes progressively weaker. Which is the removal of a fixed blood clot? B. a multicultural view of health. What are the etiologies of shock? To keep the humeral head centered within the glenoidal cavity the rotator cuff muscles must be __________. \theta _ { \operatorname { sun } } = 9.28 \times 10 ^ { - 3 } \mathrm { rad } Inadequate calcium in the neuromuscular junction would directly affect which of the following processes? (1) Basaltic rock is found to be progressively: younger at increasing distances from a midocean ridge. in contrast to the origin the insertion is the more movable attachment and it is farthest point from the midline of the body. "Sinc To relieve the pressure you try "yawning" to clear the ear canal. Presenting symptoms included elevated temperature and flushed skin; assessment revealed a rapid, bounding pulse. The physician drained fluid from the pericardial space under ultrasonic guidance. B. the loss of muscle mass, strength, and function that comes with aging, a painful condition caused by the muscle tearing away from the tibia (shin bone), Myoclonus of the diaphragm that causes the characteristic hiccup sound with each spasm; also known as hiccups, ring-like muscle that tightly constricts the opening of a passageway, An injury to a joint, such as ankle, knee, or wrist, which usually occurs when a ligament is wrenched or torn, surgical suturing of the end of a tendon to a bone. WebName two muscles that are part of the urogenital diaphragm. The second set of films is done on the next day. The ending "glossus" on the name of a muscle refers to: Which muscle is used for sticking out the tongue? The physician performed a coronary endarterectomy (open), left anterior descending artery, during the same operative session as a coronary artery bypass graft procedure (using an arterial graft). Sodium reabsorption in the distal convoluted tubule and cortical portion of the collecting system is accelerated by: An obstruction in the renal artery resulting in a decrease in the perfusion pressure within the kidney would lead to: decreased renal blood flow and increased secretion of renin, T/F: The human pulmonary system is responsive to the pH of the cerebrospinal fluid, T/F: The human pulmonary system is more responsive to an excess of CO2 than it is to a lack of O2, T/F: Pulmonary system senses PO2and PCO2 in the carotid and aortic bodies. NO_2 Which muscle is the prime extensor of the elbow joint? Study with Quizlet and memorize flashcards containing terms like E) circular, E) circular, C) parallel and more. Select all that apply. Select the correct code(s) for this service., Dr. Jones completed an extensive drainage for lymphadenitis. A client with an acute myocardial infarction demonstrates signs of cardiogenic shock. Bone marrow biopsy, sternum, using trocar. This muscle closes the eyes, allowing you to wink or blink. the client asks "why isn't this helping me feel better" which of the following responses by the nurse would be the most accurate: there is limited information The patient's left neck area is prepped and draped in the usual fashion. What type of section was used? Study with Quizlet and memorize flashcards containing terms like Which is the preferred drug of choice for the treatment of syphilis in a pregnant adolescent? origin and insertion. located in the anterior upper arm, flexes the elbow. Open biopsy of deep cervical nodes. e) lungs. Repiratory Ch. glomerular capsule, proximal convoluted tubule, loop of Henle, distal convoluted tubule. The neck area of the patient was prepped. (a) obtain the finite difference formulation of this problem for steady two-dimensional heat transfer, b) determine the unknown nodal temperatures by solving those equations, and (e) determine the rate of heat transfer from the block to the iced water. Which of the following statements is correct? The physician performed an operative ablation of a supraventricular arrhythmia without cardiopulmonary bypass. b. The nurse should recommend engaging the child in therapeutic play for the care plan because WebStudy with Quizlet and memorize flashcards containing terms like What is the type of chemical reaction used to rebuild ADP into ATP?, Which of the following processes produces molecules of ATP and has two pyruvic acid molecules as end products?, Which of the following processes produces 36 ATP? Direct open arteriovenous anastomosis. What is the equilibrium constant of the reaction? The hamstring muscles originate on the __________. Increased flow of filtrate into the nephron results in a reflex reduction in glomerular filtration under normal conditions. Study with Quizlet and memorize flashcards containing terms like The ability of muscle cells to shorten is called _______, a property that allows muscle cells to cause body movement., Match each protein with the appropriate filament. The patient presents today for a left carotid thromboendarterectomy with patch angioplasty. What is a negative effect of IV nitroglycerin for shock management that the nurse should assess for in a client? The wound was irrigated and closed. origin and insertion. Treatment has been ineffective, and the client's body is no longer compensating "Sinc These abdominal muscles are responsible for giving me my "six-pack." a. take a cool bath in the evening b. exercise every other day c. use a pillow to support your joints while in bed d. ask a friend or family member to help with This muscle originates on the spinous processes of C7 and T1 - T5, and inserts on the medial border of the scapula. After gaining access to the thoracic cavity, the left atrium is identified. The nurse should recommend engaging the child in therapeutic play for the care plan because it offers which of inflammation of the sheath surrounding a tendon. Excision of mediastinal cyst. deep fascia / epimysium / endomysium. Of all the flexor muscles of the forearm, the __________ is the shortest. sternocleidomastoid. A client with a critical illness has a temperature of 38.5C (101.3F). The first set of films is done. and more. angle and ramus of mandible diaphragm latissimus dorsi pectoralis major rectus abdominis external intercostals. Direct repair of a ruptured aneurysm of the abdominal aorta. Cahp 2- data transimission. Total paralysis affecting only one side of the body. Which CPT code(s) are assigned? Select the exception. WebStudy with Quizlet and memorize flashcards containing terms like bi-, clon/o, dys- and more. Which parameters will the nurse use to determine if the client is developing sepsis? The nurse knows that one of the body's mechanisms of compensation in this stage of shock is the renin-angiotensin-aldosterone system. Study with Quizlet and memorize flashcards containing terms like While performing continuous electronic monitoring of a client in labor, the nurse should document which information about uterine contractions? On the McLaughlin Which would be at increased risk for anaphylactic shock? Julie S Snyder, Linda Lilley, Shelly Collins, At what distance is an image always located: at $d_{\mathrm{o}}, d_{\mathrm{i}}$, or $f ?$. A band of fibrous tissue that holds structures together abnormally. diana_zhan. WebThe attachment of a muscle tendon to a moveable bone or the end opposite the origin. extends and rotates thigh laterally; muscle of the buttocks. jmq5045. Other Quizlet sets. A nurse is providing care to all of the following clients. A nurse assesses a client who is in cardiogenic shock. Which of the following factors drives glomerular filtration? Which of the following is the most common side effect of recombinant human activated protein C (rhAPC)? Muscles of the pectoral girdle originate on the: Which of the following muscles elevates and retracts (adducts) the scapula? Contains intercalated discs; is found in the heart, Cells are multinucleate; is long and cylindrical in shape; contains a well-developed sarcoplasmic reticulum, Found in digestive organs and blood vessels. N_2O_4 differentiation of periosteal cells into osteoblasts. Study with Quizlet and memorize flashcards containing terms like E, C, E and more. When a patient's coronary arteries contain extensive cholesterol plaque, a coronary artery bypass graft (CABG) procedure cannot be performed until the plaque is removed via: Which is the excision of plaque from inside a blood vessel that involves puncturing the artery with a large needle and inserting a guidewire into the artery? The spleen is removed in total. A client receives alteplase (t-PA). The nurse starts intravenous fluids. The client's skin is cold and clammy. A patient presents with a history of atherosclerosis. Blood pressure is 88/56, pulse rate is 122 beats/minute, and respirations are 28 breaths/minute. The client, sitting in bed, experiences a transient neurogenic shock following insertion of an intravenous catheter. intermittent claudication. WebStudy with Quizlet and memorize flashcards containing terms like The ability of muscle cells to shorten is called _______, a property that allows muscle cells to cause body movement., Match each protein with the appropriate filament. To ensure adequate nutrition, the nurse administers, A continuous infusion of total parenteral nutrition, A client is hemorrhaging following chest trauma. The nurse should recommend engaging the child in therapeutic play for the care plan because $$ Which medication classes would the nurse anticipate to be ordered to prevent or minimize stress ulcers? 44 terms. masseter. A specialist who works under a physician's supervision to develop, implement, and coordinate exercise programs, and administer medical tests to promote physical fitness. The child has been crying despite his parents presence at his bedside. What would you explain to this family? Other Quizlet sets. The pyloric sphincter is located at the junction of the: Which of the following is found in the large intestine? Weakness or wearing away of body tissues and structures. protrusion of any organ through the structure that normally contains it. Treat the oxygenation needs of the heart muscle. Vascular Unit 1 questions. WebStudy with Quizlet and memorize flashcards containing terms like While performing continuous electronic monitoring of a client in labor, the nurse should document which information about uterine contractions? myoclonus of the diaphragm that causes the characteristic hiccup sound with each spasm. A patient has a 3-year history of mitral regurgitation. The nurse is caring for a client in the early stages of sepsis. Following a bumpy launch week that saw frequent server trouble and bloated player queues, Blizzard has announced that over 25 million Overwatch 2 players have logged on in its first 10 days. When the "battery" of a pacemaker or implantable defibrillator is changed, it is actually the ___________________ that is changed. diaphragm and external intercostals. 1 pH 7.30, CO2 40 mm Hg, HCO3- A cannula is passed though the incision of the vein. flexes and rotates head. The wall of the stomach is characterised by: a mucous membrane containing glands but no villi. Which muscle group is an antagonist to knee extension? Select the exception. The location of the rotator cuff muscles in relation to the glenohumoral joint minimizes the upward pressure against the __________. Julie S Snyder, Linda Lilley, Shelly Collins, Foundations for Population Health in Community and Public Health Nursing, Draw a structural formula for each of the following compounds. . T/F: pulmonary contains stretch-receptors in lung tissue, afferent arteriole, glomerulus, efferent arteriole, peritubular capillaries, alveolar air and pulmonary capillary blood, T/F: A newborn baby that lacks pulmonary surfactant uses less force in the inspiratory muscles in order to breathe, T/F: A newborn baby that lacks pulmonary surfactant can be treated using an artificial surfactant delivered by an aerosol squirted into the trachea, T/F: A newborn baby that lacks pulmonary surfactant will, if untreated, experience Respiratory Distress Syndrome until the lungs undergo further maturation, T/F: A newborn baby that lacks pulmonary surfactant was probably born prematurely, the capillary endothelial cells are called. What does the nurse understand could be occurring with this patient? By applying a pressure of 200 atm, you can compress water to 99% of its usual volume. Compliance is affected primarily by the amount of elastic tissue in the lungs and the: A wide, tightly-fitting, elastic bandage wrapped entirely around the thorax would impair --- but assist ---. WebStudy with Quizlet and memorize flashcards containing terms like Patient undergoes aortic valve replacement with stentless tissue valve, by division. Treatment has been ineffective, and the client's body is no longer compensating Presenting symptoms included elevated temperature and flushed skin; assessment revealed a rapid, bounding pulse. Review code 33282 (Implantation of a patient-activated cardiac event recorder). Those who have a checking or savings account, but also use financial alternatives like check cashing services are considered underbanked. Are the mechanical energies of the balls the same at half the height of the window? WebStudy with Quizlet and memorize flashcards containing terms like A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical procedure in the morning. 13 terms. Select all that apply. Select all that apply. A 45-year-old patient diagnosed with chronic renal failure underwent surgery to facilitate dialysis access. What are the names of the oxyanions of selenium and tellurium: $\mathrm { SeO } _ { 4 } ^ { 2 - } , \mathrm { SeO } _ { 3 } ^ { 2 - } , \mathrm { TeO } _ { 4 } ^ { 2 - } , \mathrm { TeO } _ { 3 } ^ { 2 - } ?$. Select all that apply. Using the finite difference method with a mesh size of $\Delta x=\Delta y=10 \mathrm{cm}$ and taking advantage of symmetry. Cardiopulmonary bypass is provided., 18-year-old patient underwent repair of ductus arteriosus. A longitudinal arteriotomy was made. The patient is having surgery to bypass his blocked heart arteries. Select the proper code. The prime mover of dorsiflexion is the __________. This name reveals the number of the muscle's origins. Which of the following proteins associated with the myofilaments would be most involved in the muscle spasms? Of the muscles listed, the only one that inserts on the hyoid bone is the: You have just disembarked from an airplane following a cross-country flight. A nurse is assisting with the orientation of a newly hired graduate. What client assessment would follow with the drop in pressure? a student accidentally cut through the belly of the medial knee flexor muscle. 40-40) uses two diodes to rectify a $95-\mathrm{V} \mathrm{rms} 60 \mathrm{~Hz}$ ac voltage. c. fills the pleural cavity with air. D. deltoid is the agonist and biceps brachii is the synergist. An increase in the reabsorption rate of Na+ from the distal tubule would be expected to result from each of the following EXCEPT for: T/F: proximal convoluted tubule is located exclusively in the renal pyramid? 22 terms. WebStudy with Quizlet and memorize flashcards containing terms like A nurse is providing teaching to a client who has rheumatoid arthritis and reports persistent pain. A 57-year-old patient was found to have carotid stenosis after duplex scan and angiogram. The part of a juxtamedullary nephron that is in the renal medulla is the: Selective vasoconstriction of the efferent arteriole will lead to. Which of the following effects would EGTA have on excitation-contraction coupling after the neuron releases acetylcholine at the neuromuscular junction? The name of the organization being represented; The location of the organization. A superficial muscle of the leg, this one dorsiflexes the foot. Prolene sutures were used to expose the vein. This large, fan-shaped muscle of the upper chest is the prime mover of arm flexion. diaphragm and external intercostals. The nurse assesses the fluid that is contraindicated in this situation is. Which statement, made by the seasoned nurse, reflects the most pertinent information regarding circulation? e) lungs. The variation in output voltage (Fig. 25 ^ { \circ } \mathrm { C } The surgeon created an arteriovenous fistula by other than direct arteriovenous anastomosis with placement of nonautogenous graft access. A 2-year-old patient presents to the ED after having fallen in a lake, with a near drowning. "Sinc diaphragm and external intercostals. Select all that apply. Blood pressure is 74/52, pulse rate is 124 beats per minute, and respirations are 32 breaths per minute. Brachioradialis and sternocleidomastoid are named for ________. Select the exception. In asthma, difficulty in exhaling is a symptom of problems occurring with: Comparing the lung model and the human respiratory system, they: both have an airway pressure equal to atmospheric pressure at the end of expiration. A patient presents to the ambulatory surgery center for stripping of the long saphenous veins in the right leg and the long and short saphenous veins in the left leg. A small incision is made to allow for the introduction of a needle and catheter. WebStudy with Quizlet and memorize flashcards containing terms like A body has been sectioned in such a way that both lungs and the urinary bladder are visible. Given these events: gluteus maximus. Select the proper code. Enteral nutritional supplements have been prescribed to prevent muscle wasting. All of the following muscles that move the glenohumeral joint insert on the humerus, except one. (Thick Compensatory cardio characteristics (HR & BP)? Diabetes mellitus. WebStudy with Quizlet and memorize flashcards containing terms like Which is the preferred drug of choice for the treatment of syphilis in a pregnant adolescent? WebStudy with Quizlet and memorize flashcards containing terms like E, C, E and more. E. The nurse assesses abdominal pressure as 12 mm Hg. A client has a pulse rate of 142 beats per minute and a blood pressure of 70/30. A client is admitted to the hospital with reports of chest pain. The frontal belly of the occipitofrontalis muscle causes what action? The permeability of the collecting ducts to water is regulated by: In the proximal tubule, one process that actively drives the movement of sodium is the activity of the Na+/K+ ATPase pump on the --- membrane. Name two muscles that are part of the urogenital diaphragm. The core of the intestinal villus contains. Without referring back to the text. if the oxygen-hemoglobin dissociation curve is shifted to the right? Select all answers that apply. The nurse notes an indicator of renal hypoperfusion. All of these muscles, except one, adduct the arm. The functions of the gallbladder include: Which one of the following is a feature of the stomach? The client's BP has dropped to 90 mm Hg. All connections are checked. The physician repositions a previously placed transvenous right ventricular electrode. Anastomosis was secured, and the native artery was flushed up through the graft first. For what reason would the nurse anticipate the need to add a full-length restraint blanket?, A client with a cerebellar brain tumor is admitted to an acute care facility. The nurse recognizes that many risk factors exist for the development of hypovolemic shock. Which medications would improve the client's contractility? When reporting codes 33880 and 33881 for endovascular repair of the descending thoracic aorta, which is included? circular movement of a limb at the far end, the permanent tightening of fascia, muscles, tendons, ligaments, or skin that occurs when normally elastic connective tissues are replaced with non-elastic fibrous tissues, movement that bends the foot upward at the ankle, the distortion or impairment of voluntary movement such as in a tic or spasm, a condition of abnormal muscle tone that causes the impairment of voluntary muscle movement, a diagnostic test that measures the electrical activity within muscle fibers in response to nerve stimulation, inflammation of the tissues surrounding the elbow, the study of the human factors that affect the design and operation of tools and the work environment. 44 terms. diaphragm. Which of the following is an example of a synarthrosis? helps flex the trunk, assists in breathing, and supports the spine. This pair of muscles includes the prime mover of inspiration, and its synergist. Unit Va: Blood & Vessels - Chapter 18. The nurse is aware that fluid replacement is a hallmark treatment for shock. A nurse is evaluating a client's drop in mean arterial pressure to 50 mm Hg during progressive shock. Upon assessment, the client's vital signs reveal blood pressure of 80/60 mm Hg and heart rate of 145 beats per minute. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. On to which structure does the highlighted muscle insert? A nurse is caring for a client in the compensatory stage of shock. Operative incision and reconstruction of atria for treatment of atrial flutter (Maze procedure). The surgical suturing together of the divided ends of a tendon. Match the muscle of the urogenital triangle to its corresponding origin, insertion, and/or action(s) bulb- stiffens clitioris or penis Other Quizlet sets. To promote venous return, the nurse. A client has been treated for shock and is now at risk for which secondary but life-threatening complications? Total time on bypass machine was 2.5 hours. During his dissection. Select the proper code. The nurse provides care for a client who is diagnosed with shock and who is at risk for multiple organ dysfunction syndrome (MODS). A 20-year-old male patient presents for surgical treatment of his patent ductus arteriosus (PDA). Study with Quizlet and memorize flashcards containing terms like A nurse On the pediatric unit is assisting with the plan of care for a preschooler who will have a surgical procedure in the morning. What type of section was used? Your assessment indicates that the client's central blood flow is reduced and their peripheral vascular area is hypervolemic. The underbanked represented 14% of U.S. households, or 18. gluteus maximus. Which of the following is a functional classification of joints and applies to joints that allow a wide range of motion? It worked. Which is coded as congenital heart defect? The nurse, Consults with the physician about substituting lansoprazole (Prevacid) for the prescribed dose of pantoprazole (Protonix). is a large muscle toward the outer side of the leg. What stage of shock is this client most likely experiencing? In the female, this muscle lies under the breast. $$ B. a multicultural view of health. 11)Which nursing considerations are required when caring for a client being treated for shock who has been administered norepinephrine? When the diaphragm contracts, it partially: a. descends into the abdominal cavity. Which nursing intervention is necessary to care for this client? Which of the following is the crystalloid fluid that helps treat acidosis? A physician performs a right upper extremity arteriogram. The nurse intervenes first by administering the following prescribed treatment: A client at the scene of an MVA seems somewhat anxious and has clammy skin. What does this system do? Choose the statement that is CORRECT with respect to classifying joints by function: Which of the following is NOT a function of the connective tissue found in skeletal muscle? compression of the abdomen to assist in forced expiration. On the McLaughlin Prior to assigning the code for the extensive drainage, the coder should, Dr. Long placed a long-bore needle into the Patient underwent injection of dye to visualize the sentinel node during lymphangiography nuclear imaging test. The attachment of a muscle tendon to a moveable bone or the end opposite the origin. The molecular Movement of the shoulder laterally away from the body is called __________. The nurse assesses a patient in compensatory shock whose lungs have decompensated. This relies on: At the level of the 12th division of the bronchial tree. Which of the following statements is true of intrapleural pressure in a normal subject? diaphragm. Origin. Diabetes mellitus. Which nursing interventions are essential for the nurse to complete in order to reduce the risk of infection? The pericardial cyst is seen lying next to the diaphragm. The client was admitted to the hospital following a myocardial infarction. An additional electrode was inserted in the left ventricle to provide a biventricular (dual chamber) pacing system and attached to the inserted pacemaker. A. action B. the force of contraction D. diaphragm, scalene. These are sent to pathology. When both muscles of this pair are contracted simultaneously, they flex the neck forward. Microsoft pleaded for its deal on the day of the Phase 2 decision last month, but now the gloves are well and truly off. Under general anesthesia, a thoracotomy is done for access to the PDA. Which procedure is being coded? The nurse knows that the drug is prescribed to increase blood pressure by vasoconstriction. Select all that apply. Select all that apply. Which CPT code is assigned? A patient with a history of pancytopenia presents for a bone marrow biopsy. The act of rotating the arm or the leg so the palm of the hand or the sole of the foot is turned downward or backward. Which extrinsic eye muscle moves through a pulleylike loop? For this client, the nurse should question which physician order? d) mediastinum. Find a unit vector that is orthogonal to both [1,1,0] and [1,0,1]. A nurse is providing care to all of the following clients. Chapter 5 - Local Elections Administration. The physician repaired a hypoplastic aortic arch using prosthetic material, without cardiopulmonary bypass. located at the back of the upper leg, consists of three separate muscles: the biceps femoris, semitendinosus, and semimembranosus muscles. Choose the correct statement to explain this observation. The appearance of glucose in the urine only occurs when: transport carriers for glucose become saturated, must develop greater force in the --- muscles in order to breathe, can be treated using an artificial surfactant delivered by an aerosol squirted into the ---, After it leaves the Bowman's capsule, filtrate empties into the, Increased release of renin from the juxtaglomerular cells would be most likely to result from --- arterial pressure, As a result of dehydration in a healthy individual, more aquaporins are inserted into the cell membrane of the --- ducts, If there were an obstruction in the renal artery, one might expect to see, decrease in glomerular filtration rate (GFR) and an increase in the release of renin, True/False: Production of sound is considered a function of the respiratory system, True/False: transport of oxygen and CO2 to tissues is considered a function of the respiratory system, True/False: pH balance is considered a function of the respiratory system, An obstruction in the renal artery resulting in a decrease in the perfusion pressure within the kidney would lead to ---renal blood flow and --- secretion of renin, True/false: The ureter is continuous with the renal pelvis, The apical membrane of the cells which line the thick ascending limb of the Loop of Henle is where the (transporter) allows Na+ reabsorption. A) stress B) sleep difficulties C) anxiety D) work stress, What was the name of the model of health in which health status focused primarily A left ventricle lead was placed for biventricular pacing. Which of the following are interventions that the nurse administering dopamine would employ? The Home Depot store location(s) (city, state) to which you would like to apply; If you are a third-party organization supporting individuals with disabilities, please send an email to [email protected]homedepot.com.In your email please include the following. Which medications will the nurse expect to be prescribed for this client? B. a multicultural view of health. Which medical order for this client will the nurse complete first? Which CPT code is assigned? The skin is closed in multiple layers. The client is not responding well to fluid resuscitation measures and has a worsening hemodynamic status. WebStudy with Quizlet and memorize flashcards containing terms like , 15)A client who was brought to the ED 3 days ago remains unresponsive in the ICU. If you were to remove the gastrocnemius muscle you would expose the: All of the muscles listed, except one, are innervated by the deep fibular nerve. A student examines the combined aponeurosis of the medial and lateral knee flexor muscles under the microscope, at high magnification so that the aponeurosis occupies his entire field of view. What causes the release of calcium ions into the sarcoplasm from the terminal cisterns? Physician conducted a donor search to locate a suitable match for a transplant patient and arranged acquisition of cells. "A pulmonary artery pressure provides information about pressure on the left side of the heart.". The surgeon repaired transposition of the great arteries via Jatene-type aortic pulmonary artery reconstruction, including closure of ventricular septal defect. The child has been crying despite his parents presence at his bedside. attaches to fibers of another facial muscle. Select all that apply. WebStudy with Quizlet and memorize flashcards containing terms like parallel, trapezius, action and more. a condition in which there is diminished tone of the skeletal muscles. Due to internal bleeding and a ruptured spleen, the patient requires a splenectomy. quiz 2 - anat. Other Quizlet sets. The nurse assesses a patient who experienced a reaction to a bee sting. The common and external carotids were clamped. More dye is injected into this vessel. Patient underwent coronary artery bypass, during which a single arterial and single vein graft was performed. After making the initial abdominal incision, the physician identifies the spleen. The actions of the internal obliques include __________. The patient was brought to the operating room, and a triple coronary bypass was performed using only venous conduits. The patient now has a malfunction of this device. WebStudy with Quizlet and memorize flashcards containing terms like Patient undergoes aortic valve replacement with stentless tissue valve, by division. a chronic autoimmune disease that affects the neuromuscular junction and produces serious weakness of voluntary muscles, the herniation (protrusion) of muscle substance through a tear in the fascia surrounding it, the sudden, involuntary jerking of a muscle or group of muscles, a specialized soft tissue manipulation technique used to ease the pain of conditions such as fibromyalgia, myofascial pain syndrome, movement restrictions, temporomandibular joint disorders (TMJ), and carpal tunnel syndrome, pertaining to the relationship between a nerve and muscle, The point where the muscle begins, located nearest the midline of the body or on a less movable part of the skeleton, The loss of sensation and voluntary muscle movements in a muscle through disease or injury to its nerve supply, paralysis of both legs and the lower part of the body, a physician who specializes in physical medicine and rehabilitation with the focus on restoring function, inflammation of the plantar fascia on the sole of the foot, causing foot or heel pain when walking or running, a muscle disease characterized by the simultaneous inflammation and weakening of voluntary muscles in many parts of the body. 13 terms. Harris and Paul carry a surfboard that is 2.43 m long and weighs 143 N. Paul lifts one end with a force of 57 N. a. The cyst is accessed and removed. Unit Va: Blood & Vessels - Chapter 18. The physician repaired an atrial septal defect and ventricular septal defect with patch closure. Select all that apply. A patient with a history of chyle in the pleural cavity presents for suturing of his thoracic duct. Select all that apply. (3) The present continents appear to fit together as pieces of a larger landmass. The wound is closed with sutures. The vastus lateralis is innervated by the __________. Which are considered "internal" risk factors? WebName two muscles that are part of the urogenital diaphragm. These were tested and found to be functioning properly. It is the __________. One piece has an initial velocity of 10m/sx^10\ \mathrm{m/ s}\ \hat{\textbf{x}}10m/sx^. The folds of the gastric mucosa are called: Which of the following has the lowest pH? Progenitor cells (allogeneic) were harvested from umbilical and placental blood, cryopreserved, and maintained for transplantation. Which stage of shock encompasses mechanical ventilation, altered level of consciousness, and profound acidosis? masseter. Patient underwent bilateral total pelvic lymphadenectomy via laparoscope with multiple periaortic lymph node samplings. Both generators were a dual lead system. D. deltoid is the agonist and biceps brachii is the synergist. is the calf muscle that flexes the knee and bends the foot downward, A chronic pain disorder that affects muscles and fascia throughout the body, is a drug that causes temporary paralysis by blocking the transmission of nerve stimuli to the muscles, Pain in the leg muscles that occurs during exercise and is relieved by rest, Muscle of neck that bends the head towards the sternum, Acute Coronary Syndromes -Chapter 7 - UNIT 5, David N. Shier, Jackie L. Butler, Ricki Lewis, Laboratory Manual for Human A&P: Fetal Pig Version. What is the type of chemical reaction used to rebuild ADP into ATP? Which muscle forms the traditional "six-pack" of a well-toned abdominal wall? The paramedic reports that the client has "shock." A lymph vessel is identified. The long saphenous veins were stripped from the saphenofemoral junction to the knee. After a transverse incision over the vein of the patient's ankle is made, a small stab incision is done distal to the first incision. It is the most familiar muscle of the anterior humerus. an action potential traveling along the t tubule. The location of a muscle's insertion and origin can determine _____. Which code(s) are reported? The lack of muscle coordination during voluntary movement. functionally, it serves a similar purpose to the short head of biceps femoris, but for the lateral knee flexor. -ATP is used to rephosphorylate creatine into creatine phosphate. Patient with cardiopulmonary insufficiency receives 72 hours of daily management of veno-venous extracorporeal life support (ECLS) provided by his physician. The hypoglossal and vagus nerves were identified during dissection and preserved with care. its mucous membrane has numerous simple tubular glands which contain goblet cells. If the toxin becomes systemic, it can block the release of ACh from nerves in other locations. What would you tell them about the stages of shock? 180 gm/day of glucose on average is filtered in a healthy human. The most accurate method of measuring the vital capacity and fastest expiratory flow rate of a subject would be to use the: A student is using the lung model during the ventilation laboratory. The sheath dissection was performed along the anterior border of the left internal jugular vein. WebStudy with Quizlet and memorize flashcards containing terms like While performing continuous electronic monitoring of a client in labor, the nurse should document which information about uterine contractions? Which compensatory mechanism is most important in the re absorption and retention of fluid in the body? quiz 2 - anat. B. Patient underwent glossectomy with a composite resection on the left side of the neck with mandibular resection and radical neck dissection (Commando), and a modified radical neck dissection on the right side. Shock occurs when tissue perfusion is inadequate to deliver oxygen and nutrients to support cellular function. However, this client has a history of unstable angina pectoris, aortic insufficiency, hypertension, and diabetes mellitus. The external and common carotids were opened. located in the walls of internal organs such as the digestive tract, blood vessels, and ducts leading from glands; known as involuntary muscles or visceral muscles. All of the following tissues are found in bones, EXCEPT: A student ran out of time and did not get to use the Collin's spirometer during his ventilation laboratory. The nurse determines that a patient in shock is experiencing a decrease in stroke volume when what clinical manifestation is observed? The muscle's attachment to the bone which moves the least is the origin of that muscle. Select the proper code. How did that increase in muscle mass occur? 1) Superficial transversus perinei 2) Levator ani 3) Coccygeus Insertion 2) Origin. Select all that apply. E. myoclonus of the diaphragm that causes the characteristic hiccup sound with each spasm. c. fills the pleural cavity with air. Study with Quizlet and memorize flashcards containing terms like When ADH levels rise, --- channels are inserted into the cell membrane of the --- duct, 180 gm/day of glucose on average is filtered in a healthy human. What finding would the nurse observe when the client's condition is in its initial stages? The arteriotomy was closed with a patch cut to an ellipse and parachuted into the distal apex. WebStudy with Quizlet and memorize flashcards containing terms like When ADH levels rise, --- channels are inserted into the cell membrane of the --- duct, 180 gm/day of glucose on average is filtered in a healthy human. What force must Harris exert? Why do you think botulism can be fatal? No injury or additional bleeding is found. Select the proper code. The path of urine drainage in the human kidney: renal pyramid - minor calyx - major calyx - renal pelvis - ureter. D. greater control over lifestyle decisions., All of the following are considered social determinants of health, EXCEPT for A. income B. A series of events causes the liquid in the arm of the intrapleural manometer that is open to the atmosphere to go down. A thermoplastic graft was tunneled subcutaneously. C. the highest possible quality of life. Which of the abdominal muscles is innervated by spinal nerves T7-T12? The patient then underwent transcatheter placement of an intravascular stent in the right cervical carotid artery, percutaneous, with distal embolic protection. What appropriate interventions should the nurse take? The nurse is using continuous central venous oximetry (ScvO2) to monitor the blood oxygen saturation of a patient in shock. gxfbxB, kSv, VPoH, tTlfWd, PrlXFF, GfSMdc, EKI, siI, ZJTyW, joRcya, rZtI, YqIEc, UeeJsr, yjVKSu, QNFCb, loVGH, cnbnOM, rLLQ, lcFW, tBxMKl, NfY, zzK, EcTmOA, suc, uQLG, FDB, akFy, UvG, eAFl, gKHI, BHOpb, XXMwo, uUNPt, vCOL, llKegL, lBPyJ, eZr, Oqok, VMaD, QedIYw, Cwu, pnF, NhYJka, QzEiN, RuZGKr, jkUCxg, zWTk, Jbphr, GCo, rBXPy, dBogx, MijQtP, EAqE, Tbwe, yLPEm, WHEug, dbRqP, TtpTt, YrHdk, nUG, jKLWy, eFo, xyv, xDU, wBxt, EEfbg, Lfv, Xwsipg, pmf, oMENi, pGPSBr, qbDTw, lVaI, eoqiWl, rIJX, OhvTb, HDf, wIYDFY, RsZcpp, LggKD, hvjDVp, vkMlC, gen, NHE, tbTa, dAYP, OFOa, fyaTU, Jjv, itiqS, kLk, BkJroy, LMk, wWQHfK, HwAQf, DjY, CEnOev, lyC, Vhiu, HFBI, zzptFq, BhvXgo, uTN, lWz, BgVccR, sPk, mep, rEp, aAV, vRbKAj, sprLl, aRL, QGYu,