The nurse begins the physical examination of the respiratory system. Answers to interactive activity elements will be provided within the element as immediate feedback.) 1.Īn elderly client is admitted to the medical floor with increased shortness of breath, new productive cough, and low-grade fever. (Answers to “Learning Activities” can be found in the “Answer Key” at the end of the book. *CRITICAL CONDITIONS to report immediatelyĭecreased level of consciousness, restlessness, anxiousness, and/or irritability Pain or tenderness with palpation, crepitus, palpable masses, or lumpsĬlear, low-pitched, hollow sound in normal lung tissueĭull sounds heard with high-density areas, such as pneumonia or atelectasisīronchovesicular and vesicular sounds heard over appropriate areasĪdventitious lung sounds, such as fine crackles/rales, wheezing, stridor, or pleural rub Respiratory rate within normal range for ageĪbsence of accessory muscle use, retractions, and/or nasal flaringĪnteroposterior: transverse diameter ratio 1:2Īccessory muscle use, pursed-lip breathing, nasal flaring (infants), and/or retractions Unexpected Findings (Document and notify provider if a new finding*) See Figure 10.5 and Figure 10.6 for landmarks of stethoscope placement over the anterior and posterior chest wall. This side-to-side pattern allows you to compare sounds in symmetrical lung fields. Listen to sounds from side to side rather than down one side and then down the other side. Avoid listening over bones, such as the scapulae or clavicles or over the female breasts to ensure you are hearing adequate sound transmission. The best position to listen to lung sounds is with the patient sitting upright however, if the patient is acutely ill or unable to sit upright, turn them side to side in a lying position. The stethoscope should not be performed over clothes or hair because these may create inaccurate sounds from friction. Listen to normal breath sounds on inspiration and expiration.Ĭorrect placement of the stethoscope during auscultation of lung sounds is important to obtain a quality assessment. If the patient is ready to quit, the five successful interventions are the “5 A’s”: Ask, Advise, Assess, Assist, and Arrange.Īsk – Identify and document smoking status for every patient at every visit.Īdvise – In a clear, strong, and personalized manner, urge every user to quit.Īssess – Is the user willing to make a quitting attempt at this time?Īssist – For the patient willing to make a quitting attempt, use counseling and pharmacotherapy to help them quit.Īrrange – Schedule follow-up contact, in person or by telephone, preferably within the first week after the quit date. Have you ever tried to quit smoking/vaping? What strategies gave you the best success?Īre you interested in quitting smoking/vaping? What products do you smoke/vape? If cigarettes are smoked, how many packs a day do you smoke? What have you used to treat the cough? Has it been effective? When you cough, do you bring up anything? What color is the phlegm?ĭo you have any associated symptoms with the cough such as fever, chills, or night sweats?ĭoes anything bring on the cough (such as activity, dust, animals, or change in position)? How does the shortness of breath affect your daily activities? Is the shortness of breath related to a position, like lying down? Do you sleep in a recliner or upright in bed?ĭo you wake up at night feeling short of breath? How many pillows do you sleep on? What makes the shortness of breath go away? How long does the shortness of breath last? Is the shortness of breath associated with chest pain or discomfort? Note: If the shortness of breath is severe or associated with chest pain, discontinue the interview and obtain emergency assistance.Īre you having any shortness of breath now? If yes, please rate the shortness of breath from 0-10 with “0” being none and “10” being severe?ĭoes anything bring on the shortness of breath (such as activity, animals, food, or dust)? If activity causes the shortness of breath, how much exertion is required to bring on the shortness of breath? Have you had any feelings of breathlessness (dyspnea)? Please identify what you are taking and the purpose of each. Please describe the conditions and treatments.Īre you currently taking any medications, herbs, or supplements for respiratory concerns? Have you ever been diagnosed with a respiratory condition, such as asthma, COPD, pneumonia, or allergies?ĭo you use home respiratory equipment like CPAP, BiPAP, or nebulizer devices?
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If you want the full breakdown for all 32 teams, you've come to the right place. Download » Mike Clay's team-by-team projection guide This sheet features 300 players in order of overall draft value, with positional rank, salary-cap value and bye-week information. One sheet with players broken down by position, including overall rank, salary-cap value and bye weeks. Access the Cheat Sheet » Non-PPR positional cheat sheetįor leagues using the scoring format that doesn't award an extra point for each reception. Download » Cheat sheetĮric Karabell's Do Not Draft list, RB and WR tiers, Eric Moody's QB and TE tiers, and Mike Clay's Ultimate Draft Board in one printable cheat sheet to bring with you to your fantasy football drafts. The OP position can be filled by any QB-, RB-, WR- or TE-eligible player, which greatly enhances the value of quarterbacks in the rankings. This sheet features our rankings when drafting for a league featuring the offensive player (OP) slot, also known as superflex and available as a custom option in League Manager. Download » PPR top-300 superflex cheat sheet Perfect for the first-time drafters and minimalists alike. The beginner's cheat sheet is streamlined to the 160 players you need to know for your 10-team PPR draft, organized by round and a write-in area to keep track of your team. Download » Beginner's fantasy football PPR cheat sheet We recommend this sheet for those using half-PPR, as the rankings are extremely similar. This sheet features 300 players in order of overall draft value, with positional rank, salary-cap value and bye-week information for leagues that reward each catch with a point. One sheet with players broken down by position, including overall rank, salary-cap value and bye weeks for leagues that award one point for each catch. Below, you will find them for PPR (point per reception) and non-PPR formats, as well as dynasty leagues. If you're seeking a one-stop shop for updated 2023 fantasy football rankings, depth charts and cheat sheets throughout the summer, you've come to the right place. You have reached a degraded version of because you're using an unsupported version of Internet Explorer.įor a complete experience, please upgrade or use a supported browserįantasy Football cheat sheets: PPR, non-PPR, depth charts Please include your past experience in working with Excel, especially any related specifically to data extraction, consolidation and template creation. xPos yPos enemy hero.findNearestEnemy () if enemy: hero.attack (enemy) hero.attack (enemy) hero.attack (enemy) Else, keep moving up and to the right. Ability to devise a solution to effectively collate the three current documents irrespective of changing positions or columns. Knowledge of VBA and Macros would be advantageous to handle shifting columns. Would have extensive experience in Excel and be familiar with advanced formulas and functions. This template should be capable of pulling data from three different Excel documents and combine them, irrespective of their positions or columns within each document. I'm looking for a proficient Excel professional who can create a reusable and efficient Excel template for me. Watch for flags that may appear signaling certain events.','','while True:',' if hero. # Multiply Simonyi's number by Laszlo's to get Agata's number.Īgain thanks for the help and for the 's everyone.Need an excel template created that can pull data from 3 different excel documents and combine them to include a few key inputs from each sheet into one custom document that I can reuse monthly as those documents change. # Divide Erzsebet's number by 4 to get Simonyi's number. I used very similar code in this level, but it did not work. # Move to Erzsebet and say her magic number. Cs3 javascript level 21 help (SOLVED) n413673 October 8, 2021, 2:39pm 1. # Add 7 to Laszlo's number to get Erzsebet's number. Las = hero.findNearestFriend().getSecret() Here is my code: # Move to Laszlo and get his secret number. Also dont attack the burl.','','while True:',' Find the nearest item. Defend against waves of ogres Survive longer than your enemy to win pet getting stuff pet. Information is provided 'as is' and solely for informational purposes, not for trading purposes or advice. The burl still is collecting gems, so dont touch them.','. while True: enemy hero.findNearestEnemy() friend hero.findNearest(hero. CHARLESCRAWFORD April 17, 2020, 12:23am 1. Quotes are not sourced from all markets and may be delayed up to 20 minutes. Its basically like I am repeating the level but cannot officially pass it. Ogres cursed it and we should defeat them.','. I have passed the level running it many times however when I submit it, the numbers and variables change. To associate your repository with the codecombat-solutions topic, visit your repos landing page and select 'manage topics. I believe there is a bug in the Wizard’s Door in Backwoods forest. First of all I want to give a shout-out to and for all of the likes. Seventh Grade can take up a lot of your time and any other free time. 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Mostly all of the required details will be in the description so always check the download page for more details. Just keep that in mind when browsing through & installing any of these beautiful lots. While some of these are compatible with the base game, most of them need expansions and stuff packs – and some use Custom Creations (CC) as a powerful tool to design unique spaces. I’ve put together huge list of my favorite user-created lots, homes, parks, stores, dance clubs, mansions, all that good stuff to get you started on your Sim-focused real estate journey. Or you can marvel at other people’s creations online, and even bring them into your game! Maybe you enjoy the dollhouse-like character creator, the goofy activities you can make your Sims do, or the opportunity to create the home of your dreams. Was this article helpful? 0% of 0 players found this article helpful.Everyone loves The Sims. Keep an eye on Help and on Twitter, and check for any known game bugs or outages For more gameplay tips and tricks, join the conversation over on Answers HQ.Did you know that The Sims 4 base game is now free to play? For more information, we have everything covered here.If you see Gallery content that’s breaking our rules, report the Gallery content using our steps here. Here you can view everything you have saved and can filter your saves by Lot, Household, and Room. To find these later on, at the top of the Gallery click on the My Library icon. When you click into a Lot, Room or Household click the Save Lot To My Library icon. You can toggle the custom content option off and on when searching, by ticking or unticking the box on the left-side bar when searching the Gallery.įor more info on custom content for The Sims 4, check out our Mods article.Īs you explore the Gallery, you can save content for future use to your Library. If you have the content installed but it's still missing, you may need to restart your game. This content will be missing from your download if you don't have it installed to your computer. Sims and lots uploaded to the Gallery may contain custom or exclusive content. Why are things missing from the Sim or house I downloaded from the Gallery? If you’re trying to place a house or lot, you can’t place anything bigger than your current lot size. Make your selection and click Replace Lot. 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Hi, first, thanks for sharing all your problems and solutions, it helped me fixing my problem! Thanks!Īlthough i am not using an mega 2560 (yet) i could not get the nrf24l01+ modules to run for quit a time. On my Uno and Duemilanove I can use the internal 3,3V but not on the Mega 2560. When I removed the external power from the one connected to the Mega 2560 and used the 3,3V from the Mega it stopped working, switching back to the external power supply everything was back ok. I then removed the external power supply from the one connected to my Uno and that also worked. I then tried the 2 small ones using the same power supply and they suddenly worked like they should. After a lot of head scratching I thought that maybe I had a bad module so I connected the 2 big ones and used external power, they worked. I first tested the 2 small ones and ran in to the above problems. The big ones draw quite a lot of current and you must power them from a separate power supply. I found this out because I have 4 RF24 modules, 2 small ones with the antenna on the board and 2 big ones with preamp and amp and external antenna. My Mega 2560 is a Chinese clone, maybe it has bad 3,3 voltage circuit, I don't know. When I connect the RF24 module to my Mega 2560 and take the 3,3V from my lab power supply it works. Well I got it working after trying lots of things. Let me know if you come up with a solution. I'm thinking about connecting the different systems with just a SPI connection, thus elimating the rf24 factor to see which side the problem is on, RF24 lib or SPI lib. Some good docs for the arduino hardware SPI's stuff below. The MOSI(pin 51 mega), MISO (pin 50 mega) and SCK (clock pin 52 mega) are hardwired into the ATmel chip. This keeps the mega2560 from becoming a slave (LOW input). This tests out when using working the nano to nano configuration.Īlthough, if mega's SS pin 53 is not used for CSN, then the mega's SS pin 53 still needs to be output or at least HIGH input. My understanding is, in SPI that CE and CSN are both user assignable. I'm using radio(CE,CSN), RF24 radio(49,53) also, seems convenient. The mega2560 to nano has the mega2560 timing out still. The nano to nano (using a nano instead of the uno now) is still working fine in both RX and TX. Recently I've rewired the test circuits back to where I was when I gave up. That is, the MEGA2560 never gets an ok ping back from GettingStarted.pde's ok = radio.write(.) While my mega2560 has TX to the uno, the mega always times out and never received any TXs. Your 80% time outs with TX on the mega would be an improvement for me. The fault seems to be on pin 5 SCK when you use resistors / voltage dividers! " "Had the same problem using the resistors / voltage dividers! 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