A 24-year-old man presents with complaints of increasing drainage from both eyes associated with mild discomfort for the past day. He denies severe eye pain or blurring of his vision. He also complains of dysuria and urethral discharge. He is sexually active and does not regularly use protection. On examination, his visual acuity is 20/20 in both eyes. There is profuse purulent discharge as well as marked chemosis, lid swelling, and tender preauricular adenopathy. Which of the following is the most appropriate diagnostic evaluation?
A. Direct Fluorescent antibody testing
B. Fluorescent treponemal antibody absorption test
C. Gram Stain
D. Tzanck Smear

Answers

Answer 1

The correct option is (c) Gram Stain

What is gram stain?

Gram staining is a technique that divides bacteria into gram-positive bacteria and gram-negative bacteria.

By analyzing the chemical and physical characteristics of their cell walls, bacteria are distinguished by gram staining.

The principal stain, crystal violet, is retained by a thick coating of peptidoglycan in the cell wall of gram-positive cells.

Because the peptidoglycan layer on gram-negative cells is thinner, ethanol can be added without crystal violet staining the cells. The counterstain, which is typically safranin or fuchsine, stains them pink or crimson.

The initial stage in the preliminary identification of a bacterial organism is always gram staining.

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Related Questions

when a client presents to the emergency department with pneumonia, which signs and symptoms would the nurse expect the client to exhibit?

Answers

The signs and symptoms expected by the nurse for the client to exhibit are fatigue, orthopnea, fever and dyspnea. In case of pneumonia, patients with orthopnea display dyspnea and prefer to sit up or be propped up and the strain of breathing has worn out the patient.

What is Pneumonia?

In this disease, the air sacs in one or both lungs become inflamed. The air sacs may swell with fluid or pus (purulent material), which can lead to a cough that produces pus or phlegm, a fever, chills, and breathing difficulties. Pneumonia can be brought on by a number of species, including bacteria, viruses, and fungus.

What are the signs and symptoms of Pneumonia?

1. Chest pain while breathing or coughing.

2. Producing phlegm while coughing.

3. Sensation of fatigue.

4. Occurrence of fever sweats with chills.

5. Nausea, vomiting or diarrhea.

6. Difficulty in breathing (orthopnea).

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A student nurse is performing a gynecologic (GYN) assessment on a patient. Which statement reflects a need for further learning?
1
"The urethra is a crucial reproductive structure."
2
"The perineum is the area between the vagina and the anus."
3
"There are two sets of labia: the labia majora and labia minora."
4
"The vaginal vestibule contains the Skene and Bartholin glands."

Answers

"The urethra is a crucial reproductive structure" reflects a need for further learning when a student nurse is performing a gynecologic (GYN) assessment on a patient. The correct option is 1.

A patient is being assessed gynecologically (GYN) by a nursing student. The urethra is the structure that moves pee from the bladder to the outside of the body; it is not an essential reproductive structure. The region between the vagina and the anus is known as the perineum. The labia majora and labia minora are the two sets of labia.

The Skene and Bartholin glands are located in the vaginal vestibule. The Bartholin gland produces mucus to lubricate the vagina's opening during intercourse, while the Skene gland produces a fluid that is believed to be similar to the male prostate fluid. Gynecology refers to the study of women's reproductive health, and GYN examinations are often performed to monitor and ensure the patient's reproductive health is stable.

In females, the urethra is separate from the reproductive system, unlike in males, where it also carries semen during ejaculation. The other statements are accurate and do not indicate a need for further learning.

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6. Which of the following is NOT a question you ask someone to describe his or her pain? Do you think it will go away soon? O How long has it been hurting? Has the pain become more intense? O Is it throbbing, aching, burning or stinging?​

Answers

One question you don't ask someone to describe your pain is do you think it's going to go away soon?

What does pain management mean?

Pain management applies to inpatients, patients in emergency care units. Continuity of pain assessment, treatment and monitoring must be maintained when the patient is transferred between units and circulates between areas of the institution.

With this information, we can conclude that one question you don't ask someone to describe your pain is do you think it's going to go away soon?

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methadone, a drug used to aid in the withdrawal from heroin, contains several functional groups. which functional group is not found in methadone

Answers

The functional group not found in methadone is a carboxylic acid group.

Methadone is a synthetic opioid that is commonly used as a replacement therapy for individuals who are addicted to heroin or other opioids. It contains several functional groups, including a tertiary amine, a phenyl group, and a hydroxyl group. However, it does not contain a carboxylic acid group. The absence of this group is significant because carboxylic acids can increase the water solubility of a molecule, which can affect its pharmacokinetic properties. Methadone's lack of a carboxylic acid group likely contributes to its unique pharmacological profile and clinical effects.

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Which of the following is NOT included in the Patient Bill of Rights?
1) Right to informed consent
2) Right to religious belief
3) Right to leave
4) Right to be seen after several no-show appointments

Answers

Answer:

4. Right to be seen after several no-show appointments

Explanation:

Issues that need to be addressed are patient competence, consent, right to refuse treatment, emergency treatment, confidentiality, and continuity of care. Proper awareness of the ethical principles and the ability to apply them to specific circumstances is relevant to all clinical specialties and settings.

The option that is not included in the Patient Bill of Rights is "Right to be seen after several no-show appointments," which is in Option 4. As the Patient Bill of Rights is a set of guidelines developed by the American Hospital Association,

What is the Patient Bill of Rights?

The Patient Bill of Rights is a set of guidelines that were developed by the American Hospital Association to ensure that patients receive high-quality medical care and that their rights are respected while receiving care. The Patient Bill of Rights outlines various rights and responsibilities that patients have when receiving medical treatment. One of the rights included in the Patient Bill of Rights is the right to informed consent. This means that patients have the right to receive all relevant information about their medical condition, the right to leave, etc.

Hence, the option that is not included in the Patient Bill of Rights is the right to be seen after several missed appointments, which is Option 4.

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some help me pleasez​

some help me pleasez

Answers

Answer:

I think it would be A/1

Explanation:

C would be the correct answer because of the ketchup having sugars.

Sophie has a BMR of 1,500 calories. What is her TEE if she exercises moderately? A. 1,800 calories B. 2,062.5 calories C. 2,325 calories D. 2,587.5 calories E. 2,850 calories

Answers

Answer:

Sophie has a BMR of 1,500 calories. What is her TEE if she exercises moderately?

C) 2,325 calories

Explanation:

PLEASE MARK ME AS BRAINLIEST

Which of these actions is legally required when dealing with medical records?

Answers

Medical records have an unusual legal status. They are medical care practitioners’ primary business records, but they are also confidential records of information whose dissemination is at least partially controlled by the patient. This is further complicated by the ambiguous nature of rules governing physician–patient communications.

Consider the duties of a radiologic technologist. Which of the following is the first step in performing a diagnostic imaging examination?

A position the patient
B address patient concerns
C take images of the patient
D review image results

Answers

B.) Address patient concerns
B) address the patient’s concerns

Jenny is awake and alert and wants to go home. SELECT THE FIRST TWO NURSING ACTIONS IN THE ORDER THAT THEY SHOULD BE IMPLEMENTED:

Answers

Answer:

Sleepytime medican and her mother

Explanation:

Answer:

Sleepytime medican and her mother

What is the Apgar score for the infant whose findings are heart rate of 120 bpm, crying vigorously, actively moving extremities, blue hands and feet, and sneezed upon suctioning with a bulb syringe

Answers

The Apgar score is a test given to newborn babies to assess their overall health and to identify any potential issues that may require immediate medical attention.

It is used to determine the infant's physical condition within the first minutes of life. The Apgar score is based on a five-point scale, with a maximum score of 10, which evaluates an infant's heart rate, respiratory effort, muscle tone, reflex irritability, and skin color.

The infant whose findings are heart rate of 120 bpm, crying vigorously, actively moving extremities, blue hands and feet, and sneezing upon suctioning with a bulb syringe has an Apgar score of 8. A score of 2 is given for each of the following: Heart rate, respiratory effort, muscle tone, and reflex irritability. Skin color is scored at 0, 1, or 2, depending on whether it is blue and pale, the body is pink but the extremities are blue, or the body and extremities are entirely pink, respectively. The infant in the scenario has a heart rate of 120 bpm, which earns a score of 2 for heart rate. He or she is also crying vigorously, actively moving extremities, and sneezing upon suctioning with a bulb syringe, which each receives a score of 2 for respiratory effort, muscle tone, and reflex irritability. The infant's blue hands and feet are a sign of poor oxygenation, which reduces the score to 1 for skin color. As a result, the infant's Apgar score is 8.

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What should George do when he encounters a new word?

Answers

When George encounters a new word. He should read the words carefully by going through them in books and can listen carefully to the words in online lectures.

What is vocabulary?

Vocabulary is the word and meaning of any book or language.

George has the ability to break down words in such a way that he memorizes less and understands more.

Learn more about the origin and structure of medical words and discuss them with his colleagues more frequently.

Therefore, when George comes upon a new word. He should carefully read the words in books, and he might carefully listen to the words in online courses.

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The question is incomplete. Your most probably complete question is given below:

George Tomlin, RMA, has been working for several years in a specialty practice. He applies for a position closer to his home with better hours and more pay. This office, however, sees patients with a variety of illnesses. For the first time since he graduated from college, he is encountering words and procedures with which he is not familiar.

According to Clevette and colleagues, examples of unsafe, common disciplinary actions reviewed by boards of nursing include all of the following EXCEPT

Answers

Failure to implement safeguards to ensure patient confidentiality of patients protected health information aren't reviewed  by boards of nursing.

Who is a Nurse?

This is a healthcare professional who is involved in taking care of the patient so as to ensure quick recovery.

The nursing board deals with approval of nursing programs and also issues which may arise from direct relationship with the patient  such as abuse so as to ensure the best hands are in the job.

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Some organisms in this zone make their own food through chemosynthesis .

Answers

Yes, that is true. I think

what information would the nurse practitioner include in teaching a patient about the treatement of vitamin b12 deficiency following a total gastrectomy

Answers

The nurse should teach about vitamin supplementation, vitamin rich foods etc.

Vitamin B12 supplementation: Following a total gastrectomy, vitamin B12 deficiency must be prevented or treated with oral supplements or intramuscular injections.

Supplementing frequency: The frequency of supplementation varies on the demands of the individual, however it's typically advised to receive a Vitamin B12 injection every 4–12 weeks.

The nurse practitioner should stress the significance of routinely checking the patient's vitamin B12 levels to make sure they are getting enough supplements.

The patient should be informed about any possible interactions between vitamin B12 supplements and other drugs, particularly those that impact gastric acid production, by the nurse practitioner.

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Carrots contain large amounts of carotene, a precursor of vitamin a. Can eating carrots help improve blurred vision from myopia or hyperopia? explain how eating carrots may influence scotopic vision.

Answers

Answer:

Yes, eating carrots can assist enhance eyesight under specific circumstances. Vitamin A is produced by the body using beta-carotene, and "vitamin A is extremely vital."

Explanation:

Carrots are high in beta-carotene, a substance that the body uses to make Vitamin A, and they can help lower cholesterol and, yes, improve vision. Vitamin A aids in the conversion of light into a signal that is conveyed to the brain, helping you to see more clearly in low light.

What do the physical features of the Great Plains and the Gulf Coastal Plain have in common?

Answers

Answer:

Both have cold winters.

Explanation:

When I am presenting something in class, I can't help to shake really badly and feel light-headed for no reason. Like I could feel so confident and prepared but still have really bad anxiety. How do I control my nerves when presenting??

Answers

this is something that will never completely go away. however, there are things you can do to help keep nerves under control.

try and focus on your material, instead of the audience. the audience is there to hear about your material, and their job is not to critique you. make sure you can't see the audience.

speak slowly. if you feel yourself starting to speak quickly, try to slow down and think clearly about word pronunciation.

another thing to try is to practice going over your material. this will make it easier to seem natural when presenting.

Answer:

There are several things you can do to control your nerves when presenting:

Practice: Practicing your presentation in front of a mirror or friends can help you become more comfortable and confident with the material.

Deep breathing: Take deep breaths before you begin to calm your nerves and slow your heart rate.

Visualization: Visualize yourself giving a successful presentation, and imagine yourself feeling confident and in control.

Positive self-talk: Remind yourself of your strengths and that you are well prepared.

Relaxation techniques: Try progressive muscle relaxation or other relaxation techniques to reduce physical symptoms of anxiety.

Stay hydrated and well-fed: Dehydration and low blood sugar levels can make you feel light-headed and anxious.

Focus on your audience: Remember that your audience wants you to succeed and is there to hear what you have to say.

Get enough sleep: Adequate sleep can help reduce anxiety levels.

Explanation:

Remember, everyone gets nervous at some point, but it's important to focus on your strengths and the message you want to convey, rather than your anxiety.


ALLEN

What are the 2 main fluid systems in your body?


A.blood and lymph

B.water and oxygen

C.blood and plasma

D.hormones and sugar

Answers

Answer:

A. Blood and Lymph

Explanation:

Hope this helps!

(a) blood and lymph
:)

Which of the following was not listed as one of the several important responsibilities counselors are charged with that have to do with promoting client welfare and protecting client rights?

Answers

Answer:

Responsibilities that counselors are charged with to assure the protection of clients rights and the promotion of client welfare: 1. Identify the clinical issue 2. Identifying the system issue 3.

Explanation:

How did the Millis Commission Report lead to the importance of certifying pharmacy technicians?

Answers

The Commission defined pharmacy as a knowledge system which produces a service. Practitioners in specific areas of pharmacy are considered to possess both common and differentiated knowledge and skills. While pharmacy as a system is viewed as effective and efficient with reference to drug products, it is far from satisfactory with reference to drug knowledge and information.

How important is a pharmacy course?

It is the role of the professional in the product commercialization area because the research process, cosmetics and personal hygiene products, in addition to the register, distributor and medicines are commercialized.

With this information, we can conclude that The pharmacy technician can act in some pharmacotechnical operations, assist in the performance of quality control tests, in the purchase routines, storage, maintenance of the stock of products and raw materials, always under the supervision of the pharmacist.

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A client has 6/10 knee pain at the beginning of a workout. at the end of the first set of the lateral step with a mini-band his knee pain decreased to 4/10. at the end of the second set it decreased to 2/10. after the third set, his knee pain increased back to 4/10. what should you do next

Answers

Perform a fourth set and see if it helps is the most appropriate thing to do next.

What is Pain?

This is defined as an unpleasant sensation and emotional experience usually caused by tissue damage.

During the workout, the pain reduced a bit and increased which is why the fourth set should be done to ascertain its effect so as to know if alternative medications will be used.

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Which of the following criteria is required to become licensed and employed as an EMT? Question 4 options: a) Demonstration of the ability to lift and carry at least 200 pounds b) Proof of immunization against certain communicable diseases c) A minimum of 60 college credit hours that focus on health care d) Successful completion of a recognized bystander CPR course

Answers

The criteria required for becoming licensed and employed as an EMT is: (b) Proof of immunization against certain communicable diseases.

EMT is the abbreviation for Emergency Medical Technician. Their first priority is to transport the patient to the nearest hospital at the earliest while providing care on the way. They are also trained with certain skills and techniques to deal with emergency and life-threatening situations.

Communicable diseases are those that can easily spread from one person to another. This can happen by physical contact with the patient, contact with the patient's personal belongings, through infected surfaces or inhaling the infected droplets. Therefore, an EMT needs to be immunized against such diseases for his as well as the patient's safety.

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Fibers and Glucagon are complex carbohydrates

True or false?

Answers

Answer:

True

Explanation:

I had this same question and i got 100% my answer was true :)

Carbohydrate is a class of food which when digested is broken down into glucose.

It is true that Fibers and Glucagon are complex carbohydrates

Complex carbohydrate are mainly healthy Carbohydrate which contains vitamins, minerals and fiber. They do not cause increase in blood sugar.

Simple carbohydrates on the other hand, causes diabetes, high blood pressure, and heart disease.

Fiber is an example of a complex carbohydrates which are gotten from plants. It helps to regulate blood sugar level and cholesterol.

Glucagon is an hormone which works with other hormones in the body to regulate blood sugar level.

Therefore, it is true that Fibers and Glucagon are complex carbohydrates.

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Which of the following statements is true of cones?

Answers

The statement that is true about cones is:

These cells are responsible for color vision.

What are cones?

The photosensitive cells found in the retina of vertebrate animals are called cones.

Characteristics of cones

They are structurally similar to rods, but require much higher light intensity to become active.

They operate in daylight conditions and are responsible for photopic vision, where the color perception occurs.

Therefore, we can conclude that the receptors of the colors are the cones (photosensitive cells that are located in the retina, responsible for us perceiving colors in one way or another).

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What is the major difference between dissociative amnesia and retrograde amnesia.

Answers

The major difference between dissociative amnesia and retrograde amnesia is the cause and type of information that is forgotten.

What is amnesia?

This is a disease or condition in which it is difficult for patients to remember specific information.

What is dissociative amnesia?

This type of amnesia implies patients cannot remember relevant information such as one's name, one's location, specific events or feelings.

This is often caused due to traumatic events or stress.

What is retrograde amnesia?

This type of amnesia implies patients cannot remember information from their past. This means patients can remember the events that are happening today, but not the ones yesterday, last year, etc.

This is often caused by brain injury or diseases such as Alzheimer's disease or a cardiac arrest.

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an order is for 10mg of medication, on hand the vials contain 20mg/mL how many milliliters must be dispensed?

Answers

Answer:

0.5ml

Explanation:

Step-by-step explanation:

The dose of the medication must be equal to 10mg, and we know that the vials contain 20mg/ml

This means that in each milliliter of the solution, we have 20mg of the medication, but we only want to give 10mg, so we must use half of a milliliter.

you can also calculate this by:

Amount needed/amount of the medicament in volume

10mg/(20mg/ml) = (1/2) ml = 0.5ml

which diagnostic test provides instant feedback about a patient’s oxygenation status?

Answers

Pulse oximetry provides instant feedback about a patient's oxygenation status. Pulse oximetry is a non-invasive diagnostic test that measures the oxygen saturation levels in a patient's blood. It involves the use of a small device called a pulse oximeter, which is typically attached to a finger, toe, or earlobe.  

The pulse oximeter emits two different wavelengths of light that pass through the patient's skin and blood vessels. It then measures the amount of light absorbed by oxygenated and deoxygenated hemoglobin in the blood.

By analyzing the light absorption, the pulse oximeter calculates the oxygen saturation level, expressed as a percentage. This measurement is known as SpO2 (peripheral oxygen saturation). It indicates the percentage of hemoglobin that is bound with oxygen. Normal oxygen saturation levels typically range from 95% to 100%.

Pulse oximetry is widely used in various healthcare settings, including hospitals, clinics, and home care, to quickly assess a patient's oxygenation status. It provides instant feedback, allowing healthcare providers to monitor oxygen levels continuously and identify any potential hypoxemia (low oxygen saturation) or respiratory distress.

It is important to note that while pulse oximetry is a valuable tool for assessing oxygenation, it does not provide information about other important respiratory parameters such as carbon dioxide levels or lung function. In certain clinical situations, additional diagnostic tests may be necessary for a comprehensive evaluation of a patient's respiratory status.

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Lately, the number of COVID-19 patients in hospitals has increased and the majority are unvaccinated people who have moved from vaccine hesitancy to vaccine resistance and then vaccine refusal. Health personnel is not only exhausted and frustrated, but we have seen the impact this has caused through increased deaths among patients with non-Covid 19 related diseases. The disparities arise because most resources and time are on the pandemic and so many patients have missed timely diagnosis of other diseases, missed follow-up treatments including cancer patients, inability to be admitted for lack of beds, etc., etc. Increasing resignations from all cadre of health workers exacerbates the situation.
Recently you got hired as a researcher for quality and operations management at a large local hospital. Your initial studies and reports reveal that the mortality rates have tripled in the last 1 year. In your interviews and focus group meetings with workers on how the situation should be handled, many suggest those who are unvaccinated should not be given priority in treatment because they made decisions deliberately and are paying the price. In research, you present findings as they are regardless of your own personal opinion or manipulate participants to sway the truth on their views. So you make the recommendations to the hospital management as is.
After you meet with the administration, the director asks you "What is your opinion on this issue suggested by the workers? What do you recommend us to do as a hospital?" Promising your stand will not be used against you as an employee, briefly explain/state your perspective on this (about 350 words).

Answers

Answer: As a researcher in quality and operations management, my role is to provide evidence-based recommendations that prioritize the health and safety of all patients. While it is understandable that health workers are frustrated and exhausted due to the increased number of COVID-19 patients in hospitals, it is not appropriate to deny treatment to unvaccinated patients who are in need of medical care. This goes against the fundamental principle of healthcare, which is to provide treatment to all patients regardless of their personal beliefs or choices.

Moreover, it is important to recognize that vaccine hesitancy or refusal is a complex issue that involves many factors, including misinformation, fear, and lack of access to vaccines. Rather than blaming or punishing unvaccinated patients, the hospital should work to address the root causes of vaccine hesitancy and provide education and resources to help patients make informed decisions about their health.

In addition, it is crucial for hospitals to allocate resources effectively and efficiently to ensure that all patients receive timely and appropriate care. This may involve reorganizing workflows, prioritizing high-risk patients, and implementing strategies to reduce wait times and increase bed capacity. Furthermore, addressing the issues of worker burnout and staffing shortages is essential to ensure that healthcare professionals can provide high-quality care to all patients.

Overall, my perspective is that the hospital should prioritize patient-centered care and provide treatment to all patients in need, regardless of their vaccination status. At the same time, the hospital should address the underlying issues that contribute to vaccine hesitancy and optimize resource allocation to ensure efficient and effective care.

HCPCS level II codes are: a. sometimes replaced by HCPCS level III temporary codes. b. intended for use by all private and public health insurers. c. maintained by the AMA's Editorial Board, which makes decisions about additions, revisions, and deletions. d. updated by CMS when necessary, without participation by the HCPCS National Panel.

Answers

Answer:

HCPCS Level II codes are alphanumeric medical procedure codes, primarily for non-physician services such as ambulance services and prosthetic devices,. They represent items, supplies and non-physician services not covered by CPT-4 codes (Level I).

Explanation:

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A grocer sells apples for $1.35 each, pears for $1.45 each and oranges for $1.60 each. she also offers a discount of 70c for anyone who buys two pieces of fruit, and a discount of $1.60 for anyone who buys three pieces of fruit. one day she sells 50 pieces of each type of fruit, for a total of $202. how many customers did she have, assuming each customer bought 1, 2 or 3 pieces of fruit? The magnetic field 41.0 cm away from a long, straight wire carrying current 6.00 A is 2930 nT. (a) At what distance is it 293 nT? ( 410 cm (b) At one instant, the two conductors in a long household extension cord carry equal 6.00-A currents in opposite directions. The two wires are 3.00 mm apart. Find the magnetic field 41.0 cm away from the middle of the straight cord, in the plane of the two wires. How far is the point of interest from each wire? (c) At what distance is it one-tenth as large? 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