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The mission of Montessori Western Teacher Training Program is to facilitate the development of the “whole” adult. Our approach is to present the Montessori Method as an open-ended system designed to foster autonomy. We support this model by providing a related group of varied experiences that are congruent, on an adult level, with the child’s experience and growth in a Montessori setting.

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  • Tuesday 2 July The diaphragm of the stethoscope is used to listen to high-pitched sounds such as normal heart sounds, breath sounds, and bowel sounds. Friday 13 September While assessing a year-old client's near vision, the nurse can anticipate the client will state that her vision is: a clear. Save sort order.

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    Focus on your overall points or arguments, then paragraphs, then sentences. After you have edited for content, structure, and quality, move on to proofreading for grammar.

    Editing Content is accurate,…. Continue Reading. One of the main staples of academic writing is the research paper. Here are common elements of research papers: Introduction and…. There is no obvious need to assess the patient's neurological, GI, or musculoskeletal function in patients with edema. A nursing student is assessing a patient who has a history of peripheral vascular disease and who is being treated for a venous ulcer on his ankle.

    The student has asked the patient about his symptoms and has carefully inspected the man's lower legs. What action should the student next perform? Explanation: Palpation normally follows inspection. In a patient with peripheral vascular disease, strength and range of motion are not usual focuses of assessment. There is no need to assess blood pressure in the patient's thighs. Upon assessment of a patient with myasthenia gravis, the nurse observes drooping of the upper eyelids.

    What is this finding is known as? Inward turning of the lower lid is termed entropion. Outward turning of the lower lid is termed ectropion, and miosis is constriction of the pupil, which is often caused by medications. Upon admission to the hospital, the client states, "I am having surgery to correct my back.

    I have pain in the lower back and the doctor is going to do a lumbar laminectomy. Explanation: The first subject discussed in a client interview is the client's specific reason for seeking care. The subject is often called the client's chief complaint or chief concern. What percentage of weight change in 6 months is considered abnormal?

    A year-old male client returns to the medical surgical unit following a thyroidectomy. Which assessment finding requires an immediate intervention by the nurse? Explanation: Noisy respirations are a sign of a narrowed airway that could be caused by postoperative bleeding or edema.

    This finding requires an immediate intervention. Complaints of thirst after being NPO for at least 8 hours before surgery and pain at the surgical site are expected findings. Feeling sleepy from the anesthesia is an expected outcome. The nurse is preparing to do a focused assessment of the abdomen on a client following an abdominal hysterectomy.

    Which intervention is most important for the nurse to do prior to the physical assessment? Explanation: Before palpating or percussing the abdomen, the client should empty her bladder to avoid discomfort or pressure during the examination. The only equipment used during the assessment of the abdomen is a stethoscope and the nurse's hands. Both can be warmed with the hands at the time of use. The client should be placed in a flat position with the arms at the sides. It is not necessary to obtain height and weight prior to the assessment.

    What assessment technique would the nurse use to assess a client's chest for color, shape, or contour? The nurse closely observes a specific area visually, as using the senses of hearing and smell to gather data throughout the assessment. The color, shape, and contour of the client's chest would be assessed with this method.

    Neither palpation nor auscultation would not provide the color of the chest; percussion would not provide the color, shape, or contour of the chest. The nurse is assessing the ear canal and tympanic membrane of a client using an otoscope. Which finding would the nurse document as normal? Explanation: The tympanic membrane should be intact, translucent, shiny, and gray. The ear canal should be smooth and pink.

    More Love this track Set track as current obsession Get track Loading. Saturday 27 April Sunday 28 April Monday 29 April Tuesday 30 April Wednesday 1 May Thursday 2 May Friday 3 May Saturday 4 May Sunday 5 May Monday 6 May Tuesday 7 May Wednesday 8 May Thursday 9 May Friday 10 May Saturday 11 May Sunday 12 May Monday 13 May Tuesday 14 May Wednesday 15 May Thursday 16 May Friday 17 May Saturday 18 May Sunday 19 May Wednesday 22 May Thursday 23 May Monday 3 June Tuesday 4 June Wednesday 5 June Thursday 6 June Friday 7 June Saturday 8 June Sunday 9 June Monday 10 June Tuesday 11 June Wednesday 12 June Monday 17 June Tuesday 18 June Wednesday 19 June Of course, different ear protection has different ratings.

    We found that the range for ear plugs ranged from 22 to 33 NRR, over-the-ear muffs between 22 and 31 NRR and suppressors were also in 30 NRR range, although some may go higher. In all likelihood, the level of noise reduction is overestimated, especially for ear plugs because tests are done in a laboratory setting and people using them often do not achieve the proper fit.

    Peters acknowledged that gun enthusiasts recommend that even with suppressors, other hearing protection is necessary. Hearing damage begins to occur at about 85 decibels, about the sound of a hairdryer. A decibel reduction in theory means an AR rifle would have a noise equivalent of decibels.

    In all likelihood, the noise level is actually higher. There are many sounds in cities that are far louder than a gunshot masked by a silencer. A nightclub, he noted, has a sound level of decibels, while a subway is decibels. But gun experts say that noises are not equal. Peters pointed to a article in The Washington Post that said the ShotSpotter detection system may have trouble detecting shots fired from a silencer.


  • Digital DJ accessories. DJ lighting. DJ spare parts. Computer accessories. Studio equipment. Drum machines. Studio headphones. Digital recorders. Guitar accessories. Studio accessories. Christmas Store. GBP My Language. Our full range of studio equipment from all the leading equipment and software brands.

    Guaranteed fast delivery and low prices. Visit Juno Studio. Our full range of DJ equipment from all the leading equipment and software brands. Visit Juno DJ. Includes the sound-system instrumental classic? As usual, beautiful quality repress with paste on covers made in Japan with Obi and grs vinyl, limited to copies only! Music New This Week. New Today. In the business world, a memo can be used to…. I and me are personal pronouns, which are commonly confused in speech and writing.

    Here are the correct ways to use them. When to Use I I is a subjective pronoun, meaning that it should be used in the subject of a sentence. The subject is whoever is doing the action. If you are doing…. But that could also be the case because silencers are so time-consuming to obtain. Brumer emphasized that Gillibrand was only following the lead of law enforcement officials in opposing the bill.

    New York bans suppressors , and that would continue even if the bill became law, but she has expressed concern about suppressors being illegally trafficked into the state. We can understand the irritation of gun-control advocates about legislation with a benign-sounding name such as the Hearing Protection Act.

    Clearly the main impact of the measure would be to loosen restrictions on the purchase of suppressors that have been in place for decades. It would be better called the Paperwork Reduction Act, especially because the use of suppressors does not mitigate the need for hearing protection.

    Certainly the two in combination would provide better ear protection than one type alone, especially because the NRR of earplugs in regular use is probably overstated.

    We wavered between Two and Three Pinocchios, but finally tipped to Three. About our rating scale. Send us facts to check by filling out this form. Sign up for The Fact Checker weekly newsletter. The nurse assesses the client's abdomen by first inspecting the abdomen. What should the nurse do next? Explanation: The sequence of techniques used to assess the abdomen is inspection, auscultation, percussion, and palpation.

    The nurse is caring for an year-old male admitted 2 days ago for dehydration. The nurse brings the client his breakfast tray and notes that the client appears to be having difficulty understanding what she is saying to him today. Which nursing action is most appropriate? Explanation: Ear wax cerumen becomes drier in the elderly and can block the ear canal and cause decreased hearing. Asking the client if he has earplugs in his ears is not appropriate.

    Using facial expressions and sign language is appropriate in communicating with the hard of hearing, but this client's hearing loss was acute and requires further assessment. When speaking to the elderly who are hearing-impaired, one needs to use low tones to facilitate communication; high-frequency tones are problematic for the elderly. A nurse is assessing the lungs of a client and auscultates soft, low-pitched sounds over the base of the lungs during inspiration.

    What would be the nurse's next action? Explanation: Soft, low-pitched, whispering sounds are normal sounds heard over most of the lung fields. Inflammation of the pleura would result in a friction rub. There are no signs of pneumonia, and recommending testing for pneumonia is not in the nurse's scope of practice. Asthma usually results in wheezing. Palpation is the use of hands and fingers to gather information through touch.

    Different parts of the hand are more suitable for different tactile sensations. Which part of the hand is best for sensing temperature? The palm of the hand is sensitive to vibration and is useful in locating a vibration associated with a heart murmur. The fingertips are concentrated with nerve endings and can sense fine difference in texture and consistency.

    The knuckles are not used in palpation. While assessing a year-old client's near vision, the nurse can anticipate the client will state that her vision is: a clear. Explanation: Visual problems with close objects occur more frequently after the age of A nurse's assessment of a community-dwelling adult reveals the presence of bilateral pitting edema to the patient's lower legs and feet. Which of the following systems assessments should the nurse consequently prioritize? As a result, a focused cardiovascular assessment is indicated.

    There is no obvious need to assess the patient's neurological, GI, or musculoskeletal function in patients with edema. A nursing student is assessing a patient who has a history of peripheral vascular disease and who is being treated for a venous ulcer on his ankle.

    The student has asked the patient about his symptoms and has carefully inspected the man's lower legs. What action should the student next perform? Explanation: Palpation normally follows inspection. In a patient with peripheral vascular disease, strength and range of motion are not usual focuses of assessment.

    There is no need to assess blood pressure in the patient's thighs. Upon assessment of a patient with myasthenia gravis, the nurse observes drooping of the upper eyelids. What is this finding is known as? Inward turning of the lower lid is termed entropion.