Which of these prescribed therapies should the nurse use first when caring for a patient with cancer pain that the patient describes as at “level 8 (0 to 10 scale), deep, and aching.”ġ0. Titrate the prescribed morphine dose upward until the patient indicates adequate pain relief.ĩ. Tell the patient that additional morphine can be administered when the respirations are 12. Inform the patient that increasing the morphine will cause the respiratory drive to fail.Īdminister a nonopioid analgesic, such as a nonsteroidal anti-inflammatory drug (NSAID), to improve patient pain control. Which action is best for the nurse to take? When the nurse visits a hospice patient, the patient has a respiratory rate of 8 breaths/minute and complains of severe pain. The patient complains of a “pounding” headache.Ĩ. The patient has not voided for over 10 hours. The patient becomes restless and agitated. When caring for a patient who is receiving epidural morphine, which information obtained by the nurse indicates that the patient may be experiencing a side effect of the medication? The patient has a distended bladder and has not voided.ħ. The patient has not had a bowel movement for 3 days. The patient’s respiratory rate is 10 breaths/minute. The patient complains of nausea after eating. Which information is most important to report to the health care provider? The nurse assesses a postoperative patient who is receiving morphine through patient-controlled analgesia (PCA). Which of these prescribed medications is the best choice for the nurse to administer as an adjuvant to decrease the patient’s pain?Ħ. The nurse is caring for a diabetic patient who has chronic burning leg pain even when taking oxycodone (Ox圜ontin) twice daily. Teach the patient to push the button every 10 minutes for an hour before going to sleep, even if the pain is minimal.ĥ. Request that the health care provider order a bolus dose of morphine to be given when the patient awakens with pain. The most appropriate action by the nurse is toĪdminister a dose of morphine every 1 to 2 hours from the PCA machine while the patient is sleeping.Ĭonsult with the health care provider about using a different treatment protocol to control the patient’s pain. The patient wakes up frequently during the night complaining of pain. A patient with second-degree burns has been receiving morphine through patient-controlled analgesia (PCA) for a week. “Does the pain keep you from doing things you enjoy?”Ĥ. “How would you rate your pain on a 0 to 10 scale?”ĭ. “Has there been a change in the pain location?”Ĭ. “Can you describe the quality of your pain?”ī. In order to evaluate whether the pain management is effective, which question is best for the nurse to ask?Ī. A patient with chronic back pain is seen in the pain clinic for follow-up. ![]() The patient states, “The pain is manageable, and I can accomplish my desired activities.ģ. The patient states, “I feel much less depressed since I’ve been taking the imipramine.”ĭ. The patient has no symptoms of anxiety.Ĭ. The patient sleeps 8 hours every night.ī. Which information is the best indicator that the imipramine is effective?Ī. ![]() A patient with chronic cancer pain is receiving imipramine (Tofranil) in addition to long-acting morphine for pain control. “How many times a day do you medicate for pain?”Ģ. “How much medication do you take for the pain?”ĭ. cancer, which question asked by the nurse will give the most information about the patient’s pain?Ĭ. When doing a pain assessment for a patient who has been admitted with metastatic breast. MEDSURG Final Exam questions and Answers _ 2020 (A GRADE)ġ. LEGO Marvel Super Heroes 2: Guardians of the Galaxy Vol.MEDSURG Final Exam Questions and Answers _ 2022/2023 | MEDSURG Final Exam questions and Answers _A GRADE Document Content and Description Below We offer a similar list for each system, and some lists are more complete than others, but this should give you a good idea of what was available during a certain time in a console's life cycle. Below is a list of game releases for the platform in North America.
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![]() Instead, they have gone the opposite route. If my logic is incorrect here, and the required fix is somehow a big deal, I would at least expect Dymo to offer some explanation on their website. It thus seems reasonable to assume that creating a fix would not be a significant drain on Dymo’s resources. And, at least superficially, the differences between the Twin Turbo 400 and 450 seem small. The update from OS X 10.9.3 to 10.9.4 was a minor one. But this hardly seems to be a good example of when to opt out. To be fair to Dymo, I understand that a company cannot be expected to support older out-of-production hardware indefinitely. In other words, don’t hold your breath waiting for a fix that might never come. Sometimes with the older printers, there is no fix. ![]() ![]() The tech replied: “This printer has been out of production for some time, so it will depend on how complex an issue it turns out to be. I inquired as to the possibility that Dymo would soon release a software fix to address the conflict. Knowing that in advance would have saved us both a lot of time.” It would also have helped if Dymo posted this information to their website-or at least made certain that their technical support staff was aware of the matter.Īs for his suggested solution, I had no intention of returning to OS X 10.9.3, possibly to be stuck there forever, just to keep a label printer working. I couldn’t resist a tinge of snarkiness in my reply: “Now you tell me? Geez. If you can back down to 10.9.3, that should solve your issue.” At the end of our efforts, and out of ideas, the technician did some “further research.” He returned to inform me that my “Twin Turbo has shown to be incompatible with whatever changes Apple made with 10.9.4. Interesting… but of no help in this case. He even introduced me to a couple of new ones, including how to remove the faceplate of the printer, so as to clean the printhead and rollers. The technician walked me through all the procedures I had already tried. Nothing at Dymo’s website offered further insight, so I initiated an online chat with Dymo support. This time, despite almost two hours of troubleshooting, the printer remained unresponsive. Suggested fixes: unplugging and reconnecting the printer, deleting and reinstalling the driver, and ultimately completely reinstalling the Dymo software. Such glitches had happened before… too many times before. That’s why, when the problem first appeared, I assumed it was a temporary glitch with the Dymo software-completely unrelated to the OS X upgrade. You wouldn’t think that a minor OS X update, one that makes no mention of any printing-related changes, would precipitate this error. The little printer that couldn’t: The Dymo LabelWriter fails to connect Instead, an error message appeared that said the printer was “offline” or “not connected.” However, after I updated to OS X 10.9.4, I could no longer get any labels to print. ![]() The printer was working fine under OS X Mavericks 10.9.3. Every LabelWriter printer comes with a cleaning card.The surprising source of the failure is that the Dymo Label software is incompatible with the latest version of OS X. If the second roll prints correctly, the problem is with the first roll of labels.Īnother possibility is that the LabelWriter print head needs cleaning. Try using a different roll from a fresh box. If the print quality becomes faint, small dots of white appear scattered through the printed characters, or light and dark patches of printing appear, you are probably using a faulty roll of labels. Also, the perforated holes between the labels made by other manufacturers are frequently not detectable by LabelWriter printers. Do not use third-party labels because the thermal coating on other labels has a different sensitivity than DYMO-branded labels. Labels where the thermal coating has been compromisedįirst, make sure you are using DYMO-branded labels.Labels made by a manufacturer other than DYMO.Poor print quality is most frequently caused by one of the following: From the Dymo 450 User Guide the common causes of poor print quality issues. See if it still happens using a fresh label roll. After downloading all theįiles, please double-click on each one to install them. When the "File Download" window appears, please click Save, and followĭirections to save the file on the Desktop. Perform the following suggestions to reinstall. Please double click the msicuu2.exe file toĬlick Start -> (All) Programs->Windows Installer Clean Up. Step 1: Download Microsoft Windows Installer CleanUpģ. We have seen this cause problems with the. I did as they said and am now printing stamps again. ![]() This makes tracking a bit easier, because you can capture a ton of different takes and then comp them together for one ‘super take’ later. Loop recording is a fundamental DAW function that allows you to make a time-based selection and record multiple takes over and over. Luckily, you can start with a template to not only create music, but also to study before creating fresh sessions on your own. Especially if you’ve never used music production software before, the routing in Pro Tools can be a bit daunting. Pro Tools First is about giving users fast and easy access to the full-fledged DAW. 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Free dating site sugar mummies Free sugar mummy dating sites in usa ![]() Many have observed that the file size is not reduced significantly. zip it! This ensures that the file size is reduced while the quality largely remains the same. One of the most used and quick ways to compress a file is to. Method 3: How to Compress a Video File into a. Higher frame rates exist as well, but it’s advisable to use the standard (24-30) when compressing videos too. 24-30 is the standard frame rate that is used across files of different sizes. This is why it is smart to use the frame rate that is right for your project. Higher frame rates will cause slightly larger videos. Find out how you can compress an audio file here. It’s rare to need uncompressed audio in most video projects. Adding a lot of movement or even transitions will cause your video file to be larger. But mostly, export at a suitable resolution for your project – depending on the viewer’s screen (again a 720p or a 1080p are good resolutions for most screens.) Exporting at 720p or 1080p resolution will work for most people. Downloading/ exporting your videos in the MP4 file type usually helps keep quality and reduce file size. There are a few key pointers you can keep in mind while doing this: If you’re using Final Cut Pro to edit your video, here’s a tutorial to help you figure out how to reduce file size right before render/ export. If you’re using Adobe Premiere Pro to edit your video, here’s a tutorial to help you figure out how to reduce file size right before render/ export. When you want to download a video file in lower quality, or low resolution, you can do so right from the editing software. Method 2: How to Download a Video File in Lower Quality? To compress your file, select a smaller file format than the original file. Step 3: You’ll next get a list of options, but you’re limited to just four: 4k, 1080p, 720p, and 480. Step 1: Click File to open to open your video Step 5: Click the export video How to Compress Video via QuickTime? (Especially for Mac OS users) Step 4: You can use the Resolution and Aspect ratio fields from this screen to further reduce video size and proportions (it won’t automatically adjust your video’s aspect ratio for you) Step 3: You’ll next see a large list of compression options – select your preferred option Once done, open Shotcut and click Open File to open your video Step 1: Download Shotcut here and install it. Step 6: Once you’re satisfied with your selections, simply hit Save, select your destination location (on your hard drive or cloud storage), and then click Start. 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Also, note that making a video smaller – that is going down from 1080p to 720p will not make a big difference to the viewer. ![]() On lowering the resolution, you may be compromising on quality.īut if you’re wondering how to compress a video for email or for sharing online, you can compress your video to 1280 x 720p or 854 x 480p. Generally speaking, HD videos are 1920 x 1080 pixels. ![]() Which is why this is one of the most effective ways to compress a video. Inversely, lower the video resolution, and smaller file size. The higher the resolution, the sharper the video quality. Resolution or aspect ratio refers to the number of pixels on display. How to Trim a Video Online? Method 1: How to Reduce Video Resolution Online? How to Send Video as a link instead of uploading?ĥ. How to Download a Video File in Lower Quality?ģ. In this post, we’ll walk you through the top 5 techniques on how to compress a video, when they should be used, and also how you can trim your video online using InVideo ’s intuitive editor. But, how do you compress a video file without losing quality? You attach it to your email and immediately get a pop up that says “file size too large.” Irritating no! Let’s face it, compressed videos mean reduced bandwidth usage and upload time, and less buffering on your viewer’s end too. Or perhaps you want approval from a client. You want to now send it to a collaborator. ![]() A classic case of reduce the habitat and reduce the numbers. They of course use wild non – tilled prairie to nest and feed during the summer months. I understand that across their range, the numbers of this amusing bird are dropping with the reduction in natural grass land turned to mono-crop agricultural uses. Much to their collective dismay I’m sure. Robins, Meadowlarks and Curlews were wading knee deep in the white stuff. This was a late spring snow storm from the spring of 2019. Mostly a flat field grassy nesting bird rather than preferring a hillside with a view as I’ve seen them. I find them driving along the two track trails as I’m on the flats below the higher ridges. Male displays over their nesting territory are impressive with loud ringing callsThey will circle about making lots of fuss trying to lead you away from the nest. They are fussy birds if you come into their domain. These guys are our largest shore bird in North America. It couldn’t get much further away from the ocean as we are only a few hundred miles away from the geographic center of North America. They over winters in wetland marshes and other shore line estuaries. What I like about these guys is that they are grasshopper eating machines in the summer. Since the male and female Curlews look pretty much alike with minor differences in the bill I’m not qualified to call. These guys are sandpipers with obscenely long bills. Title: Warbler and Turtles Sunning COPY IMAGE CODE Location: Bliss Dinosaur Ranch, Wyoming/Montana borderlands. The time of same day “take the image” and “post the images’ has long since passed lololol. A week is my minimum turn around generally these days. ![]() I took images of an early arrival Great Blue Heron this evening that will take a week to publish on line. I saw the first Pronghorn on ranch for the spring this evening on the way to this pond. The grass is obfuscating to the turtles but I will get them next time lolol. This year I’m walking through there with a machete before I plant that camera. That is a bunch of Western Painted Turtles sunning. Most will be out of batteries for various reasons. I have quite a few to gather after the winter isolation. I run a network of 29 game trail cameras spring through the early winter months. I caught this one several times with this camera though. The Male Warbler with Chestnut colored patches on his chest is not a particularly common bird up here. The heat of the Golden Warbler’s body triggered the camera and caught in freeze frame the turtle race ongoing on the log behind the grass curtain. I set this up on a landing under a tree to take pictures about 90 degrees to this. I have several 360 degree cameras that sense all around them for heat movement. (I have a big backyard)įirst of all this is a game trail camera capture from last summer. ![]() It might be evident and it might not, but since the skill books potentially could make up about half of the skill points needed to attain the perfect 100 in vanilla fallout, removing them from the formula leaves a pretty large gap. I think that the threshold increases for each subsequent level so that in order to attain the 7th level of the perk, the character needs to have 100 points in the skill and have found all or at least most of the skill books. 40 points for the first level of the perk. You can not read a skill book until your character has attained a minimum threshold in that skill. Now when several skill books are read, they give a direct perk related to their skill area, for example with the Comprehension Perk by reading 3 Flamethrower Recipe books you will increase the wieght your characters can be carry by 10#. So there is no +2 skill points for every skill book read with the Comprehension Perk. ![]() The skill books is where the big change comes in and that is that they don't increase your skill points anymore. The skill Bobbleheads still work, but only half as hard as they give a +5 instead of +10 to your skills. The rest of them will never get there, even by level 30 as it looks like it is mathematically impossible to max out all of the skills. A single tagged skill can be maxed out by level 3 or the second level up. However, those same 14 points when allocated to a Tagged skill will increase that skill by 28 points, which is significantly more than in vanilla fallout. A character with intelligence of 6 and the Educated Perk can expect 14 skill points per level up, which is significantly less than in vanilla fallout. ![]() The base skill points at level up is 10 and is increased by half the intelligence and possibly an extra point from the Educated Perk (not 3 any more). Tagged skills are now much more important as they gain twice as fast as the untagged skills. A sad note is that the attribute Bobbleheads just collect dust and no longer server any useful purpose like adding points to your SPECIAL attributes.Īccording to the readme the base skill is supposed to be 5, but it looks like it is about 3 as far as I can tell. Minor tweaks to the rest of the attributes. It also governs how fast that you can run backward, so their is no more kiting unless you have very high agility. Agility increases the AP(Action Points) by 10 instead of 2 in vanilla fallout, but decreases the base to 20 from 65. Intelligence is dumbed down as it only adds a half a skill point at level up, more on this later. I believe it is up to 4 followers with a Charisma of 7 and 7 followers with a Charisma of 10. Even an attribute like Charisma can be powerful, since with this mod a character with high Charisma can have multiple followers. Strength is reworked so that the base weight is only 25# versus 150#in vanilla, but with each point in strength an additional 25# can be carried versus only 10# in vanilla. How cool is that? The other ghouls still call you smooth skin and I don't know if they will let you in Tenpenny Tower, but all the ferals leave you alone.Īll of the SPECIAL attributes now add 3 points to their associated skills versus 2 in vanilla. Each one has some strengths and weaknesses and possibly a special perk. ![]() Under the history menu, you can choose from over twenty starting locations and faction affiliations, like Raider, Ghoul, Brotherhood Outcast, Refugee, Chinese Remnant, among others. Activating the terminal reveals several menu options for your character development including SPECIAL, Tagged Skills, Karma, and History. If you choose "wake up", you will find your character in a shack with a terminal and a bed. The game starts out the same in the delivery room, but instead of going to the one year old, a menu pops up asking if you would like to "continue dreaming" with the vanilla character development or "wake up" and go with the alternative start. This mod is best used with a new game to be safe, I don't know if it would even work on an existing saved game. Unlike the original game where a player could fairly easily max out their skills by level 20, FWE makes the player wisely pick and choose their SPECIAL attributes, tagged skills, and perks. The focus of FWE is on role playing and immersion. FWE is the most interesting mod that I have played in Fallout as it radically changes the game play from the original. This is definitely for the person who played through vanilla(unmodded) Fallout on Very Hard and thought it was too easy. Maybe another one word description is "Hardcore". The downside is that the bad comes along with the good, but FWE does a decent job of giving the player options of either eliminating parts of the mod or changing certain facets to build a better gaming experience. The benefit of this is that the game balancing and conflicts have been ironed out. FWE is a compilation of about 55 mods into one package. If there is one word to describe this mod it would be "Brutal". ![]() ![]() It has a balancer shaft that reduces vibration at the engine a 6-speed, semi-close transmission (different from the wider-ratio XC-W) and KTM’s DDS clutch that uses a diaphragm spring mated to Brembo hydraulic actuation, making for a very light pull and superb feel at the clutch. The result is good atomization of the fuel, fewer emissions via more efficient fuel combustion and better fuel economy. The cylinder on the 300XC is power-valved and uses EFI (two domes house injectors that supply fuel into the transfer ports). 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Check the price history of the game to determine how good the deal is in relation to historical low offers. All offers already include discounts from vouchers to save you time and money. ![]() GG.deals aggregates game keys from over 40 digital distribution stores so you can find the best deals on video games. |
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