Marilyn Hughes is a 45-year-old female who suffered a left mid-shaft tibia-fibula fracture when she slipped on icy stairs this morning. She was taken to surgery for an open reduction with internal fixation (ORIF). She returned from surgery at 1:45 p.m. with a below-the-knee ace/splint dressing. Vital signs have been stable, and neurovascular checks have been within normal range. She has an IV of Lactated Ringer’s infusing at 75 mL/hour and is tolerating liquids well without nausea. Her diet could probably be advanced to regular dinner this evening. A family member has been with her at the bedside throughout the day. She began complaining of pain shortly after returning from surgery and was given morphine 6 mg IV at 2:15 p.m. She is now on every-30-minute postoperative vital signs. Last vital signs were BP: 130/82, HR: 88, RR: 16.
Please answer the following questions.
1. What complications can occur to someone after having surgery involving general anesthesia?
2. Discuss pathophysiology and pharmacological treatments of compartment syndrome.
3. Which diagnostic tests are necessary to collect prior to a patient's surgery?
4. What is a "time out" mean, in terms of a surgical procedure?
5. Which assessment data would lead you to a conclusion of compartment syndrome?
Answers
Answer:
1-Complications could be:
A misadministration of anesthetic doses that could lead to death of the patient, cardiac disorders, variation in body temperature, intolerance to liquids and solids, dizziness or headaches, mystical delays or momentary confusion.
2-The treatment consists of eliminating everything that generates compression in the area, in this case the casts would be a negative effect for said treatment, in addition, in extensive cases of necrosis due to the compartment syndrome they could be treated with the amputation of the limb.
The pathophysiology of this disease is a priority before the fracture, that is why it is necessary to remove the plaster from the fracture area or look for alternative methods that do not affect the patient in both pathologies.
3-Diagnostic tests to check a fracture would be: X-RAY, COMPUTED TOMOGRAPHY, MAGNETIC RESONANCE. In addition to routine laboratory analysis, complete blood count, and clinical history or clinical inspection of the patient.
4-It is the time it takes for the anesthesia to stop having effect, it lasts approximately 1 or two hours.
5- The signs are: pallor, absence of pulse, presence of necrosis, increased edema in the compartments, possible altered mental state, but the most important symptom of this syndrome is worsening pain over time.
This symptom is essential to be able to detect it for the suspicion of this syndrome.
Explanation:
The success of the treatment begins in the correct detection of the diagnosis in pathologies such as this, that is why it is essential to know certain knowledge in patients where the risk of life is high.
After general anesthesia-related surgery, complications might include problems of the respiratory system, such as pneumonia, atelectasis (collapse of lung tissue), and airway blockage. Cardiovascular complications: include variations in blood pressure, unsteady heartbeats, or blood clot development.
2. Compartment syndrome is a medical disorder that develops when there is increased pressure inside a tightly confined bodily compartment, resulting in decreased blood flow and tissue damage. Pathophysiology entails a rise in compartmental pressure, which constricts blood flow, compresses blood vessels, and reduces tissue perfusion.
Included in compartment syndrome treatment are:
a. An urgent surgical procedure: It is possible to conduct a fasciotomy to release compartmental pressure and reestablish blood flow.
b. Monitoring and controlling pain: In order to stop additional tissue damage, effective pain management is crucial.
3. The required diagnostic tests that may be performed before surgery include:
Complete blood count (CBC), coagulation profile, blood chemistry, and blood typing are among the blood tests.
Urinalysis: To evaluate kidney health and check for UT infections.
4. A "time out" is a special safety routine that is carried out just before the procedure begins in terms of surgery. This is the last phase in the verification process to make that the right patient, right technique, right location, and right equipment or implants are in place.
The surgical team pauses for a moment to go over the identification of the patient, the intended surgery, and any unique concerns or requirements.
5. The following assessment information might support the diagnosis of compartment syndrome:
a. extreme discomfort that is not proportional to the wound or surgical location.
b. Increasing tension and edema in the afflicted limb.
c. Skin that has a pallor or cyanosis (bluish hue).
d. pulses that are weak or nonexistent in the afflicted leg.
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Related Questions
Reflect on the table below to help you think creatively about your own personal strengths and abilities. You may use examples provided in the list, or you may come up with your own for question 1. Examples of Strengths and Abilities Adaptable/Flexible Emotional Intelligence Integrity/Honesty Public Speaking Artistic (drawing, writing, music, etc.) Foreign Language Jokes/Humor Punctual Athletic High Energy Leadership Social Networking Communication Skills Ambitious Planning/Organization Storytelling List three (3) of your strengths/abilities. (Hint: You can use the table above or create your own.) A. B. C.
Answers
Some of the skills that I possess include emotional intelligence, storytelling skills and leadership skills.
What is emotional intelligence?Emotional intelligence is defined as the ability to recognize and influence the emotions of those around you, as well as understand and manage your own emotions. Emotional intelligence is commonly defined as the ability to perceive, use, comprehend, manage, and deal with emotions.
The ability of an individual or a group of individuals to influence and guide followers or other members of an organization is referred to as leadership.
The social and cultural activity of sharing stories, sometimes with improvisation, theatrics, or embellishment, is known as storytelling. Every culture has its own set of stories or narratives that are passed down for entertainment, education, cultural preservation, or moral instillation
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If two cars get to a 4-way stop intersection at the same time, which car should be yielded the right-of-way? A. Car on the right. B. Car on the left. C. Car making a turn.
Answers
Answer: yield to the right
Explanation: When two vehicles arrive at a 4-way stop at the same time side-by-side, the vehicle furthest to the right has the right of way. If three vehicles arrive at the same time, the car furthest left should continue to yield until both of the other cars to the right of them have passed.
YOU CAN MAKE IT UP JUST PLEASE ANSWER!! (20 POINTS!!)
Directions: Complete a minimum 30-minute Pilates workout. In addition to reviewing the Pilates exercises in the lessons, check out the Exercise Library. You may also use additional resources such as videos found online. When you have finished your Pilates workout, answer the questions below.
1. Enter the date and time of your Pilates workout (1 point)
2. Have you had experience with Pilates before this assignment? If so, describe your experience. (1 point)
3. What amount of time did you spend on the activity? (1 point)
4. Describe your experience in detail (include location, who you were with, setting, etc). (3 points)
5. List the Pilates exercises that you performed and the muscles worked? (5 points)
6. How would you rate your proficiency in performing Pilates as instructed: poor, acceptable, proficient, or excellent? (2 points)
7. How did you feel about this experience overall? Was it difficult? Was it enjoyable? Explain. (3 points)
8. What suggestions would you have for someone else who is considering learning Pilates? (2 points)
9. Would you consider making Pilates a part of your regular exercise routine? Why or why not? (2 points)
Answers
Date: May 26, 2023
Time: 9:00 AM
Have you had experience with Pilates before this assignment? If so, describe your experience. (1 point)
No, I have not had any experience with Pilates before this assignment.
What amount of time did you spend on the activity? (1 point)
I spent a total of 45 minutes on the Pilates workout.
Describe your experience in detail (include location, who you were with, setting, etc). (3 points)
I performed the Pilates workout in my living room. I was alone during the workout, as I followed along with an online Pilates video. I laid out a yoga mat on the floor and made sure I had enough space to move freely. I had calming music playing in the background to create a peaceful atmosphere.
List the Pilates exercises that you performed and the muscles worked? (5 points)
Hundred: Works the abdominal muscles.
Roll Up: Engages the core muscles and stretches the spine.
Single Leg Circles: Targets the hip flexors and stabilizes the core.
Bridge: Activates the glutes and strengthens the lower back.
Spine Twist: Works the obliques and improves spinal mobility.
How would you rate your proficiency in performing Pilates as instructed: poor, acceptable, proficient, or excellent? (2 points)
I would rate my proficiency as proficient. While I am new to Pilates, I was able to follow the instructions in the video and perform the exercises with reasonable accuracy.
How did you feel about this experience overall? Was it difficult? Was it enjoyable? Explain. (3 points)
Overall, I found this experience enjoyable. While some exercises were challenging, especially those targeting the core muscles, I appreciated the focus on control, precision, and breathing. The combination of stretching and strengthening left me feeling energized and relaxed after the workout.
What suggestions would you have for someone else who is considering learning Pilates? (2 points)
Start with beginner-level classes or videos to learn the fundamental principles and proper form.
Take it slow and listen to your body. Pilates requires focus and concentration, so give yourself time to understand the movements.
Consistency is key. Try to practice Pilates regularly to experience its full benefits.
Would you consider making Pilates a part of your regular exercise routine? Why or why not? (2 points)
Yes, I would consider making Pilates a part of my regular exercise routine. I enjoyed the mind-body connection and the emphasis on core strength and flexibility. Pilates offers a low-impact workout that can be adapted to different fitness levels, making it a suitable option for long-term commitment to physical well-being.
what psychologist developed the hierarchy of human needs?
Answers
Answer: Abraham Maslow
Explanation: Abraham Maslow was an American psychologist who developed a hierarchy of needs to explain human motivation. His theory suggested that people have a number of basic needs that must be met before people move up the hierarchy to pursue more social, emotional, and self-actualizing needs
List four examples of clinical records found in the patients charts
Answers
Answer: List four examples of clinical records found in the patient chart.
Medication list.
allergies list.
immunization records.
laboratory results.
a nurse is providing care to a terminally ill client. which finding would alert the nurse to the fact that the client is dying? select all that apply.
Answers
The findings by the nurse that would alert the nurse that the client is dying is the presence of Pale, cool skin
Irregular heart rate and Decreased urine output.
Who is a terminally ill client?A terminally ill client is a client that is suffering from a disease condition that cannot be healed which is most likely to cause death in that client.
Typical examples of terminal illness include the following:
congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), kidney failure, Alzheimer's, Parkinson's and Amyotrophic Lateral Sclerosis (ALS).There are various signs that shows that a terminal ill patient is about dying. These signs include the following:
Irregular heart rates,Drop on body temperature and blood or leading to cool skin, andDecrease in urine output.Learn more about heart rate here:
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What is one way that Vance might have been able to prevent this injury?
Answers
Vance might have been able to prevent this injury if he wore safety equipment's.
What are ways to prevent injury while actively engaged in sports?
It is vital to use adequate protection gear such as helmets, and pads, while engagig in sports to prevent injury.
It is also important to Stretch before and after exercise can also assist to prevent strains and sprains.
To avoid overuse injuries and to gradually increase the intensity and length of physical activity, it is important to use suitable skills when playing.
It is important to give the body enough rest and time to recover from intense training. Finally, it is critical to keep hydrated and to listen to your body, discontinuing activities if you experience pain or discomfort.
The above answer is in response to the full question below;
While attempting to score a goal, a player from the opposing team accidentally kicked Vance in the shin, causing an injury. What is one way that Vance might have been able to prevent his injury?
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What entails emotional and physical responses as well as one’s individual experiences in response to a situation or a change in life
Answers
Emotional and physical responses, as well as individual experiences, vary widely from person to person in response to situations or changes in life.
What are emotional and physical responses, and individual experiences, in response to a situation or a change in life?
Emotional and physical responses, as well as individual experiences, can vary widely from person to person in response to a situation or change in life. Here are some common examples:
Emotional responses: These can include feelings of sadness, anger, fear, anxiety, happiness, or relief. Emotional responses are often tied to our individual experiences and can be triggered by a variety of situations or changes, such as losing a loved one, starting a new job, or moving to a new place.Physical responses: Our bodies also react to situations or changes in life, and physical responses can range from headaches and stomachaches to changes in appetite, sleep patterns, and energy levels. Physical responses can also be triggered by emotional responses, such as feeling stressed or anxious.Individual experiences: Everyone's individual experiences are unique, and the way we respond to situations or changes in life can be influenced by a variety of factors, such as our upbringing, cultural background, personal values, and past experiences. For example, someone who grew up in a tight-knit community might feel more comfortable in social situations, while someone who was bullied as a child might feel more anxious in similar situations.To learn more about Emotional and physical responses, visit: https://brainly.com/question/28952880
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Just to brighten your day
Answers
Answer:
option C hamburger
Explanation:
If 1 pint of cherry tomatoes weighs 300 grams, then ___ pints of cherry tomatoes are required for a recipe that calls for 6 kilograms of cherry tomatoes
Answers
20 pints of cherry tomatoes are required for a recipe that calls for 6 kg of cherry tomatoes.
What do you mean by pint and how will you calculate it ?
Pint is defined as a measure of liquid , a unit of volume or capacity according to US customary services.
Unitary method is used to calculate the amount of cherry tomatoes required:
According to data given in the question ,
1 pint is equal to 300gms (0.3 kg)
therefore , x pint of cherry tomatoes will be required for a recipe of kgs of recipe.
1*6 = 0.3*x
x = 20
Thus, 20 pints of cherry tomatoes are required for a recipe that calls for 6 kg of cherry tomatoes.
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Moving data from an old system to a new system requires which of the following?
Answers
Answer:
Moving data from an old system to a new system typically requires a data migration process. This process involves transferring data from the old system to the new system, ensuring the data is accurate and complete, and making any necessary changes to the data so that it is compatible with the new system.
Explanation:
The following are some of the key steps involved in a typical data migration process:
1) Planning: This involves identifying the data that needs to be migrated, determining the scope of the migration, and developing a plan for executing the migration.
2) Data profiling: This involves analyzing the data to identify any data quality issues, such as missing or inconsistent data.
3) Mapping: This involves mapping the data from the old system to the new system, including any required data transformations.
4) Testing: This involves testing the migration process to ensure that the data is accurately transferred and that the new system is working properly.
5) Execution: This involves executing the migration plan and transferring the data from the old system to the new system.
6) Validation: This involves validating the migrated data to ensure that it is accurate and complete.
Overall, a successful data migration process requires careful planning, thorough testing, and attention to detail to ensure that the data is accurately transferred to the new system.
Good films
Good films on brave men? Men who can fight
Answers
Answer:
.......
Explanation:
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i- huh okay
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The autonomic nervous system ___.
A: controls involuntary actions
B: ✨is made of the sense organs and neurons✨
C: ✨includes the brain and spinal cord✨
D: ✨is controlled by the cerebrum✨
Answers
Answer:
its A it controls involuntary actions
which considerations would be included in the plan for deactivating the emergency plan after treating the major casualties? select all that apply. one, some, or all responses may |
Answers
Provide enough downtime for the workforce. Clean, pack, and re-sterilize instrument trays. Reorder any essential goods that have run out. These are the steps to take after treating the major casualties.
Emergency action plans prioritize safeguarding lives above protecting property. Attempts should be made to contain, manage, or end the emergency. This involves performing reaction actions such as evacuating buildings, putting out fires, shutting off utilities, and more.
The layout of the property's buildings, parking places, building entrances, emergency equipment placements, and controls for the building's utility and protection systems should all be included in the plans. Emergency responders should have access to instructions on how to use all systems and equipment.
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Give the employees ample downtime. Instrument trays should be cleaned, packed, and re-sterilized. Any necessities that have gone out should be reordered. Following the treatment of the main casualties, these are the next phases.
Emergency response plans place a higher priority on saving lives than on preserving property. The emergency should be managed, contained, or put a stop to. This entails taking appropriate action, such as evacuating buildings, extinguishing fires, turning off utilities, and other things.
Plans should cover the layout of the property's buildings, parking spaces, building entrances, locations of emergency equipment, and controls for the utility and security systems for the facility. Instructions on how to operate all systems and equipment should be available to emergency responders.
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which 3 populations do not have health insurance coverage, even after the implementation of the ACA? (a)younger, healthier individuals who do not have disabilities and choose not to purchase coverage(b) tribal citizens (c) undocumented immigrants (d) non-exempt individuals under the ACA (e) people who do not file income taxes and do not qualify for Medicaid
Answers
After the implementation of the Affordable Care Act, known as Obamacare, many more people have access to health insurance. However, the ACA did not expand coverage to certain populations who may not qualify for Medicaid due to their immigration status or tribal membership.
The three populations that do not have health insurance coverage even after the implementation of the ACA are: (a) younger, healthier individuals who do not have disabilities and choose not to purchase coverage, (b) tribal citizens, and (c) undocumented immigrants.
Under the ACA, younger healthy individuals who opt out of coverage, undocumented immigrants, and people who do not file taxes nor qualify for Medicaid still lack health insurance coverage.
Explanation:After the implementation of the Affordable Care Act (ACA), there are still some populations who do not have health insurance coverage. These subgroups include: (a) younger, healthier individuals who do not have disabilities and choose not to purchase coverage; (c) undocumented immigrants who, due to their immigration status, are not eligible for ACA coverage; and (e) people who do not file income taxes and do not qualify for Medicaid.
While the ACA greatly increased the number of insured Americans, these three groups often remain uninsured for a variety of reasons, including financial constraints, ineligibility, or personal choice.
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Caring, respect, appreciation, and _____ are characteristics that healthy families share. cohabitation coping competition communication
Answers
Answer:
kindness
Explanation:
Answer:
communication
Explanation:
which of the following is important to nutrition but not technically a nutrient
Answers
. Consider the following research question: is childhood socioeconomic status associated with health-related quality of life at age 50?
a. Describe an appropriate study design and, measure of association for addressing this research question.
b. Critique the strength and weakness of the study.
Answers
An proper study design guarantees the accomplishment of the research objectives.
The important factors that should be considered in the selection of the study design are the developed research question, as well as the process of selection.
The study design determines the way of selection and data analysis
Which study would you suggest is the best study design to measure the association between a risk factor and disease?Cross sectional studies are the best way to define prevalence and are useful at identifying companies that can then be more rigorously studied using a cohort study or randomised controlled study.
What is the most appropriate study design for research proposal?The cross-sectional study design is the most commonly used design and typically has an analytical component to test the relationship between the risk factor and the disease.
The analytical study designs of case-control, cohort and clinical trial will be examined in detail in the next article in this series.
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What is one point we can make about our environment? Please explain
Answers
Answer:
it includes physical, chemical and other natural forces. Living things live in their environment. They constantly interact with it and adapt themselves to conditions in their environment. In the environment there are different interactions between animals, plants, soil, water, and other living and non-living things.
Explanation:
Why is it important to know who reviews information posted on a website
Answers
-Hope this helped, have a great day .
Why is it important to have a first aid kit.
Answers
Answer:
So when someone gets injured you have the proper tools to take care of them. For example, if someone scraped their knee you would have the right tools to properly clean out the wound and bandage it.
hope this helps!
Why two people who think the same amount of alcohol might experience different effects
Answers
A 41-year-old woman, whom was recently diagnosed with Type 2 Diabetes, returns to your community clinic seeking additional advice on how to lose weight. She eats an omnivorous diet that includes occasional whole grains, few fruits and vegetables, and a high amount of processed snack foods. Nearly all of her meals come from take-out restaurants. She does not know how to cook but is willing to learn. Which of the following approaches is most likely to help her maintain sustainable behavior change to meet her goal?
Answers
The most likely approach to help the 41-year-old woman with Type 2 Diabetes maintain sustainable behavior change and meet her weight loss goal is to provide her with nutrition education, meal planning guidance, and cooking classes, while gradually transitioning her diet towards whole, unprocessed foods.
Nutrition Education: Start by providing the woman with comprehensive information about the relationship between diet, diabetes, and weight loss. Educate her about the importance of balanced nutrition, portion control, and the impact of different food choices on blood sugar levels.
Meal Planning Guidance: Collaborate with the woman to create a personalized meal plan that aligns with her dietary preferences and health goals. Emphasize the inclusion of whole grains, fruits, and vegetables while reducing processed snack foods. Help her understand the importance of incorporating a variety of nutrients in her meals.
Cooking Classes: Since the woman does not know how to cook but is willing to learn, offer cooking classes tailored to her dietary needs. Teach her basic cooking techniques, meal preparation, and recipe modification to make healthier versions of her favorite dishes. Gradually introduce her to cooking with whole ingredients and emphasize the benefits of home-cooked meals.
Gradual Transition: Help the woman gradually transition from her current take-out meals to home-cooked meals. Start with simple recipes and gradually increase the complexity as she gains confidence in her cooking skills. Encourage her to experiment with different flavors and ingredients to make healthy eating enjoyable.
Ongoing Support: Provide ongoing support and follow-up visits to monitor her progress, address any challenges or questions, and provide additional guidance. Encourage her to keep a food diary to track her eating habits and make necessary adjustments to her meal plan.
By combining nutrition education, meal planning guidance, cooking classes, and gradual transition, this approach aims to empower the woman to make sustainable behavior changes, develop healthier eating habits, and achieve her weight loss goals while managing her Type 2 Diabetes effectively.
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According to the graph, which gang-related activity is least reported in a large community?
graffiti
robbery
drug sales
aggravated assault
Answers
Answer:
According to the search results [1],[2],[3],and [10], the answer to the question "According to the graph, which gang-related activity is least reported in a large community?" is graffiti.
Explanation:
When does an embryo officially become a fetus?
week thirteen
week eight
week eleven
week twelve
Answers
Answer:
At the end of the 8th week after fertilization (10 weeks of pregnancy), the embryo is considered a fetus.
Explanation:
During this stage, the structures that have already formed grow and develop.
The lungs are _______.
A. divided into seven lobes
B. divided into nine lobes
C. connected by the mediastinum
D. separated by the mediastinum
Answers
Answer: The lungs are divided into five lobes.
A. divided into seven lobes
B. divided into nine lobes
C. connected by the mediastinum
D. separated by the mediastinum
Explanation: Each lung is separated into lobes branching off the main bronchus; the right lung has three lobes, while the left has only two lobes. As the bronchi branch out, the total area of the two new branches is larger than its parent bronchus, making it extremely easy for the air to rush into the lungs.
The lungs are separated by the mediastinum. Therefore, option B is correct.
The centre of the chest, between the two lungs, is known as the mediastinum. The sternum (breastbone) in the front, the vertebral column in the back, and the lungs on either side define its boundaries.
The heart, large blood vessels (including the aorta and vena cava), the oesophagus, the trachea, the thymus gland, lymph nodes, and nerves are among the many vital organs that are found there. It also has lymphatic veins and lymph nodes, which are important for the immune system's defence against diseases and infections.
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give your opinion on humans trafficking in our country.
Answers
Answer:
I think there is so many messed up people who need help that they do such awful things. I hate it! I am glad to see that people are doing things about it now! But it is disgusting and I can not beleive the fact that some people can go and do these things to other people. The things that they take away from one another and their familys. I could say so much more.... but no one should have to experience it because it will stick with you for the rest of your life!
Explanation:
22. Mrs. Gomez is an elderly resident under your care that appears thin and emaciated. Although
she is able to ambulate in the hallway she spends a large amount of her time in bed. You
understand that because of this condition she is at risk for what problem with her skin integrity?
A. Abrasions
B. Pressure sores
C. Infections
D. Edema
Answers
Answer:B. Pressure sores
Explanation:
(also known as pressure ulcers or bedsores) are a risk for Mrs. Gomez due to her emaciated state and prolonged time spent in bed. Pressure sores occur when pressure on the skin and underlying tissues reduces blood flow, causing tissue damage and breakdown. They are more likely to occur in bony areas such as the hips, heels, and tailbone. It is important to regularly reposition immobile patients, use appropriate support surfaces (such as pressure-reducing mattresses or cushions), and maintain good hygiene to prevent pressure sores.
what should Nepal do to extend international relations and cooprations
Answers
Answer:
Nepal has played an active role in the formation of the economic development-oriented South Asian Association for Regional Cooperation (SAARC) and is the site of its secretariat. On international issues, Nepal follows a nonaligned policy and often votes with the Non-Aligned Movement in the United Nations.
Explanation:
Pretend that you are a physical fitness/gym teacher for a group of 12-year old children. In 2-3 paragraphs, what three benefits of cardiovascular health would you teach them? How would you encourage them to get cardiovascular exercise as adults? Answer may be based on lesson content or you may conduct Internet research. Be sure to copy the URLs of any outside sources you used.
Answers
Answer:
d
Explanation:
Cardio-vascular health throught out your life is important as it leads to a healthier lifestyle. One benefit is that exercise will help keep you heart healthy. It will help keep the flow going and your heart rate in a normal rythm. Your arteries and veins will keep flowing and be less likely to get clogged.
Second, it will also help prevent other medical issues such as obesity which puts an extra strain on your heart. It will help your fat stay down which will keep the weight off of your other organs. Too much fat and pressure can cause your organs to start shutting down from the weight of the fat.