A64-year-old african american female presents to the clinic for evaluation of her hypertension, which she has had for several years. in the past she had been taking hydrochlorothiazide and lisinopril, with little effect on her blood pressure management. at today’s visit, she has no complaints and feels well. her vitals show t m 96.6, p 85, r 18, bp 191/99. she has no jugular venous distention seen on the neck exam, her lungs are clear, and cardiac exam has a regular rate and rhythm without murmur or gallop. her abdomen is soft, non-tender, and a bruit is appreciated at the mid-abdomen just a few centimeters below the epigastric region. there is no fullness or enlargement of the abdominal aorta on palpation. based on the history and clinical findings, what is the most appropriate next test for this patient?

Interactional synchrony is like an "emotional dance" between caregiver and child, wherein they send important signals and share emotions. what does this process form for the child? a. a physical foundation for trust b. a basis of the drive for independence c. positive experiences that stabilize brain connections d. a basis for attachment

40 points and think about the following questions and then write several paragraphs in response: when did the fight occur, and what was it about? who was at fault—you, the other person, or both of you? why do you think it ended poorly? in general, what would you have done differently? what could you have said differently that would have let the other person know you were listening? if you could take back something you said during the fight, what would it be? what do you wish you would have said during that fight? did the fight result in your not being friends or not getting along with that person anymore? would you want repair your relationship with this person again? if so, what are some possible ways to fix the damage?

The primary function of the respiratory system is to supply the blood with oxygen in order for the blood to deliver oxygen to all parts of the body. the respiratory system does this through breathing. when we breathe, we inhale oxygen and exhale carbon dioxide. this exchange of gases is the respiratory system's means of getting oxygen to the blood.respiration is achieved through the mouth, nose, trachea, lungs, and diaphragm. oxygen enters the respiratory system through the mouth and the nose. the oxygen then passes through the larynx (where speech sounds are produced) and the trachea which is a tube that enters the chest cavity. in the chest cavity, the trachea splits into two smaller tubes called the bronchi. each bronchus then divides again forming the bronchial tubes. the bronchial tubes lead directly into the lungs where they divide into many smaller tubes which connect to tiny sacs called alveoli. the average adult's lungs contain about 600 million of these spongy, air-filled sacs that are surrounded by capillaries. the inhaled oxygen passes into the alveoli and then diffuses through the capillaries into the arterial blood. meanwhile, the waste-rich blood from the veins releases its carbon dioxide into the alveoli. the carbon dioxide follows the same path out of the lungs when you exhale.the diaphragm's job is to pump the carbon dioxide out of the lungs and pull the oxygen into the lungs. the diaphragm is a sheet of muscles that lies across the bottom of the chest cavity. as the diaphragm contracts and relaxes, breathing takes place. when the diaphragm contracts, oxygen is pulled into the lungs. when the diaphragm relaxes, carbon dioxide is pumped out of the lungs. write one paragraph (at least 6 sentences) describing the path of oxygen through the respiratory system. also include why this "order of operations" is the way it is!