which of the following injury mechanisms and clinical findings would most likely warrant transport to a facility that provides the highest level of trauma care?

Answers

Answer 1

Motorcycle crash injury mechanisms and clinical findings would most likely warrant transport to a facility that provides the highest level of trauma care.

Any physiological harm to living tissue brought on by a sudden physical force is referred to as an injury. Burns, toxic exposure, asphyxiation, overexertion, blunt trauma, piercing trauma, burning, asphyxiation, or accidents can all result in injuries. Every injury has its own unique set of signs and symptoms, and injuries can occur to any portion of the body.

Serious injuries are normally treated by a medical practitioner, and the type of care needed varies widely depending on the damage. The most frequent cause of unintended human injury and injury-related death is traffic accidents. Chronic diseases, psychological stress, infections, and medical treatments are distinct from injuries even if any of these can be made worse by a wound.

The complete question is:

which of the following injury mechanisms and clinical findings would most likely warrant transport to a facility that provides the highest level of trauma care?

a) Motorcycle crash

b) pelvic instability

c) systolic BP of 80 mm Hg

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Related Questions

Delta produces three versions of baseball bats: wood, aluminum, and plastic. A condensed segmented income statement for a recent period follows:

Answers

Answer:

Hello your question has some missing information attached below is the missing information

answer : $114,000

Explanation:

Given that 50% of the fixed expenses on Hard rubber( plastic ) is avoidable

Hence fixed expenses on Hard rubber = 50% * 22,000 = $11,000

therefore the Total net income if the line of Hard rubber is dropped

= $100,000 + $25,000 -  $11,000  = $114,000

Classify each characteristic as a prebiotic, probiotic, or postbiotic. Prebiotics Probiotics Postbiotics Byproducts include short chain fatty acids, enzymes amino acids, and some nutrients Sources include yogurt, kefir, and sauerkraut Metabolites produced by beneficial bacteria Sources include legumes, garlic, wheat bran, and bananas Healthy bacteria that reside in your GI tract Foods that nourish the gut bacteria

Answers

Prebiotics, probiotics and postbiotics:

Prebiotic: Legumes, garlic, wheat bran, and bananasProbiotic: Yogurt, kefir, and sauerkrautPostbiotic: Byproducts include short chain fatty acids, enzymes amino acids, and some nutrients; Metabolites produced by beneficial bacteria; Healthy bacteria that reside in your GI tract.

The Benefits of Incorporating Prebiotics, Probiotics, and Postbiotics Into Your Diet

Good nutrition is essential for maintaining a healthy lifestyle, and the types of food you consume can have a huge impact on your overall health and well-being. Prebiotics, probiotics, and postbiotics are three distinct but related types of food that can help you improve your digestive health and promote the growth of good bacteria in your gut. In this essay, we will explore how prebiotics, probiotics, and postbiotics can benefit your health and how they can be incorporated into your diet.

Prebiotics are non-digestible carbohydrates that promote the growth of beneficial bacteria in the gut, allowing them to thrive and perform their functions. Foods high in prebiotics include legumes, garlic, wheat bran, and bananas. Prebiotics can help to improve digestion, reduce inflammation, and support overall gut health.

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Dialectical behavior therapy requires both individual and group treatment.

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True, the Dialectical behavior therapy requires both individual and group treatment. It makes use of behaviorist learning principles such as responder or operant conditioning.

The general name for professional psychotherapy that employs methods from behaviorism and/or cognitive psychology is behavior therapy, which is often referred to as behavior therapy. It examines certain, ingrained behaviors and how the surroundings or the attitudes of other people impact such behaviors. These methods are used by both behavior analyzers and cognitive-behavioral therapists. They typically seek out measurable, concrete therapy outcomes. Instead of focusing on one particular technique, behavior therapy uses a variety of strategies to treat patients' psychological issues.

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apply concepts of quality and safety using structure, process, and outcome measures to identify clinical questions and describe the process of changing current practice.

Answers

Outcome measures indicate the results of a process, such as if a patient's condition improved or worsened after receiving a specific service.

The results of a process are shown by outcome metrics, such as whether a patient's condition became better or worse after receiving a certain service.

Quality indicators such as medication adherence, blood pressure control in COPD patients, and rates of surgery-related mortality are examples of outcome metrics. Even though uncontrollable non-medical factors may have an impact on outcome measures, these measurements nonetheless have the potential to provide precise information about beneficiary healthcare quality.

The HEDIS dataset's outcome indicators track treatment persistence through time, monitoring of health conditions, and follow-up treatments.

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What information concerning disulfiram should you communicate to the patient

Answers

Drowsiness, tiredness, headache, acne, and metallic/garlic-like taste in the mouth may occur as your body gets used to the medication. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.

Answer:

flushing (warmth, redness, or tingly feeling);

sweating, increased thirst, swelling, rapid weight gain;

nausea, severe vomiting;

neck pain, throbbing headache, blurred vision;

chest pain, shortness of breath (even with mild exertion);

fast or pounding heartbeats or fluttering in your chest;

confusion, weakness, spinning sensation, feeling unsteady; or

a light-headed feeling, like you might pass out.

More severe symptoms may occur when disulfiram and large amounts of alcohol are used together, such as severe chest pain spreading to your jaw or shoulder, slow heart rate, weak pulse, seizure, fainting, weak or shallow breathing, or slow breathing (breathing may stop). A disulfiram-alcohol reaction can be fatal.

Call your doctor at once if you have:

eye pain or sudden vision loss;

confusion, unusual thoughts or behavior; or

liver problems--nausea, upper stomach pain, itching, tired feeling, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Common side effects may include:

skin rash, acne;

mild headache, tired feeling;

impotence, loss of interest in sex; or

metallic or garlic-like taste in the mouth.

You should not use disulfiram if you have recently taken metronidazole or paraldehyde, or if you have consumed any foods or products that contain alcohol (mouthwash, cough medicine, cooking wine or vinegar, certain desserts, and others).

Do not take disulfiram if you have consumed alcohol within the past 12 hours. Do not drink alcohol while taking disulfiram, and for up to 14 days after you stop taking this medicine.

Explanation:

What would you expect the clinical laboratory technicians to look for in julie's blood smear?

Answers

The clinical laboratory technicians look out for levels of myelocyte-derived white blood cells significantly basophils, neutrophils, also as mast cells.

A blood smear is a biopsy that provides info regarding the amount and form of blood cells. it's typically done as a part of or at the side of a whole blood count (CBC). Sickle cell anemia is an inherited disease within which abnormal hemoprotein (the red pigment within red blood cells) is made.

Mast cells play a vital role in however the system responds to sure bacterium and parasites and that they facilitate management different kinds of immune responses. They contain chemicals like amine, heparin, cytokines, and growth factors.

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What are the most common types of unintentional injuries in the home?

Answers

“1. Falls

commonly cause cuts, scrapes, bumps to the head and concussions, fractures, dislocations and hand and wrist injuries,” Mendoza says. “In those who are on blood thinners, we see subdural hematomas, which is bleeding in or around the brain.”

To prevent falls, eliminate obstacles in the home that pose a tripping hazard, install grab rails or supports in places such as the bathroom and use your cane or walker if you have one. Ask your doctor if any of your medications cause dizziness. If you drink alcohol, do so only in moderation.

2. Cuts

Cuts sounds like a relatively minor injury, but they can be dangerous when there’s heavy bleeding or an infection. People often cut themselves at home while preparing food in the kitchen and working on home improvement projects, says Mendoza, who has seen an increase in cuts on the hands and fingers.

“It may be counterintuitive, but make sure you are using a sharp knife when cutting and prepping food,” Mendoza says. “A dull knife will make it more difficult to slice through food and can slip, causing you to cut yourself.”

Using a cutting board can reduce the risk of knife slips, too — never cut something in your hand. If you’re doing home repairs, wear sturdy work gloves and don’t tackle projects that feel beyond your skill set.

3. Burns

Another indication more people have been in the kitchen: more burns from boiling water or hot oil.

“We’ve also seen burns from exposure to chemicals and accidents when starting or tending to a fire,” Mendoza says.

When cooking, pay attention to what you’re doing, wear protective gear as needed (such as oven mitts) and keep children and pets away. If using potentially hazardous chemicals, such as bleach, drain cleaner or paint thinner, read all the instructions, wear protective gear and store them out of reach of children. Make sure there’s a working smoke detector on every level of your home, and never leave any type of fire, including campfires and fire pits, unattended or in reach of children or pets.

4. Poisonings

Poisonings are the most common preventable injury cause of death in the home.

Accidental overdoses can happen if you forget whether you have taken a dose of medication and then take it again. Poisonings also can happen if children are able to reach medications, household cleaners or chemicals. In the winter, carbon monoxide poisoning can result from keeping gas grills or heaters inside, or because a gas furnace malfunctions.

“Make sure your smoke alarms are working properly and have good batteries,” Mendoza says. “Add a carbon monoxide alarm to your home if you don’t have one. Keep medications and household cleaners in places that children cannot reach, and help older loved ones keep track of when they are supposed to take their medications.”

5. Gunshot wounds

Mendoza says the emergency department is seeing more injuries from accidents involving guns at home, especially bullet wounds in the legs, feet and toes.

“We’ve seen incidents in which children have found loaded guns in the house and fired the weapon,” Mendoza says. “We’ve also seen incidents with adults who didn’t know the gun was loaded or the safety was off or had an accident while cleaning their gun.”

If you have a gun in your home, keep it locked in a place where children cannot access it, and store firearms and ammunition separately, both under lock. Make sure anyone who handles the firearm understands how to do so safely.

victims may be disabled by an alcohol or a substance abuse problem

Answers

The Canadian Human Rights Act classifies substance dependence, sometimes known as addiction, as a handicap.

What is addiction?

Addiction is defined as a persistent malfunction of the memory, motivation, and reward systems in the brain. Repeated drug use appears to alter the way your brain experiences pleasure, which leads to physical addiction. Some nerve cells in your brain undergo physical alterations as a result of the addictive substance.

As a result, an employee who has been diagnosed with substance abuse has the same entitlement to reasonable accommodation from their employer as anyone else with a handicap. Alcoholism and drug addiction are occasionally viewed as impairments in California.

Thus, the Canadian Human Rights Act classifies substance dependence, sometimes known as addiction, as a handicap.

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The goal of the PPACA was to ___ and, at the same time, reduce the medical ___ reduce the medical expenditure sthat Medicare has been facing over the years

Answers

The goal of the PPACA was to expand health insurance coverage and, at the same time reduce cost-sharing for individuals, reduce the medical expenses that Medicare has been facing over the years.

PPACA stands for Patient Protection and Affordable Care Act. This is one of the two laws that make up the Health Care Reform Act.

PPACA's goal is to ensure more people have health insurance, reduce healthcare costs, and improve patient care.

One of the important products of the ACA is the health insurance market (also called an exchange) which is run by the federal government. The federal marketplace, health.gov, is a website where Americans can shop, compare, and then buy individual insurance plans. Plans are available to anyone not using a group plan, including unemployed and self-employed individuals. Several states have created their marketplaces, but most still rely on health.gov.

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Benzodiazepines, prescribed to treat generalized anxiety disorder, stimulate the actions of the neurotransmitter: _________

Answers

Benzodiazepines, prescribed to treat generalized anxiety disorder, stimulate the actions of the neurotransmitter GABA.

Benzodiazepines, typically known as "benzos", are a category of depressant medication whose core chemical structure is that the fusion of a benzene and a diazepine ring. They're prescribed to treat conditions like anxiety disorders, insomnia, and seizures.

GABA (Gamma-aminobutyric acid ) , is that the chief repressing neurotransmitter within the developmentally mature class central systema nervosum. Its principal role is reducing neuronic excitability throughout the systema nervosum. gamma aminobutyric acid is sold-out as a dietary supplement in several countries.

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3. What advice would you give to a friend with tennis elbow about how she should
lift a frying pan onto the stove?

Answers

Answer:

She should lift the pan with her palm facing up (underhand grip). This will use the flexor muscles. Injured tendons (as in tennis elbow) are best healed with rest.

Explanation:

QUESTION 16
Stanley Milgram's famous research (The fake electric shock experiment) investigated:
Obedience to an authority figure
O Bystander apathy
O The effects of watching violence on TV
O Prejudice

Answers

Watching tv violence might be the answer

which of the following is not a recommendation for enhancing the children's lives to early intervention

Answers

Because of early intervention, the children's lives the importance of honing skills and understanding via practice.

Enhance – does that imply better?

Transient verb. To enhance anything is to raise its worth, excellence, or appeal. That reputation is something the White House is trying to preserve and cultivate. Synonyms include better, increase, elevate, and improve. alternatives to improve.

Which example best illustrates enhancing?

An example of a better statement Any action he took against a lady was enhanced by his bite. For the first time, he was tidy and well-dressed; his tailored attire highlighted his strong, trim frame. The art of interior design involves using the appropriate colors, materials, and furniture to improve a space.

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Professionalism in the Workplace

Describing Professional Skills

Leadership and teamwork are both examples of _________ skills.
___________ is an example of dependability.

Answers

Answer:

1. Interpersonal

2. Punctuality

Explanation:

I calculated it logically

Finding a Protocol

The pharmacy technician needs to prepare a compound medication, but wants to check the protocol. Where can compounding protocols be found?

a. USP DI
b. USP 35
c. Facts and Comparisons
d. Remington

Answers

Answer:

B. USP 35

Explanation:

I calculated it logical

Whether someone with a diathesis develops the disorder is determined by

Answers

Answer:

The Diathesis-Stress Model explains that psychological disorders derive from the combination of a predisposition to vulnerability or diathesis, as an innate factor, together with experiences of stress as an acquired factor. Therefore, innate factors and acquired factors are needed to develop certain disorder.

Explanation:

From the perspective of the diathesis-stress model, a disorder is the result of the interaction between a genetic predisposition or vulnerability (diathesis), with external factors or personal experiences (stress). This model is used to explain the development of mental disorders with a clear genetic basis, such as schizophrenia, bipolar disorder, etc. The appearance of the disorder will depend on the combination of both factors. The more genetic predisposition you are, the more likely you are to develop these low-stress diseases. And on the contrary, a low predisposition protects us from suffering a mental disorder, even if different stressors occur in our life.

Which of the following is true about Michaelis-Menten kinetics?

Answers

Answer:

Explanation: Km is defined as the concentration of substrate at which enzyme is working at half of maximum velocity. It is also a measure of the affinity that the enzyme has for its substrate.

Explanation:

diabetic ketoacidosis occurs when

Answers

Diabetic ketoacidosis occurs when the liver breaks down fat to be used as energy in an excessive way leading to the formation of ketones in the body.

What is diabetic ketoacidosis?

Diabetic ketoacidosis is defined as a metabolic disorder that occurs as a complication of uncontrolled diabetes. The diabetic ketoacidosis occurs when there is lack of insulin which leads to the inability of the body to use glucose for energy, it will compensate by break down of fat in the liver for energy leading to formation of ketones.

The clinical manifestations of diabetic ketoacidosis include the following:

Being very thirstyUrinating oftenFeeling a need to throw up and throwing upHaving stomach painBeing weak or tiredBeing short of breathHaving fruity-scented breath.

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Common disorder of the bladder where bacteria infects the lower urinary tract which causes irritation and inflammation.
a. True
b. False

Answers

Answer:

True

Explanation:

A common disorder of the bladder where bacteria infects the lower urinary tract is called a urinary tract infection (UTI). UTIs can cause irritation and inflammation of the bladder and other parts of the urinary tract. UTIs are typically caused by bacteria entering the urinary tract and multiply, and they can be treated with antibiotics. UTIs can be uncomfortable and painful, and they can affect people of all ages.

What 3 joints
included in
the terms triple
extension and triple
flexion? WILL MARK!

Answers

the hip, knee, and ankle joints.
multi joint extension that involves flexion at the hip,knee, and ankle hope this helps :)

You arrive on the scene where a patron appears to be injured. Before approaching the victim, which of the following will you NOT do as you size-up the scene?

Answers

The arrive on the scene where a patron appears to be injured. Before approaching the victim, which of the following by the Begin appearing the number one assessment.

The number one evaluation is supposed to evaluate and interfere hastily for life-threatening situations in significantly unwell or injured patients.The first matters to search for are situations which can threaten a casualty's life.

The rescuer need to start remedy and number one evaluation with the aid of using speakme to the casualty if conscious. Rescuers will then need to manipulate extreme bleeding and deal with for surprise or different extreme accidents or illness.

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a blood specimen is received in the laboratory for testing five hours after collection. which of the following test results may be falsely decreased?

Answers

Serum/plasma should be removed from the cells as soon as possible after the collection.

What is a blood specimen?

A blood specimen is a sample of blood taken from a patient for medical testing. It is usually collected via venipuncture (drawing blood from a vein) or from a finger cut. Blood specimens can be used to diagnose diseases and infections, measure hormone levels, determine blood cell counts, and check for drug or alcohol levels.

Some tests could yield inaccurate results if the specimen is not centrifuged within the first two hours of collection. Test results for lactate dehydrogenase, creatinine, and potassium may rise while those for serum/plasma glucose may decrease.

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Cocaine may ________ symptoms of schizophrenia by ________ dopamine levels.
a. eliminate; decreasing
b. decrease; increasing
c. increase; increasing
d. decrease; decreasing
e. increase; maintaining

Answers

Answer:

c. increase; increasing

Explanation:

In people with schizophrenia, increased dopamine levels can exacerbate the symptoms of the disorder. Schizophrenia is a serious mental illness characterized by a range of symptoms, including delusions, hallucinations, and abnormal thinking and behavior. It is thought that abnormalities in dopamine signaling may contribute to the development and maintenance of these symptoms. Therefore, using cocaine, which increases dopamine levels, may increase the severity of symptoms in people with schizophrenia.

Describing Sender and Receiver

A physician gives a prescription to the pharmacist over the phone.

The doctor is the _______, and the pharmacist is the _______.

A pharmacy technician writes a note about a patient's medications to the pharmacist.
The _______________ is the sender, and the __________ is the receiver.

Answers

Answer:

1. Sender

2. Receiver

3. Pharmacy technician

4. Pharmacist

Explanation:

I calculated it logically

diana has been fasting for a few days and decides to go for a short run before breaking her fast. the glucose she needs for her run will come from ____.

Answers

She decides to break her fast a few days later and go for a quick run; the glucose she needs for the exercise will come from glycogenolysis.

What does having high glucose mean?

Due to insufficient insulin production, hyperglycemia implies there is too much sugar in the blood. Hyperglycemia, a condition linked to diabetes, can result in symptoms such as vomiting, extreme appetite and thirst, a quick heartbeat, eyesight issues, and more.

Does water consumption reduce blood sugar?

Did you know that because it's Sugar Free February, drinking water helps reduce blood sugar levels by diluting the quantity of glucose (sugar) in your system. Lots of water consumption will help to minimize insulin resistance, which in turn will help to lower blood sugar levels.

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Which of the following statements shows a relationship that is correlated but NOT causal? A. The amount of led paint in a house and the slow brain development in children. B. The years of smoking and lung diseases. C. The amount of junk food consumed and the weight increase in children. D. Outdoor exercise and the incidence of skin cancer.?

Answers

Outdoor exercise and the incidence of skin cancer due to over exposure to the UV rays emitted by the sun.

It is possible for cancer to spread to more body parts or to infect them. A group of illnesses known as cancer are characterised by uncontrollable cell division. Benign tumours do not spread, in contrast. Some probable symptoms and indicators include a lump, unusual bleeding, a chronic cough, unexplained weight loss, and a change in bowel habits. There are other potential explanations besides cancer, however these symptoms can be connected to it. Over 100 different varieties of cancer can strike anyone.

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Lydia routinely gets massages to increase flexibility, reduce fatigue, improve endurance, and prevent injuries. What kind of massage does Lydia get?​

Answers

I would say deep tissue since it talks about fatigue reducing, and increasing flexibility which are some benefits of deep tissue

____ is a controversial disorder marked by the apparent manifestation within one person of two or more distinct personalities, each with its own name and traits.

Answers

A contentious condition known as dissociative identity disorder is characterized by the apparent existence of two or more different identities, each with a distinct name and characteristics, within a single .

What kind of identity problem is dissociative?

The daily routines of those who have dissociative identity disorder are occasionally interrupted by voices, identities, or memories. For instance, at work, an irate identity can yell at a subordinate or manager without warning.

Does someone have DID without realizing it?

When a person with DID initially seeks professional assistance, they are typically unaware of their disease. Episodes of forgetfulness, or time loss, are a relatively common complaint among DID patients. These people might not be able to recall anything from the past, either completely or in part.

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Age-related changes in the renal system result in:

Answers

Age-related changes in the renal system result in: A decreased ability to clear wastes from the body and a decreased ability to conserve fluids when needed. The risk of bleeding in the skull, which increases with age, is MOST directly related to: Shrinkage of the brain.

The kidneys, ureters, bladder, and urethra make up the urinary system, which is sometimes known as the urinary tract or the renal system. Only a few of the tasks carried out by the urinary system include waste elimination, blood volume and pressure regulation, electrolyte and metabolite level adjustment, and blood pH modulation. The body's primary drainage mechanism for excreting urine is the urinary tract. The renal arteries and veins provide an ample supply of blood to the kidneys. Nephrons are functional organelles found in each kidney. Wastes (in the form of urine) exit the kidney through the ureters, which are tubes made of smooth muscle fibers and carry urine to the bladder for extra processing and storage.

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An 18-year-old football player is seen in the emergency ward with severe knee pain incurred after being hit by a tackler while running. Which of the followingfindings on physical examination is most sensitive for an anterior cruciate ligament injury?a. Excessive valgus laxity of the kneeb. Excessive varus laxity of the kneec. Locked kneed. Positive Lachman teste. Positive posterior drawer test

Answers

The answer is b. (Brunicardi, pp 1579-1580.) Lachman test is a sensitive and reliable clinical test to evaluate for injury to the anterior cruciate ligament (ACL).

The knee is held in slight extension and while holding the thigh steady with one hand the tibia is pulled anteriorly with the other hand. Anterior translation of the knee.

suggests a torn ACL. The posterior drawer test is used to evaluate for a posterior cruciate ligament injury and is essentially the reverse of the Lachman test with a

slightly flexed knee. A "locked knee" occasionally occurs with a displaced meniscal tear and prevents full extension of the knee. Excessive valgus laxity (outward

deviation of the leg) is associated with a medial cruciate ligament injury while excessive varus laxity can be seen with a lateral cruciate ligament injury.

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Daphne swings a 15.0 kg bucket of water in a vertical circle of radius 1.3 m. What is the minimum speed, v, at the top of the circle that the pail has to go if the water is not to spill? Please help me I am begging you please I have been stuck on this 31. Which sequence shows increasing ecologicallevels of organization?A. organism, population, community, ecosystemB. ecosystem, population, organism, communityC. community, ecosystem, population, organismD. population, organism, ecosystem, community What is 30326.4 rounded to the nearest tenth? Eric spends 4/5 of his pocket money to buy lunches. The rest of the money he will save. If the amount he saves is $2, how much does he spend buying lunch? find the volume of the cone. Diameter:14 m, Slant Height:25 m A triangle has vertices at A(-6, -3).B(1,5), and C(4. -4). The triangle isdilated according to thetransformation below. The center ofdilation is the origin.(x, y) (2x, 2y)What are the vertices of the image ofthe triangle? North Pole Toys needs to decide on their newest product line for Christmas. They narrowed their options to two possibilities: Product A would incur a fixed cost of $3,000 and a variable cost of $6 per unit and sells for $7.50; Product B would incur a fixed cost of $1,200 and a variable cost of $9 per unit and sells for $10.A. What is the break-even point for each of the two products?B. What is the point of indifference between the two products? John withdrew 1/4 of his savings to use as deposit on a new phone.He had 164.00 in his savings account.How did John withdrew for the deposit on the phone How fast does a 500kg car need to drive to have 100,000 J of kinetic energy? please answer! The expression 8x 4 represents thecost of 8 pairs of socks Emma bought,less the $4 coupon she had. Whichproperty is applied to the expression towrite the equivalent expression4(2x 1)? Explain. You need a 90% alcohol solution. On hand, you have a 55 mL of a 45% alcohol mixture. You also have 95% alcohol mixture. How much of the 95% mixture will you need to add to obtain the desired solution? What angles are congruent and opposite each other when lines intersect HELP ASAP!! A recipe calls for 2.3 cup of milk. if you make 3 1/2 times the recipe, how much milk do you need? What makes DC different from other cities/states , politicaly The law of reflection states that the angle of incidence and the angle of reflection are always Weight of three books are 234 kg, 356 kg and 238 kg. Find the total weight of all the three books. What is the value of x in the triangle? 25 degrees x 25 degrees hep me with this question What signals the end ofthe cell cycle? A. cell death B. Cancer C. Cell division