The nurse is assessing a client with rheumatoid arthritis who is being considered for adalimumab therapy. which statement made by the client needs further investigation?
1. "i am taking an antibiotic for a urinary tract infection."
2. "i had a negative tuberculosis skin test 2 weeks ago."
3. "i just received my yearly flu shot a week ago."
4. "i will continue taking naproxen at night to with pain."

Describe the purpose and function of recording the start and stop time for anesthesia services.

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!

Samuel is a 63-year-old single man who works full time in a food processing plant. he has a history of esophageal cancer, which was treated successfully with anti-cancer drugs and surgery four years ago. his weight had been stable at 135 pounds until 6 months ago. since then, he has experienced an involuntary weight loss of 10 pounds. he complains of a poor appetite and being overly weak, tired, and irritable. he also complains of cracks at the corners of his mouth and a chronic sore throat, which concerns him, given his cancer history. his usual diet is fairly consistent. he states that he rarely eats breakfast because he starts work at 6 a. m. he eats two deli meat sandwiches, "usually pastrami or salami," and a soda at 10 a. m., and may eat a candy bar in the afternoon when he gets off work. he often prepares and eats a frozen dinner or pizza at home in the evening and routinely drinks "about four or five beers" before going to bed. occasionally, he cooks roast and mashed potatoes for dinner and may have cereal with milk for a snack before bed. he rarely eats vegetables or fruit. 1. considering samuel's alcohol consumption, which b vitamin may he be deficient in? a. pantothenic acid b. niacin c. riboflavin d. biotin e. thiamin