The main medical problem of M.S. at this time. Case summary: Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

Question

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Answer 1

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day

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Nutrition Internvention

Answer 2

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 3

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 4

Question

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 5

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 6

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

Answer 7

Chapter 29, Problem 1CS

(1)

Summary Introduction

To determine:

The main medical problem of M.S. at this time.

Case summary:

Mr M.S., is 85-years-old engineer (retired), who seems confused His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appears dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

Answer 8

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

Answer 9

(2)

Summary Introduction

To determine:

What the staff nurse will do first and what she will watch for at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

The emergency department is fully occupied. The staff nurse returns after one hour and she is shocked to see that the whole 500 mL infusion of NS has infused completely within that time.

Answer 10

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 11

(3)

Summary Introduction

To determine:

Which indicator will be considered most reliable by the nurse while monitoring M.S. fluid status?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 12

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 13

(4)

Summary Introduction

To determine:

What is the possible problem with the intravenous (IV) line and what needs to be done at this time?

Case summary:

Mr M.S., is 85-years-old engineer (retired) who seems confused. His daughter takes him to department of emergency. His blood pressure is 90/62 mm Hg, his pulse rate (heart rate) is 114 beats/min and skin appear dry but cool. His daughter states that he seems weaker than normal and unable to answer properly. She also adds on that her father has lost his appetite recently and he has not taken (eaten) much food or drink. The staff nurse starts an intravenous infusion of sodium chloride (NS) at 100 mL per hour through a gravity drip infusion.

24 hours after his admission, the patient seems less confused and able to move easily. He is receiving 5% dextrose, ½ sodium chloride (NS) with 20 mEq of potassium chloride with a rate of 75 mL/hour through an infusion pump. M.S’ daughter notices that the region above the infusion site is red, and M.S. complains that the region or area is “very sore”.

Answer 14

Expert Solution & Answer

Answer 15

Expert Solution & Answer

Answer 16

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Answer 17

Ch. 29 - Prob. 1O Ch. 29 - Prob. 2O Ch. 29 - Prob. 3O Ch. 29 - Prob. 4O Ch. 29 - Prob. 5O Ch. 29 - Prob. 6O Ch. 29 - Prob. 7O Ch. 29 - Prob. 1CS Ch. 29 - Prob. 1NERQ Ch. 29 - Prob. 2NERQ

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Chapter 29 Solutions