Your are reviewing the benefits and potential side effects of new medications for a patient.  According to the Global Initiative for COPD Guidelines, the goal of oral corticosteroid therapy in severe COPD is to:

The largest moments in a continuous beam or a frame occur when some spans are loaded with live load and others are not. Influence lines are often used to determine which span should and should not be loaded.

A 66-year-old bus driver presents to your office concerned about right calf pain and swelling. He just returned from a four day cross-country trip after which he had onset of his current symptoms. He reports that the week prior to his four day trip, he spent most of his time in bed recovering from the flu. His PMH is significant for DM type 2 and COPD. He has a 25-pack-year smoking history. He denies having any chest pain or SOB. His physical exam reveals 2+ pitting edema of his right leg. His right leg circumference is 34 cm and his left left circumference is 30 cm. Which diagnostic test would you order during the evaluation of this patient to help you determine his diagnosis?

A beam has dimensions of b = 14 in., h = 26 in., and d = 23.5 in. and is reinforced with 3 No. 8 bars. The concrete strength is 9,100 psi, and the yield strength of the reinforcement is 60,000 psi. Assuming the reinforcement has yielded, determine the tensile force T in the reinforcement.

Older patients have increased risks when using opioid pain medications.  Which of the following is an important reason to use caution with older patients?

A young adult woman is unable to conceive after trying to get pregnant for over 6 months. The woman reports having had irregular periods since the onset of menarche. The APRN notes that the woman is overweight, has acanthosis nigricans, and an excess hair distribution. What does the APRN suspect as the most likely primary cause of these symptoms?

Patients with chronic kidney disease experience a complex and common health condition that is treated by a primary care provider and a renal specialist.  Which of the following is a common cause of chronic renal failure:

Find the fourth roots of 16(cos 200° + i sin 200°). (5 points)

There are many reasons APRNs should be interested in treating their patients with Hepatitis C infections. Which of the following statements is NOT a good reason to treat your patients with Hepatitis C?

A beam has dimensions of b = 18 in., h = 24 in., and d = 21.5 in. and is reinforced with 4 No. 7 bars. The concrete strength is 9,700 psi, and the yield strength of the reinforcement is 60,000 psi. If the depth of the compressive stress block is a = 0.970285 in. and the strain in the reinforcement is εs = 0.040209, determine the strength φMn for this beam. Assume the transverse reinforcement is not spirals.