325 e 2 pt 2

Question 1

this is the amt of pressure required to stop the osmotic flow of water

Answer 1

osmotic pressure

Question 2

this measures the water balance in the body

Answer 2

osmolality

Question 3

this is the force within a fluid compartment and the major source that pushes water out of the vascular system at the cap level

Answer 3

hydrostatic pressure

Question 4

the is the force of fluid in a compartment pushing against a CM or vessel wall

Answer 4

hydrostatic pressure

Question 5

this is also called colloidal pressure

Answer 5

oncotic pressure

Question 6

this is the osmotic pressure exerted by colloids in a solution

Answer 6

oncotic pressure

Question 7

_____ is the major colloid in vascular system contributing to total osmotic pressure

Answer 7

protein

Question 8

two thirds of body water is ______

Answer 8

ICF

Question 9

the body fluids within the cell is ___

Answer 9

ICF

Question 10

one third of body water

Answer 10

ECF

Question 11

body fluids outside the CM

Answer 11

ECF

Question 12

intravascuar, interstitial , and transcellular fluids

Answer 12

what ECF divides into

Question 13

the plasma is the liquid part of blood and also called ____

Answer 13

intravascular fluid

Question 14

this is located between the cells and outside of the BVs

Answer 14

interstitial fluid

Question 15

this is CSF, pleural, peritoneal, and synovial fluids are all

Answer 15

transcellular body fluids

Question 16

this has excess fluid volume

Answer 16

hypervolemia

Question 17

this is excess of water and electrolytes

Answer 17

hypervolemia

Question 18

sodium follows water, so when there is excess water, there is excess ___

Answer 18

Na

Question 19

VS for what imbalance are tachycardia and bounding pulse with vascular overload?(which volemia?)

Answer 19

hypervolemia

Question 20

this has hypertension, tachypnea, and increased ICP

Answer 20

hypervolemia

Question 21

there is weakness and visual changes with this

Answer 21

hypervolemia

Question 22

paresthesias and altered LOC and seizures belong to what?

Answer 22

hypervolemia

Question 23

if you are hypovolemic and have a seizure, you will become suddenly ____ and have excess water

Answer 23

hyponatremic

Question 24

you see ascites, liver enlargement and have increased motility

Answer 24

hypervolemia

Question 25

you see crackles, cough and dyspnea

Answer 25

hypervolemia

Question 26

you see peripheral edema, weight gain, and cool pallor skin

Answer 26

hypervolemia

Question 27

you see increased urine output and distended neck veins

Answer 27

hypervolemia

Question 28

you see dependent edema and pulm edema when severe

Answer 28

hypervolemia

Question 29

you see anxiety, increased vein distension, and premature ventricular contractions

Answer 29

pulm edema

Question 30

you see a changed LOC, restlessness, and lethargy

Answer 30

pulm edema

Question 31

you see ascending crackles and cough with sputum

Answer 31

pulm edema

Question 32

if someone has pulm edema, put the ct in ____ to maximze ventilation and give O2

Answer 32

high fowlers

Question 33

if someone has pulm edema; get a ___ airway pressure, and intubate and do ventilation

Answer 33

pos

Question 34

if someone has pulm edema; give ___, nitrates, and diuretics if BP is good

Answer 34

morphine

Question 35

you want to tell the pt to consume low Na diet and restrict fluid intake with ____. if they have a history of heart disease and impaired kidneys

Answer 35

hypervolemia

Question 36

tell the pt to weigh daily and R a 1-2 lb gain in 24 h and 3 lb in 1 wk if they have ____

Answer 36

hypervolemia

Question 37

fluid restriction, labs, and chest xray are the collab interventions for

Answer 37

hypervolemia

Question 38

what the purpose of the xray for hypervolemia?

Answer 38

reveal pulm congestion

Question 39

given by provider, take strict I & O, pt education and pace liquids out are

Answer 39

the fluid restrictions for hypervolemia

Question 40

swab cold water into mouth if you have

Answer 40

fluid restrictions for hypervolemia

Question 41

you expect to find decreased Hct, Hb and blood osmolarity for

Answer 41

hypervolemia

Question 42

you expect to see fluid excess, decreased urine Na and specific gravity and BUN(due to plamsa dilution) for

Answer 42

hypervolemia

Question 43

you want to mon I and O, mon daily weight, and assess breath sounds with

Answer 43

hypervolemia

Question 44

you want to mon peripheral edema, maintain Na and fluid restriction for

Answer 44

hypervolemia

Question 45

you want to encourage rest, mon diuretic pts, and put pt in semifolwers or fowlers position for

Answer 45

hypervolemia

Question 46

you want to reposition the pt to prevent breakdown in edematous skin, and assess bony prominences for

Answer 46

hypervolemia

Question 47

you want to mon blood sodium and K levels for

Answer 47

hypervolemia

Question 48

you want to have pulmonology to be consulted in fluid in the lungs if its

Answer 48

hypervolemia

Question 49

you see sudden weight loss and skin tenting with

Answer 49

hypovolemia

Question 50

you see dry MM, lightheadedness, and oliguria with

Answer 50

hypovolemia

Question 51

you see vascular underload and flat neck veins when supine with

Answer 51

hypovolemia

Question 52

you see rapid thready vascular pulse, postural BP drop with HR increase with

Answer 52

vascular underload

Question 53

you see syncope and circulatory shock if severe with

Answer 53

hypovolemia

Question 54

isotonic dehydration is also called

Answer 54

hypovolemia

Question 55

this is a lack of water and electrolytes

Answer 55

hypovolemia

Question 56

this causes a decrease in blood volume

Answer 56

hypovolemia

Question 57

this is also called fluid volume deficit

Answer 57

hypovolemia

Question 58

you see hyperthermia and tachycardia with

Answer 58

hypovolemia

Question 59

you see a thready pulse and hypotension with

Answer 59

hypovolemia

Question 60

you see postural hypotension and decreased central venous pressure with

Answer 60

hypovolemia

Question 61

you see tachypnea and hypoxia with

Answer 61

hypovolemia

Question 62

you see dizziness and syncope with

Answer 62

hypovolemia

Question 63

you see confusion and weakness and fatigue with

Answer 63

hypovolemia

Question 64

you see thirst and dry furrowed tongue with

Answer 64

hypovolemia

Question 65

you see nausea and vomit with

Answer 65

hypovolemia

Question 66

you see anorexia and acute weight loss with

Answer 66

hypovolemia

Question 67

you see oliguria and diminished cap refill with

Answer 67

hypovolemia

Question 68

you see cool clammy skin and diaphoresis with

Answer 68

hypovolemia

Question 69

you see sunken eye balls with

Answer 69

hypovolemia

Question 70

the effects of fluid imbalance in ____ is greater bc of loss of elesticity of skin

Answer 70

older folk

Question 71

the effects of fluid imbalance in ____ is greater bc of decrease in GFR and the concentrating ability of kidneys

Answer 71

older folk

Question 72

the effects of fluid imbalance in ____ is greater bc loss of muscle mass and diminished thirst reflex

Answer 72

older folk

Question 73

with dehyrdration, you see elevated temp and if severe u can have a seizure with

Answer 73

hypovolemia

Question 74

complications of hypovolemia are _____/___________ _____

Answer 74

hypovolemic/circulatory shock

Question 75

drink fluids to hydrate and know signs of dehydration is the ct teaching with

Answer 75

hypovolemia

Question 76

vomit and large draining wounds are signs of

Answer 76

dehydration

Question 77

diarrhea or excessive ostomy losses are signs of

Answer 77

dehydration

Question 78

giving fluid replacement as a collab intervention with

Answer 78

hypovolemia

Question 79

with lab tests you see a Na level of above 145, blood osmolality GT 295 with dehydration/hypernatremia, and urine gravity above 1030 for ____

Answer 79

hypovolemia

Question 80

with lab tests, you see Hct increased in _____and BUN increases above 25 with ____

Answer 80

hypovolemia

Question 81

you collab with HCP to determine fluid volume replacement and O2 management with _____

Answer 81

hypovolemia

Question 82

as a nurse, you give oral and IV therapy; mon I and O; mon BP and HR; and mon for mentation and confusion to see worsening fluid imbalance for _______

Answer 82

hypovolemia

Question 83

as a nurse you: weight every 8 hours while in fluid therapy; assess gait stability; encourage the pt to roll from side to side or stand up slowly for ____

Answer 83

hypovolemia

Question 84

This is GT 145

Answer 84

Hypernatremia

Question 85

This happens when there is an increased sodium causes hypertonicity of the blood

Answer 85

Hypernatremia

Question 86

This causes a shift of water out of the cells resulting in dehydrated cells

Answer 86

Hypernatremia

Question 87

This can significant neurological, endocrine, and cardiac disturbances

Answer 87

Hypernatremia

Question 88

This is an elevated serum sodium that may occur with water loss or sodium gain

Answer 88

Hypernatremia

Question 89

Symptoms of this are dehydration and volume deficit

Answer 89

Hypernatremia

Question 90

Symptoms of this are postural hypotension, weakness, and decreased skin tugor

Answer 90

Hypernatremia

Question 91

This is treated by cause…with water deficits, volume is _____. If sodium excess, _____ is accomplished with sodium free IV fluids

Answer 91

Replaced; dilution

Question 92

Hyperthermia and tachycardia and orthostatic hypotension are EF for what imbalance?

Answer 92

Hypernatremia

Question 93

Restlessness, fatigue and disorientation are signs of

Answer 93

Hypernatremia

Question 94

Irritability and muscle twitching are signs of

Answer 94

Hypernatremia

Question 95

Seizures and decreased LOC and absent DTRs are signs of

Answer 95

Hypernatremia

Question 96

Thirst and dry & sticky MM are signs of

Answer 96

Hypernatremia

Question 97

Dry and swollen tongue that’s red in color and increased motility are signs of

Answer 97

Hypernatremia

Question 98

Hyperactive bowel sounds, Ab cramping, and nausea are signs of

Answer 98

Hypernatremia

Question 99

Edema, warm flushed skin and oliguria are signs of

Answer 99

Hypernatremia

Question 100

Seizures and coma are EF of

Answer 100

Hypernatremia

Question 101

Diarrhea and anorexia are EF of

Answer 101

Hypernatremia

Question 102

Nausea and vomiting are EF of

Answer 102

Hypernatremia

Question 103

Urine gravity and osmolality are ____ in hypernatremia

Answer 103

Increased

Question 104

You want to weigh daily and have a low sodium diet and adhere to fluid intake as prescribed are ct teaching for

Answer 104

Hypernatremia

Question 105

You want to mon LOC and ensure safety with what imbalance?

Answer 105

Hypernatremia

Question 106

Provide oral hygiene and other comfort measures to decrease thirst when dealing with

Answer 106

Hypernatremia

Question 107

Mon I and O and do low sodium diet with

Answer 107

Hypernatremia

Question 108

You want to encourage oral fluids (more water, less sodium) when you look at ____

Answer 108

Hypernatremia

Question 109

Give hypotonic and isotonic IV fluids with what imbalance?

Answer 109

Hypernatremia

Question 110

Give diuretics if impaired kidney excretion is the cause of this imbalance. What’s the imbalance?

Answer 110

Hypernatremia

Question 111

Mon LOC and ensure safety for

Answer 111

hypernatremia

Question 112

Mon VS and heart rhythm and auscultate lung sounds for

Answer 112

hypernatremia

Question 113

Do good oral hygiene, decrease thirst, and mon I and O with

Answer 113

hypernatremia

Question 114

Dextrose 5% in 0.45% solution NaCl is a hypertonic solution to give a pt with

Answer 114

hypernatremia

Question 115

0.3 % NaCl is a hypotonic solution and provides a gradual reduction in blood Na levels an ____ the risk for cerebral edema

Answer 115

Reduces

Question 116

0.3% NaCl for a _____ pt is preferred

Answer 116

Hyperglycemic

Question 117

D5W and 0.9% NaCl are ____ solutions

Answer 117

Isotonic

Question 118

With excess sodium, encourage ____ intake and reduce sodium intake

Answer 118

Water

Question 119

Give diuretics for pt with ___ kidney excretion

Answer 119

Poor

Question 120

body fluids are too dilute in

Answer 120

hyponatremia

Question 121

swollen cell causes impaired cerebral function and that is the basis for

Answer 121

hyponatremia

Question 122

people ate risk for this imbalance often had a rapid infusion of D5W or too much water in a few hours

Answer 122

hyponatremia

Question 123

ppl who secrete excessive ADH develop this imbalance

Answer 123

hyponatremia

Question 124

water excess from sodium free or hypotonic fluids are the common cause of this

Answer 124

hyponatremia

Question 125

symptoms are manifested in the CNS or PNS for hyponatremia?

Answer 125

CNS

Question 126

if the hyponatremia is from water excess, you do ____ restriciton. if fluid loss, you want to ___ with sodium containing solutions

Answer 126

fluid; replace

Question 127

this is a net gain of water or loss of sodium rich fluids

Answer 127

hyponatremia

Question 128

this delays and slows the depolarization of membranes

Answer 128

hyponatremia

Question 129

the water moves from the ECF to the ICF and causes the cell to swell with this imbalance

Answer 129

hyponatremia

Question 130

kidney salt wasting can occur with ____use

Answer 130

diuretic

Question 131

this is caused by fluid imbalance and results in sodium loss with

Answer 131

hyponatremia

Question 132

there is impaired cerebral function which leads to decreased LOC, nausea, severe(seizure) in what imbalance?

Answer 132

hyponatremia

Question 133

this is less than 130 levels of Na

Answer 133

hyponatremia

Question 134

results from an excess of water in plasma or loss of sodium rich fluids

Answer 134

hyponatremia

Question 135

this delays and slows the depolarization of membranes

Answer 135

hyponatremia

Question 136

this is where water moves from ECF to ICF that causes cells to swell

Answer 136

hyponatremia

Question 137

you see a varied level of ECF volume with

Answer 137

hyponatremia

Question 138

you see hypothermia and tachycardia with

Answer 138

hyponatremia

Question 139

you see rapid thready pulse and hypotension with

Answer 139

hyponatremia

Question 140

Orthostatic hypotension and headache are seen with

Answer 140

Hyponatremia

Question 141

You see confusion and lethargy with

Answer 141

Hyponatremia

Question 142

You seee muscle weakness with respiratory compromise with

Answer 142

Hyponatremia

Question 143

Fatigue and decreased DTRs are seen with

Answer 143

Hyponatremia

Question 144

Seizures and coma are seen with

Answer 144

Hyponatremia

Question 145

You see increased GI motility and hyperactive bowel sounds with

Answer 145

Hyponatremia

Question 146

You see Ab cramps and anorexia with

Answer 146

Hyponatremia

Question 147

You see nausea and vomit with

Answer 147

Hyponatremia

Question 148

Bounding pulse with Hyponatremia when the pt is ____

Answer 148

Hypervolemic

Question 149

With Hyponatremia the pt teaching is to ______

Answer 149

Weigh daily 1-2 overnight or 3 in wk; do high sodium diet

Question 150

if the pt can tolerate fluids, give food and fluid to replace ___ with hyponatremia

Answer 150

sodium

Question 151

encourage beef broth and _____ juice for a pt with hyponatremia

Answer 151

tomato

Question 152

give what IV fluids for hyponatremia?

Answer 152

lactated ringers and 0.9% isotonic saline

Question 153

if there is a rapid rise in sodium level there is risk of developing ____

Answer 153

neurological damage due to demyelination

Question 154

if there is fluid overload, and the pt has hyponatremia, you want to _____ water intake

Answer 154

restrict

Question 155

mon I and O and VS and LOC if the pt has

Answer 155

hyponatremia

Question 156

for hyponatremia, call ___ for E and F replacement

Answer 156

nephrology

Question 157

for oxygen management, you want to call respiratory services if the pt has

Answer 157

hyponatremia

Question 158

if the pt with hyponatremia has muscle weakness, mon ____ status

Answer 158

respiratory

Question 159

encourage cheese, milk and condiments if the pt has

Answer 159

hyponatremia

Question 160

if______________ is severe, you give hypertonic oral and IV fluids

Answer 160

hyponatremia

Question 161

this is elevated K levels

Answer 161

Hyperkalemia

Question 162

the most common cause of ____ is renal failure

Answer 162

Hyperkalemia

Question 163

this is common with massive cell destruction like tumor lysis and burn or crash injury

Answer 163

Hyperkalemia

Question 164

this is common with rapid transfusion of blood and infections like catabolic states

Answer 164

Hyperkalemia

Question 165

there is cardiac conduction disturbances with

Answer 165

Hyperkalemia

Question 166

there is cramping leg pain and weakness of skeletal muscle ass with

Answer 166

Hyperkalemia

Question 167

___% of K is within the cells

Answer 167

98

Question 168

you want to mon the ECG of _____ pts to detect fatal dysrhymias and mon the therapy effects

Answer 168

Hyperkalemia

Question 169

if there are cardiac dysrhythmia with Hyperkalemia you want to give them ____

Answer 169

IV Ca gluconate

Question 170

this is the result of K leaving the cells

Answer 170

Hyperkalemia

Question 171

the result of inadequate kidney excretion is

Answer 171

Hyperkalemia

Question 172

there is an increased risk of cardiac arrest with

Answer 172

Hyperkalemia

Question 173

there is a slow irregular pulse and hypotension with

Answer 173

Hyperkalemia

Question 174

there is restlessness and irritability with

Answer 174

Hyperkalemia

Question 175

there is flaccid paralysis and paresthesia with

Answer 175

Hyperkalemia

Question 176

there is premature ventricular contractions and ventricular fibrillation with

Answer 176

Hyperkalemia

Question 177

there is peaked T waves and diarrhea with

Answer 177

Hyperkalemia

Question 178

there is increased GI motility and hyperactive bowel sounds with

Answer 178

Hyperkalemia

Question 179

there is bilateral ascending flaccid muscle weakness and cardiac dysrhythmias with

Answer 179

Hyperkalemia

Question 180

you want to keep in mind serving size and teach the consequences for

Answer 180

Hyperkalemia

Question 181

restrict K rich foods if a pt has

Answer 181

Hyperkalemia

Question 182

avoid salt substitutes if a pt has ____

Answer 182

Hyperkalemia

Question 183

avoid metformin bc it can increase risk of _____ and avoid diuretics

Answer 183

Hyperkalemia

Question 184

with ____, call nephrology if dialysis is needed

Answer 184

Hyperkalemia

Question 185

with ___, cardiology can be consulted for dysrhythmias

Answer 185

Hyperkalemia

Question 186

with ___, nutritional services can be consulted for food choices

Answer 186

Hyperkalemia

Question 187

the ECG for imbalance will show this: peaked T waves, widened PR and QRS and you may see dysrhythmias and asystole

Answer 187

Hyperkalemia

Question 188

do dialysis if ___ levels are high

Answer 188

K

Question 189

give IV fluids with dextrose and regular insulin to promote the moving of K from ECF to ICF with what imbalance

Answer 189

Hyperkalemia

Question 190

mon cardiac rhythm and maintain IV access for

Answer 190

Hyperkalemia

Question 191

give Na polystyrene sulfonate if you have

Answer 191

Hyperkalemia

Question 192

with Hyperkalemia , the nursing priority is to prevent ____

Answer 192

falls

Question 193

with Hyperkalemia , assess muscle ____

Answer 193

weakness

Question 194

observe GI manifestation like nausea and intestinal coli for

Answer 194

Hyperkalemia

Question 195

mon for signs of hypokalemia while giving K ____ level meds

Answer 195

reducing

Question 196

give Na bicarb to reverse ___

Answer 196

acidosis

Question 197

dont give ___ blood to ppl with impaired kidney function

Answer 197

aged

Question 198

avoid legumes, citrus, and whole grains if you have

Answer 198

Hyperkalemia

Question 199

avoid lean meat, milk and eggs if you have

Answer 199

Hyperkalemia

Question 200

avoid cocoa and cola if you have

Answer 200

Hyperkalemia

Question 201

give apples, cranberries, and grapes to someone that has

Answer 201

Hyperkalemia

Question 202

give canned peaches, and cranberry/grape juice if pt has

Answer 202

Hyperkalemia

Question 203

give lettuce, cabbage, and cucumbers if pt has

Answer 203

Hyperkalemia

Question 204

give green peppers, sweet onions and green peas if pt has

Answer 204

Hyperkalemia

Question 205

give green beans if a pt has

Answer 205

Hyperkalemia

Question 206

leach veggies to ___ K content

Answer 206

decrease

Question 207

give refined grains to a ____ pt

Answer 207

Hyperkalemia

Question 208

give tea, coffee and ginger ale to a ____ pt

Answer 208

Hyperkalemia

Question 209

give root bear, applesauce, and angel food cake to A ___ PT

Answer 209

Hyperkalemia

Question 210

give butter, margarine, and hard candy to a ____ pt

Answer 210

Hyperkalemia

Question 211

give sugar and honey to a ___ pt

Answer 211

Hyperkalemia

Question 212

Clients who have ____ kidney function and are taking potassium-conserving diuretics should not receive potassium replacement or salt substitutes

Answer 212

impaired

Question 213

to increase K excretion, you want to give diuretics(furosmeide) and Na polystyrene sulfonate and Ca gluconate, and ____

Answer 213

albuterol

Question 214

this is low K levels

Answer 214

hypokalemia

Question 215

ppl at risk for hypokalemia are having ______ K output and not increased K input

Answer 215

increased

Question 216

diarrhea, aldosterone excess, and K wasting diuretics ____ K output

Answer 216

increases

Question 217

cortisol excess ___K output

Answer 217

increases

Question 218

ppl at high risk for hypokalemia are ______ and _____

Answer 218

chronically low K intake; rapid shifts of K from ECF into cells

Question 219

kidney and GI tract losses are the most common causes of

Answer 219

hypokalemia

Question 220

you find bilateral ascending flaccid muscle weakness and ab distension with

Answer 220

hypokalemia

Question 221

constipation and postural hypotension are findings of

Answer 221

hypokalemia

Question 222

polyuria and cardiac dysrhythmias are findings of

Answer 222

hypokalemia

Question 223

the level is below 3.5

Answer 223

hypokalemia

Question 224

shallow respirations are findings of

Answer 224

hypokalemia

Question 225

treat this by giving K Cl supplements and increasing dietary K

Answer 225

hypokalemia

Question 226

the EG for hypokalemia will have: inverted/flat T waves, ST depression, and ___ U wave

Answer 226

elevated

Question 227

this is bc of no K in the blood and it moving all to the cells

Answer 227

hypokalemia

Question 228

you see decreased BP, thready weak pulse and orthostatic hypotension with

Answer 228

hypokalemia

Question 229

there is an altered mental status and anxiety with

Answer 229

hypokalemia

Question 230

there is lethargy that turns into acute confusion and coma with

Answer 230

hypokalemia

Question 231

there is an prolonged PR interval with

Answer 231

hypokalemia

Question 232

there is hyperactive bowel sounds and nausea with

Answer 232

hypokalemia

Question 233

there is vomiting and constipation with

Answer 233

hypokalemia

Question 234

there is ab distention and paralytic ileus with

Answer 234

hypokalemia

Question 235

there is weakness, and DTR are reduced with

Answer 235

hypokalemia

Question 236

you see bradycardia and blocks with

Answer 236

hypokalemia

Question 237

you see ventricular tachycardia and anorexia with

Answer 237

hypokalemia

Question 238

avoid use of diuretics and laxatives in excess with

Answer 238

hypokalemia

Question 239

administer ___ replacement and don’t give K+ IM or SC

Answer 239

K

Question 240

mon and maintain adequate urine output and observe breathe with

Answer 240

hypokalemia

Question 241

mon cardiac rhythm and mon digoxin pts (increased toxicity) with

Answer 241

hypokalemia

Question 242

mon LOC and maintain safety with

Answer 242

hypokalemia

Question 243

mon bowel sounds and ab distension and O2(GT95%) with

Answer 243

hypokalemia

Question 244

assess hand grasps for weakness and DTR and implement fall precautions with

Answer 244

hypokalemia

Question 245

encourage broccolli and avocados with

Answer 245

hypokalemia

Question 246

give dairy and dried fruit with

Answer 246

hypokalemia

Question 247

give canteloupe and bananas with

Answer 247

hypokalemia

Question 248

give juices, melons and lean meats for

Answer 248

hypokalemia

Question 249

give milk, whole grains, and citrus for

Answer 249

hypokalemia

Question 250

give salt substitutes and K meds for

Answer 250

hypokalemia

Question 251

never give an IV __ with ____

Answer 251

bolus; hypokalemia

Question 252

assess for phlebitis when on IV ___

Answer 252

K

Question 253

the rate of K is never more than 10 Meq/hour with no more than 1 MeQ of K per ___ mL of solution

Answer 253

10

Question 254

contact _____ for electrolyte and fluid management

Answer 254

nephrology

Question 255

contact ____ for O2 management

Answer 255

respiratory services

Question 256

contact ____ for dysrhythmias

Answer 256

cardiology

Question 257

_____ ___ can be contacted for food choices

Answer 257

nutritional services

Question 258

potatoes and spinach are high in ___

Answer 258

K