A newborn's birth was prolonged because the fetal shoulders were very wide. Which reflex would the nurse anticipate a problem with? hesi

The most appropriate action for the EMS team would be to provide immediate respiratory support, such as oxygen therapy or positive pressure ventilation, to help stabilize the patient's breathing.

They may also consider administering pain medication to help manage any discomfort associated with the chest injury.



Depending on the severity of the patient's condition, they may need to be transported to a hospital for further evaluation and treatment, which may include surgical repair of the fractured ribs or other interventions to support their respiratory function.

Overall, the EMS team should focus on providing prompt and effective treatment to help stabilize the patient's breathing and prevent further complications associated with their chest injury.

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The answer to your multiple-choice question is regular physical activity. Option (a)

Engaging in regular physical activity has numerous health benefits, including reducing the risk of developing high blood pressure, stroke, heart disease, type 2 diabetes, colon cancer, and osteoporosis. Regular physical activity also helps to maintain a healthy weight, improve mental health and cognitive function, and increase overall longevity.

Physical activity can include a variety of activities, such as brisk walking, jogging, cycling, swimming, dancing, or strength training. It is recommended that adults engage in at least 150 minutes of moderate-intensity aerobic activity per week or 75 minutes of vigorous-intensity aerobic activity per week, along with muscle-strengthening activities at least two days per week.

The benefits of regular physical activity are not only limited to physical health but also extend to mental health. Physical activity releases endorphins, which can improve mood and reduce symptoms of anxiety and depression.

In summary, regular physical activity is essential for maintaining overall health and reducing the risk of several chronic diseases. Engaging in a variety of physical activities can help individuals meet recommended guidelines and achieve maximum health benefits.

The correct option is  (a)

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It seems Mr. Green is experiencing gastritis due to his regular use of NSAIDs (Nonsteroidal Anti-inflammatory Drugs) for chronic pain management.

NSAIDs are medications commonly used to control pain and inflammation. However, they can cause stomach irritation, leading to gastritis. Gastritis is an inflammation or erosion of the stomach lining, which can result in stomach pain.
When someone has gastritis, their body may have trouble absorbing certain nutrients, putting them at risk for deficiencies. Some common deficiencies associated with gastritis include:

1. Vitamin B12: Gastritis can interfere with the absorption of Vitamin B12, an essential nutrient for the production of red blood cells and proper functioning of the nervous system.
2. Iron: Iron absorption can also be affected by gastritis, which may lead to anemia, a condition characterized by low red blood cell count and reduced oxygen-carrying capacity.
3. Calcium: Chronic gastritis can lead to a decrease in stomach acid, making it difficult for the body to absorb calcium, an essential mineral for bone health and proper muscle function.

The nurse should be aware of these potential deficiencies and monitor Mr. Green's condition accordingly. Treatment options may include reducing the dosage of NSAIDs, switching to another pain management option, or recommending supplements to address the deficiencies.

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Erik Erikson's theory of psychosocial development is based on the idea that people go through eight stages of development throughout their lives.

Each stage is characterized by a unique psychological crisis or challenge that must be resolved in order to develop a healthy sense of self and social relationships. This theory has important implications for healthcare professionals, particularly in how they communicate with patients.

One of the key aspects of Erikson's theory is that each stage of development is defined by a specific psychosocial crisis that requires resolution.

For example, during the adolescent stage of development, the crisis is identity versus role confusion, where the individual is trying to establish a sense of self and personal identity. Healthcare professionals who are aware of this stage can communicate with adolescent patients in ways that help them feel heard and respected as they navigate this challenging time in their lives.

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The nurse anticipates that enteral nutrition (EN) may be prescribed as the intervention for nutritional support for a client with a small bowel obstruction (SBO).

For individuals with functioning GI tracts who are unable to fulfil their nutritional needs orally, EN is the preferred form of feeding. Depending on where the obstruction is, EN can be given using a gastrostomy tube (GT), nasogastric (NG) tube, or nasointestinal (NI) tube.

EN can support healing, reduce bacterial translocation, and maintain GI tract function.

If the client is unable to tolerate EN or if EN is not recommended because of the severity of the obstruction or other issues, parenteral nutrition (PN) may be suggested.

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The answer is 18

Explanation:

Answer:

Therefore, conducting a paired t-test on the collected data would determine if the treatment of taking omega-3 tablets was effective in lowering a person's cholesterol.

Explanation:

To determine if the treatment of taking omega-3 tablets was effective in lowering a person's cholesterol, a statistical hypothesis test can be conducted using the data collected on the cholesterol level of 50 individuals before and after the 6-week course of omega-3 tablets.

The appropriate statistical test to use in this scenario is the paired t-test, also known as the dependent t-test. This test compares the means of two related samples, in this case, the cholesterol levels of the same individuals before and after the treatment. The paired t-test determines whether there is a statistically significant difference between the mean cholesterol levels before and after taking the omega-3 tablets.

Therefore, conducting a paired t-test on the collected data would determine if the treatment of taking omega-3 tablets was effective in lowering a person's cholesterol.

What were you doing prior to getting hurt?

Did you hear any noises when the injury occurred?

Have you ever hurt this leg before?

What type of pain are you experiencing?

An injury to the bones, muscles, tendons, ligaments, and/or nerves is referred to as a musculoskeletal injury. These injuries, which can range in severity from simple sprains and strains to fractures and dislocations, can be brought on by rapid trauma, repetitive strain, or overuse.

The questions that the patient should answer are;

What were you doing prior to getting hurt?

Did you hear any noises when the injury occurred?

Have you ever hurt this leg before?

What type of pain are you experiencing?

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In this situation, the nurse's most appropriate action when the client aspirates gastric contents with a pH of 5.3 is to hold the tube feeding temporarily. A pH of 5.3 indicates that the gastric contents are acidic, which is within the normal range of 1 to 5.5 for gastric aspirate.

However, it is important for the nurse to assess the client for signs of aspiration, such as coughing, difficulty breathing, or changes in vital signs.

The nurse should then notify the healthcare provider to discuss the situation and determine the best course of action. Possible interventions may include re-evaluating the position of the feeding tube, assessing the client's tolerance to the tube feeding, or adjusting the feeding regimen. Ensuring the client is in an appropriate position, such as an elevated head-of-bed position, can also help minimize the risk of aspiration.

Remember to always monitor the client closely, particularly during and after administering tube feedings, to ensure their safety and wellbeing.

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At risk for developing metabolic acidosis - 36 year old client with food poisoning and severe diarrhea for the past 3 days, 40 year old client with 3-day history of chemotherapy-induced vomiting, 75 year old client with pyelonephritis and hypotension and 82 year old client due for hemodialysis with clotted arteriovenous shunt. Therefore the correct option is option B, C, D and E.

The clients A, B, C, D, and E are susceptible to metabolic acidosis. Severe diarrhoea in client B might result in bicarbonate depletion and metabolic acidosis. Due to their respective hypotension and metabolic acidosis, clients C and D can experience vomiting.

If hemodialysis is delayed, client E can develop metabolic acidosis as a result of renal failure. Based on the facts provided, Client A is not at risk of having metabolic acidosis.

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The following question may be like this:

The emergency department nurse cares for 5 clients. Which of the clients below are at risk for developing metabolic acidosis? Select all that apply.

A) 25 year old client with claustrophobia who was stuck in an elevator for 2 hours

B) 36 year old client with food poisoning and severe diarrhea for the past 3 days

C) 40 year old client with 3-day history of chemotherapy-induced vomiting

D) 75 year old client with pyelonephritis and hypotension

E) 82 year old client due for hemodialysis with clotted arteriovenous shunt

A young adult woman is admitted to the hospital with symptoms of anorexia nervosa. Gather medical and psychiatric history, essess for emotional and behavioral symptoms, evaluate social and family history, assess coping mechanisms and explore triggers and stressors like information nurse obtain in determining the client's psychological status.

When assessing a young adult woman admitted to the hospital with symptoms of anorexia nervosa, it is crucial for the nurse to obtain information to determine the client's psychological status.

Here are the key steps to follow:
1. Gather medical and psychiatric history: Begin by asking the client about any previous or existing medical conditions and psychiatric diagnoses. This will provide a clearer understanding of her overall health and any contributing factors to her anorexia nervosa.
2. Assess for emotional and behavioral symptoms: Inquire about the client's feelings of self-worth, body image, and any signs of depression or anxiety. Also, ask about any restrictive eating behaviors, compulsive exercising, or purging methods she may engage in.
3. Evaluate social and family history: Understanding the client's relationships with family members and peers can provide insight into potential stressors or support systems. Ask about any history of abuse, neglect, or other traumatic experiences, as these may be contributing factors.
4. Assess coping mechanisms: It's essential to determine how the client copes with stress and emotions. Ask about any healthy or unhealthy coping strategies she uses, such as self-harm or substance abuse.
5. Explore triggers and stressors: Identify any specific situations, events, or individuals that may trigger the client's anorexia nervosa symptoms. This information can help in developing an appropriate treatment plan.
6. Determine the level of insight: Assess the client's awareness of her illness, its severity, and the need for treatment. This can influence her willingness to engage in the recovery process.
By obtaining this information, the nurse can effectively assess the client's psychological status and collaborate with the treatment team to develop an appropriate plan of care tailored to the client's needs.

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If the year is 3/5 over, then the farmer has planted 3/5 of the total amount of acreage.

Let x be the total amount of acreage the farmer plants in a year.

We know that:

x = (3 1/3) acres

We also know that:

(3/5) * x = amount of acreage planted so far

Substituting x:

(3/5) * (3 1/3) = (3/5) * (10/3) = 6/5 acres

Therefore, the farmer has planted 6/5 acres so far.

One potential assessment finding that would indicate possible graft leakage after an abdominal aortic aneurysm repair is a sudden drop in blood pressure accompanied by an increase in heart rate.

The nurse should be alert for signs of hemorrhage, which can be caused by graft leakage or other complications following the surgery. Other symptoms may include abdominal pain, a pulsating mass, decreased urine output, and signs of shock.

If any of these symptoms are present, the nurse should immediately notify the primary care provider and be prepared to administer emergency interventions to stabilize the patient. Close monitoring and assessment of the client's vital signs, laboratory values, and urine output are essential to ensure prompt detection of any complications following the surgery.

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The level of exam is a comprehensive exam.

The exam covers all major organ systems and is a thorough assessment of the patient's overall health status. The exam includes a detailed review of the patient's medical history, a physical examination of all body systems, and laboratory tests as needed.

A comprehensive exam is typically performed on a new patient or as part of a routine check-up to evaluate the patient's current health status and to identify any potential health concerns or risk factors that may require further evaluation or treatment. It provides a baseline for future assessments and helps to ensure that the patient receives appropriate care and treatment based on their individual health needs.

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Answer:

Explanation:

a doctor

Using the Mosteller formula, we use the following equation to determine the child's dosage based on BSA:

BSA = (height in cm x weight in kg / 3600)[tex]^(1/2)[/tex]

BSA = [tex](39 cm x 12 kg / 3600)[/tex]^[tex](1/2)[/tex] = 0.22 m₂

The dosage is calculated by multiplying the BSA by the prescribed dose:

Dosage = BSA ₓ prescribed dose

Dosage = [tex]0.22[/tex]m₂ ₓ[tex]500[/tex] mg/m₂ = [tex]110 mg[/tex]

As a result, 110 mg would be the recommended dose for the 26-month-old boy. The closest option, option 65 mg, is the only one that comes close to matching this dosage. However, this is not the answer that should be given.

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Opioids are a class of drugs that primarily work on the central nervous system by binding to opioid receptors, which are found throughout the body. They are commonly used to relieve moderate to severe pain, as they can effectively alter the perception of pain and provide a sense of relief.

Opioids include both naturally derived substances like morphine and codeine, which are derived from the opium poppy plant, and synthetic or semi-synthetic substances like oxycodone and hydrocodone. Some opioids, such as heroin, are illegal due to their high potential for abuse and addiction.

While opioids can be highly effective for pain management, they also carry risks, including dependence, addiction, and overdose.

Long-term use can lead to tolerance, where higher doses are required to achieve the same level of pain relief. In recent years, there has been a significant increase in opioid misuse and overdose deaths, leading to an ongoing public health crisis known as the opioid epidemic. As a result, efforts are being made to regulate opioid prescriptions and develop alternative pain management options.

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It is possible, as Braddock noted, to have a great deal of data but little information because data refers to raw, unprocessed facts and figures, while information is data that has been processed, analyzed, and interpreted for a specific purpose.

When there's a vast amount of data, it can be challenging to extract meaningful insights without proper tools and techniques.

The SAP database and Business Intelligence (BI) component play a crucial role in transforming this data into valuable information. SAP database is designed to store and manage large volumes of data, ensuring efficient data organization and retrieval. The BI component, on the other hand, helps organisations analyse and visualize this data to make better, data-driven decisions.

By integrating SAP database with BI tools, organizations can streamline data processing and reporting, which helps them identify trends, patterns, and insights from their data. This, in turn, enables them to make informed decisions and develop effective strategies based on accurate information. In essence, the SAP database and Business Intelligence component work together to convert a great deal of data into meaningful, actionable information.

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If a nurse hears a bruit during an abdominal assessment, they should suspect the presence of an abdominal aortic aneurysm and take prompt action to ensure the patient's safety.

If a nurse performing an abdominal assessment hears a bruit while auscultating bowel sounds, it could indicate the presence of an abdominal aortic aneurysm (AAA). An AAA is a weakened and enlarged area in the aorta, the main artery that carries blood from the heart to the rest of the body, which can lead to a potentially life-threatening rupture.

The presence of a bruit during an abdominal assessment suggests turbulent blood flow, which can occur due to the dilation of the aorta in an AAA. Other symptoms of AAA include a pulsating sensation in the abdomen, back pain, and difficulty swallowing.

It is important for the nurse to immediately report their findings to the healthcare provider and closely monitor the patient for any signs of rupture, which requires emergency surgery. If left untreated, an AAA can lead to severe internal bleeding and death.

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The appropriate response by the PMHNP would be to validate the patient's physical symptoms and acknowledge the difficulty of discussing a sensitive topic.

The PMHNP should assure the patient that it is okay to take breaks and that they can revisit the topic at a later time. The PMHNP should also explore the patient's current physical symptoms further and assess for any underlying medical conditions that may require treatment.

Additionally, the PMHNP can use therapeutic techniques such as mindfulness or relaxation exercises to help the patient cope with any distress that may arise during the session. It is important for the PMHNP to maintain a safe and supportive therapeutic environment, where the patient feels comfortable to share at their own pace.

The PMHNP can continue to gently explore the patient's relationship with their parents in future sessions, allowing the patient to lead the conversation and respecting their boundaries. It is crucial for the PMHNP to prioritize the patient's emotional well-being and provide appropriate support and guidance throughout the therapeutic process.

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When a client develops urinary incontinence after having a urinary catheter in place for a few weeks, the initial nursing intervention for bladder training should involve scheduled toileting. This means that the nurse will assist the client in going to the bathroom at regular, predetermined intervals, gradually increasing the time between each visit.

The purpose of scheduled toileting is to help the client regain bladder control by encouraging a routine and predictable pattern for voiding. This process allows the bladder muscles to regain strength and adapt to holding urine for longer periods.

It is essential for the nurse to be patient, supportive, and to provide positive reinforcement throughout the bladder training process.

In addition to scheduled toileting, the nurse should also educate the client about the importance of maintaining a healthy lifestyle, which can aid in the success of bladder training. This may include proper hydration, a balanced diet, regular physical activity, and avoiding bladder irritants such as caffeine and alcohol.

By implementing these nursing interventions, the client can gradually regain bladder control and overcome urinary incontinence. Remember, the key to success in bladder training is consistency, patience, and support from the healthcare team.

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Ingrid works for WHO, Lenny works for the CDC, Ben works for NIOSH, and Drew works for the CDC.

1. Ingrid is researching the AIDS epidemic in Africa, which is a global health issue, so she works for the World Health Organization (WHO). WHO researches health issues globally and standardizes conditions for disease control, medicines, and health care.
2. Lenny is working to identify the source of a bacteria-contaminated spinach outbreak, which is a disease control issue, so he works for the Centers for Disease Control and Prevention (CDC). CDC protects people from diseases, injury, and disability, and also in controlling diseases.
3. Ben is investigating an employee injury, which is an occupational safety issue, so he works for the National Institute for Occupational Safety and Health (NIOSH). NIOSH conducts research and formulates some rules to prevent work-related injuries.
4. Drew is working on generating the MMWR (Morbidity and Mortality Weekly Report), which is published by the CDC. MMWR is the weekly update on public health research along with the findings and recommendations published by CDC.

Therefore, Ingrid works for WHO, Lenny and Drew work for CDC, and Ben works for NIOSH.

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One of the downsides of the former regulatory guidelines was that federal agencies attempted to expand beyond their authority and paralyzed innovation.

This means that the government agencies responsible for regulating products and innovations sometimes overstepped their boundaries and created obstacles that prevented new ideas from being developed and implemented.

This expansion beyond authority can manifest in many ways. For example, some agencies may interpret their jurisdiction in a way that is overly broad or unclear, leading to confusion and uncertainty for companies and innovators seeking to bring new products to market. Additionally, agencies may be slow to adapt to changes in technology or scientific understanding, leading to delays or gaps in regulation.

This can have negative consequences for both industry and consumers. Companies may face higher costs and longer development timelines, while consumers may miss out on potentially beneficial innovations or be exposed to unsafe products.

Overall, it is important for regulatory agencies to strike a balance between protecting public health and safety while also promoting innovation and growth in the industries they oversee.

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The Recommended Dietary Allowance (RDA) for vitamin A is expressed in retinol activity equivalents (RAEs), which take into account the activity of preformed vitamin A and provitamin A carotenoids.

Retinol, retinal, and retinoic acid are forms of preformed vitamin A found in animal sources such as liver, eggs, and dairy products. Provitamin A carotenoids, including beta-carotene, alpha-carotene, and beta-cryptoxanthin, are found in plant-based foods like carrots, sweet potatoes, and leafy greens.

The RDA for vitamin A is determined by the Institute of Medicine (IOM) based on the amount needed to maintain adequate health in the general population. For men and women, the RDA is set at 900 micrograms of RAE per day. However, specific requirements may vary based on age, sex, life stage, and individual circumstances.

By expressing the RDA in RAEs, it allows for a standardized measure that accounts for the varying bioavailability and conversion rates of different forms of vitamin A in the body. This ensures that individuals can meet their vitamin A needs through a combination of preformed vitamin A and provitamin A carotenoids from their diet.

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The nurse would expect testing for other sexually transmitted infections (STIs) like chlamydia, gonorrhea, syphilis, herpes, and hepatitis B and C in addition to HIV.

This is because individuals with HIV have a higher risk of contracting other STIs due to a weakened immune system. Some common STIs that the nurse may expect testing for include chlamydia, gonorrhea, syphilis, herpes, and hepatitis B and C. The nurse would need to assess the client's sexual history and conduct a physical examination to determine which STIs should be tested for.

Additionally, the nurse would need to educate the client on safe sex practices and ways to prevent the transmission of STIs. It is important to diagnose and treat STIs in a timely manner to prevent further complications and the spread of infections.

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The four factors are the ones that are incorporated into the F.I.T.T. principle of weight training.

The answer to the question is option B: frequency of exercise, intensity, time allotted, and type of exercise.

The F.I.T.T. principle is a widely used guideline in designing an effective workout routine.
Frequency of exercise refers to how often you engage in weight training. This could be daily, every other day, or a few times a week, depending on your fitness goals and schedule.
Intensity refers to the level of effort you put into each exercise. This could be measured in terms of the amount of weight lifted or the number of repetitions performed.
Time allotted refers to the duration of each workout session. This could be anywhere from 30 minutes to an hour or more.
Type of exercise refers to the specific exercises that you include in your weight training routine. This could include exercises that target specific muscle groups or exercises that focus on overall strength and endurance.
By incorporating these four factors into your weight training routine, you can ensure that you are challenging yourself enough to see results, while also avoiding injury and burnout. The F.I.T.T. principle is a flexible guideline that can be adjusted based on your individual needs and fitness goals. Option B.

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The most important parameter for the nurse to monitor to detect possible complications of a bleeding episode from esophageal varices in a patient with severe cirrhosis is prothrombin time (PT). Option a is correct.

Explanation: In cirrhosis, the liver function is impaired, leading to decreased production of clotting factors, which prolongs PT. Bleeding episodes are common in these patients due to the fragile vessels and portal hypertension.

Monitoring PT will help detect coagulation abnormalities and guide administration of blood products or vitamin K, as necessary, to prevent further bleeding. Bilirubin, ammonia, and potassium levels may also be abnormal in patients with cirrhosis, but they are less relevant in the acute management of a bleeding episode. Hence Option a is correct.

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Answer:

If a duplicate payment has been sent, the claim code that should be applied depends on the payment method and the reason for the duplicate payment.

For example, if the duplicate payment was made by credit card, the claim code could be "fraudulent transaction" if it was an unauthorized payment, or "duplicate payment" if it was an error by the merchant or card issuer. If the payment was made by bank transfer, the claim code could be "duplicate payment" or "erroneous transfer."

It is important to carefully review the terms and conditions of the payment method and contact the payment provider or merchant to determine the appropriate claim code to use.

The body regulates blood glucose levels through insulin and glucagon secretion to maintain energy balance.

At point A on the graph, blood glucose concentration is starting to decrease, indicating that the body is utilizing glucose for energy. After a meal, glucose levels increase in the bloodstream, prompting the pancreas to release insulin to help transport glucose into cells for energy or storage.

Insulin also signals the liver to convert excess glucose into glycogen, which is stored in the liver and muscles for later use. As the body's energy needs are met and glucose levels begin to decrease, insulin secretion stops.

As blood glucose levels continue to decrease, the pancreas detects this and releases glucagon, which signals the liver to break down glycogen into glucose and release it into the bloodstream.

This helps to maintain blood glucose levels and ensure that the body has a steady supply of energy.

Overall, this process of regulating blood glucose levels is essential for maintaining energy balance and preventing health complications associated with high or low blood sugar levels.

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Penicillin was considered a "miracle drug" except because it was the first antibiotic, option A is correct.

Prior to the discovery of penicillin, bacterial infections were often fatal due to the lack of effective treatments. The discovery of penicillin ushered in the era of antibiotics and changed the course of medicine. Penicillin was the first antibiotic to be discovered and it revolutionized the treatment of bacterial infections. It was effective against a wide range of bacteria, including those that caused life-threatening infections such as pneumonia and sepsis.

This allowed doctors to save countless lives, particularly during wartime when infections were common. Penicillin paved the way for the development of other antibiotics and laid the foundation for modern medicine, option A is correct.

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The complete question is:

Penicillin was considered a "miracle drug" for all of the following reasons EXCEPT

A) It was the first antibiotic.

B) It doesn't affect eukaryotic cells.

C) It inhibits gram-positive cell wall synthesis.

D) It has selective toxicity.

E) It kills bacteria.