Which CMS product describes whether specific medical items, services, treatment procedures or technologies are considered medically necessary under Medicare

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Answer 1

The National Coverage Determinations Manual entails whether medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare.

What is National Coverage Determinations Manual?

Material that is unsourced may be challenged and removed. A national coverage determination (NCD) is a nationwide determination by Medicare of whether an item or service will be covered.

It is a type of utilization management that serves as a medical treatment guideline.

Thus, the National Coverage Determinations Manual describes whether specific medical items, services, treatment procedures, or technologies are considered medically necessary under Medicare.

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Related Questions

Carrie is a new medical assistant who is assisting for the first time as a floater for a minor surgical procedure. The physician removes tissue from the incision and asks carrie for the container in which to place the specimen for laboratory examination. Carrie grasps the specimen container and reaches across the tray so the physician can place the specimen in the container. What did carrie do wrong?.

Answers

Carrie is doing wrong as she should not have arrived across the tray with all the necessary equipment.

What is Surgical Procedure?

A surgical procedure may be characterized as a medical approach implicating an incision with tools that are accomplished to overhaul deterioration or arrest illness in a living body.

Carrie is a new medical assistant who does not have much experience in the field of medical procedures. While performing a minor surgical procedure she must require to arrive at the site of action across the tray with all sterilized medical equipment.

Therefore, it is well described above.

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Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs). What could you tell him

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Mr. Sinclair needs the Special Needs Plan because it includes special care for patients with chronic conditions as he does have.

What is Medicare?

Medicare is the health insurance scheme that is provided by the Government of the United States of America and covers only citizens who are 65 yeas old and above.

Mr. Sinclair needs the Special Needs Plan because it includes special care for patients with chronic conditions as he does have.

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Answer: SNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide prescription drug coverage that could be very helpful as well.

Explanation:

Making healthful food choices includes the following: Making healthful food choices includes the following: Make half of your grains whole. All of the above. Focus on fruits. Get calcium rich foods. Vary your vegetables.

Answers

Making a healthful food choice includes all of the above-given options.

What is a healthful food choice?

A healthful food choice is a balanced and nutritional food diet that consists of all classes of food. A healthy food choice contains:

Fruits and vegetablesWhole grainsLow-fat milk products, andCalcium-rich foods.

A healthy food choice is devoid of saturated fats. It is recommended to eat a healthful food choice in order to maintain good nutritional health conditions.

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A 25-year-old client receives a knife wound to the leg in a hunting accident. Which type of immunity was compromised

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In the given scenario, the client will probably receive natural immunity, i.e., option b.

What is natural immunity?

Natural immunity occurs when you are infected by a germ and the immune system responds by producing antibodies against it.

The missing options are:

a. Passive immunityb. Natural immunityc. Adaptive immunityd. Specific immunity

In the given scenario, a 25-year-old client receives a knife wound to the leg in a hunting accident which will lead to development of natural immunity in client.

Thus, the correct option is b.

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when caring for a client who has pancytopenia after treatment for hodgkin disease, which assessmnet

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Drugs to stimulate blood cell production in your bone marrow should be included in the patient's care plan.

What is pancytopenia?

Pancytopenia is a condition in which there is a lower-than-normal number of red and white blood cells and platelets in the blood.

When caring for a client who has pancytopenia after treatment for hodgkin disease, drugs to stimulate blood cell production in your bone marrow should be included in the patient's care plan.

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A prescriber orders clonidine ER (Kapvay ER) tablets for a 12-year-old child to treat which condition

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Clonidine ER (Kapvay ER) tablets are used for a 12-year-old child to treat hypertension condition.

What is the effect of clonidine ER (Kapvay ER) tablets?

Kapvay is a type of medication which is used to treat hypertension. It may also reduce attention deficit hyperactivity disorder (ADHD) in children ages 6-12.

So we can conclude that clonidine ER (Kapvay ER) tablets are used for a 12-year-old child to treat hypertension condition.

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which behavior indicates a client has entered the second stage of labor restless thrashing about

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The behaviour that indicates that client has enter the second stage of labor is Complaints of sudden, intense back pain which may occur with persistent posterior pressure.

What is labor?

A pregnant woman is said to be in labor when such starts experiencing series of physiological contractions that will eventually lead to child birth.

The various stages of labor include:

First stage: This is when the neck of the womb (cervix) opens to 10cm dilated.

Second stage: This is when the baby moves down through the vagina and is born.

The behaviour that indicates that client has enter the second stage of labor is Complaints of sudden, intense back pain which may occur with persistent posterior pressure leading to the birth of the baby.

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_____ is given to an infant between one to two months of age.

Answers

Hep B is given to an infant between one to two months of age.

What is Hepatitis B vaccine?

Hepatitis B vaccine is a substance that is injected into infants to help to prevent hepatitis diseases in infants because it help prevent liver infection.

Therefore, Hep B is given to an infant between one to two months of age.

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Using your ICD-10-CM code book look for the diagnosis code for a patient with a preoperative diagnosis of abdominal pain, right lower quadrant and a postoperative diagnosis of acute appendicitis with peritoneal abscess. What ICD-10-CM coding is reported

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Postoperative diagnosis of acute appendicitis with peritoneal abscess is ICD 10 K35.

What is the ICD 10?

ICD-10 LIST - The International Classification of Diseases and Related Health Problems (also known as the International Classification of Diseases - ICD 10) is published by the World Health Organization (WHO) and aims to standardize the coding of diseases and other health-related problems .

With this information, we can conclude that postoperative diagnosis of acute appendicitis with peritoneal abscess is ICD 10 K35.

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When selling alcohol most states consider your establishment responsible for all the following except

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When selling alcohol most states consider your establishment responsible for all the following except knowing your customers’ alcohol tolerance.

What is Alcohol tolerance?

Alcohol tolerance may be defined as the responses that your body reflects after the consumption of alcohol. It may be due to the effect of ethanol.

When selling alcohol most states consider your establishment responsible for not selling alcohol to minors, not selling alcohol to someone who is identifiably intoxicated, and intervening when there is an intemperate person around.

The complete question is as follows:

Not selling alcohol to juveniles. Not selling alcohol to someone who is identifiably intemperate.Intervening when there is a intemperate person aroundKnowing your customers’ alcohol tolerance.

Thus, the correct option for this question is D, i.e. knowing your customers’ alcohol tolerance

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According to the article, how and why dos personality change later in life?

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Answer:

Personality, one's characteristic way of feeling, behaving and thinking, is often conceptualized as a person's standing on each Big Five personality trait (extraversion, neuroticism, openness to experience, agreeableness and conscientiousness).

A person's personality profile is thus gauged from their standing on five broad concepts which predict, among other life outcomes, behavior and the quality of interpersonal relationships. Initially, it was believed that one's Big Five profile was static and dichotomous in that one was either at one extreme of each trait or another .For example, people are typically categorized as introverted or extraverted.

Change over a lifetime

There are two very specific types of change that researchers tend to focus on: rank-order change and mean-level change. A rank-order change refers to a change in an individual's personality trait relative to other individuals; such changes do not occur very often. A mean-level change refers to an absolute change in the individual's level of a certain trait over time. Longitudinal research shows that mean-level change does occur.However, some traits tend to change while some traits tend to stay stable.

There is an increase in consistency of a trait as age increases. However, personality does not stop changing at a specific age. Biological and social transitions in life may also be a factor for change. Biological transitions are stages like puberty or first childbirth. Social transitions might be changes in social roles like becoming a parent or working at a first job. These life transitions do not necessarily cause change, but they may be reasons for change.

One theory says that whether or not these life transitions cause personality change is based on whether the transition was expected based on age or was unforeseen.The events that are expected will cause personality change because those events have common scripts. However, events that are unexpected will give prominence to the traits that already exist for the individual.Historical context also affects personality change. Major life events can lead to changes in personality that can persist for more than a decade.

Stressful life events

Negative life events,long-term difficulties,and deteriorated life quality, all predict small but persistent increases in neuroticism, while positive life events, and improved life quality, predict small but persistent decreases in neuroticism. There appears to be no point during the lifespan that neuroticism is immutable,which is known as the plasticity principle.

Mechanisms of change

There are multiple ways for an individual's personality to change. Individuals will change their behavior based on the ideas in their environment that emit rewards and punishments. Some of these ideas might be implicit, like social roles.

The individual changes his or her personality to fit into a social role if it is favorable.  An individual may decide to actively try to change his or her own behavior/ personality after thinking about his or her own actions.

Personality change also occurs when individuals observe the actions of others. Individuals may mimic the behaviors of others and then internalize those behaviors. Once the individual internalizes those behaviors they are said to be a part of that person's personality.

Individuals also receive feedback from other individuals or groups about their own personality. This is a driving force of change because the individual has social motivations to change his or her personality.  It has also been shown that major positive and negative life events can predict changes in personality.

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The type of stretching in which a person performs a movement and holds it for a set amount of time is called

Answers

Active stretching, or static active stretching.

Antitussives and antidiarrheals that contain small amounts of opioids, such as codeine, belong to which schedule of controlled substances?.

Answers

Answer:

Schedule V drugs are generally used for antidiarrheal, antitussive, and analgesic purposes.

Explanation:

which is included in the care of a newborn infant whose mother has had untreated syphilis since the second trimester of pregnancy

Answers

The infant should be screened immediately to determine whether treatment is necessary.

What is syphilis?

The disease called syphilis  is a se-xually transmitted infection that is common in many adults. It could lead to several congenital problems when mothers have untreated syphilis.

The care that should be included for a newborn infant whose mother has had untreated syphilis since the second trimester of pregnancy is that the infant should be screened immediately to determine whether treatment is necessary.

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Give patient 500 mg of dopamine in 250 mL of D5W to infuse at 20 mg/hr. Calculate the flow rate in mL/hr.

Answers

The flow rate in mL/hr is 10.

What is Infusion?

An infusion may be defined as a process of being extracted some compounds from original products.

The flow rate is calculated as:

Amount of dose given to patient per hour = 20mg/hr.

Total concentration of dose = 500mg.

Total volume in mL = 250mL.

Flow rate = Amount of dose given to patient per hour/Total concentration of dose × Total volume in mL.

            = [tex]\frac{20 mg/hr}{500 mg} * 250[/tex] = 10mL/hr.

Therefore, The flow rate in mL/hr is 10.

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A 14-year-old girl presents to her primary care provider with a 3-to-4-month history of abdominal pain. Several mornings each week, the patient awakens with epigastric and periumbilical pain, and she does not want to eat breakfast. Eating makes her pain worse, and she does have some nausea. She does not have diarrhea, constipation, or blood in her stool. She has not gained weight since her last visit 6 months ago. On physical examination, she is a healthy-appearing, Tanner Stage IV adolescent whose weight and height are at the 50th percentile for age. Her abdomen is soft but mildly tender throughout. There is no perianal disease, and the stool in her rectum is hemoccult negative. You suspect that she has functional abdominal pain (functional dyspepsia). Which of these tests would be helpful to obtain to exclude other likely causes of her pain

Answers

The test that would be useful to rule out other likely causes of your pain would be Upper Endoscopy with no injuries to the stomach or duodenum that could be responsible for the symptoms.

What is Functional Dyspepsia?

Functional dyspepsia is a gastric disorder characterized by the presence of one or more symptoms (epigastric pain, postprandial fullness, early satiety, stomach burning) during the last 3 months and that started at least 6 months before.

With this information, we can conclude that the test that would be useful to rule out other likely causes of your pain would be Upper Endoscopy with no injuries to the stomach or duodenum that could be responsible for the symptoms.

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Assume you have been asked to collect data on health problems facing a remote community
which is still primitive and has strong traditional beliefs. Explain potential obstacles that might be
experienced and how they can be addressed

Answers

The obstacle of language barrier and distrust when collecting dat can be overcome by using a trusted member of the community as an interpreter and showing respect for their beliefs and customs.

What is data collection?

Data collection refers to the process of gathering data about a particular subject or topic

Data gathering is essential in health care as it provides information on which how beat to handle health care delivery.

One of the challenges will be language and communication barrier.

Another challenge is convincing the people to trust you.

The best way to handle the first obstacle will be to go through a trusted member of the community as an interpreter.

The second obstacle will be to show them concern and respect their culture and beliefs.

Therefore, the obstacle of language barrier and distrust when collecting dat can be overcome by using a trusted member of the community as an interpreter and showing respect for their beliefs and customs.

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Methods for treating rheumatoid arthritis focus on Select one: a. reducing inflammation and keeping the joints flexible. b. avoiding allergens that trigger a reaction. c. eating low-fat, low-calorie foods. d. managing stress.

Answers

Methods for treating rheumatoid arthritis focus on reducing inflammation and keeping the joints flexible

What is the goal treatment for rheumatoid arthritis?

The goals of treatment in rheumatoid arthritis include pain relief, preventing additional joint damage, maintain the function of the organ, and relief of fatigue and weakness.

So we can conclude that methods for treating rheumatoid arthritis focus on reducing inflammation and keeping the joints flexible.

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A conversion factor is multiplied by a _________ to arrive at a charge.

Answers

A conversion factor is multiplied by a relative value unit to arrive at a charge.

What is a Conversion Factor in Medical Dosage Calculation?

A conversion factor is a number that is used to convert one set of units into another either by dividing or multiplying them. When converting to an equivalent value, the proper conversion factor must be utilized.

So let's assume we want to convert from kilogram to pounds; we need to use the proper conversion factor from standard dimension analysis.

Therefore, a conversion factor is multiplied by a relative value unit to arrive at a charge.

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A decrease in the autonomic tone of the smooth muscle in a blood vessel would result in.

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A decrease in the autonomic tone of the smooth muscle in a blood vessel would result in an increase in the blood flow of these vessels.

What is smooth muscle?

The smooth muscle is a type of muscle tissue that act via involuntary impulses to contract in rhythmic sequences.

The smooth muscle is the muscle tissue that forms the walls of blood vessels and acts by contracting them.

The autonomic nervous system is able to promote contraction/relaxation cycles of the smooth muscle tissue.

In conclusion, a decrease in the autonomic smooth muscle activity generates an increase in the blood flow of blood vessels.

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A health information manager took the three elements, blood pressure, weight, and cholesterol to analyze for potential indicators of a heart attack. The combined data is referred to as?

Answers

The data that the information manager took can be considered as information.

What is the information?

Information is a set of data that has the characteristic of being organized for its understanding and that has the objective of transmitting a message to a specific recipient.

According to the above, the information manager organizes this data to allow doctors to have the data organized so that they can read it and deduce which patient has heart attack symptoms.

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A breastfeeding mother is worried that her baby will develop food allergies if she eats peanuts or tree nuts before breastfeeding. Food allergies do not develop after breastfeeding, but they do develop if the infant is formula fed. Current evidence regarding breastfeeding and food allergies states that

Answers

Current evidence regarding breastfeeding and food allergies states that dietary restrictions will not prevent or delay food allergies in infants.

What is a Food allergy?

A Food allergy may be defined as a circumstance when the body's immune system responds unusually to distinctive foods and causes some abnormal reactions in the body.

There must be a possibility of food allergy in infants due to breastfeeding. So, it is required for the mothers to take normal foodstuffs during the time of breastfeeding.

This is also because dietary regulations and limitations will not control or hinder certain types of food allergies in infants majorly.

Therefore, it is well described above.

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where should you begin the primary assessment of a patient displaying a psychiatric issue?

Answers

You should begin the primary assessment of a patient who has a psychiatric problem with an interview to get to know the patient.

How to evaluate a psychiatric patient?

In the psychiatric evaluation, an interview is initially carried out to get to know the patient and, if necessary, a conversation with other sources, such as

family membershealth professionalssocial workersamong others, can be requested.

With this information, we can conclude that you should begin the primary assessment of a patient who has a psychiatric problem with an interview to get to know the patient.

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Your patient needs to have their vitals checked before leaving the facility. The policy is that only nurses can perform this activity, and the two on shift today
are currently busy doing paperwork. Your patient has been in the clinic for several hours and is anxious to leave.

Answers

The nurses should stop the doing the paperwork and go attend to those patient if it seems forever finishing the paper and then come back to it later. it would be very annoying to have to wait a long time before the nurses attend to you and that might end up pushing those patents away from that hospital because then those patients would think they don't attend to them fast and may even end up causing a bad name for the hospitals.

What should be included in the change of shift report?

It should have the patient's medical record, current medication, allergies, pain levels and pain regime plan, and discharge instructions.

Providing these sorts of pieces about your patient in your end of shift report decreases the risk of an oncoming nurse putting the patient in danger.

Thus, this could be the answer.

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A client is admitted for a transurethral resection of the prostate (TURP). Preoperative teaching will include which information

Answers

Preoperative teaching will include the epidural or spinal anesthesia which will be administered to the patient.

What is preoperative teaching?

It should be noted that preoperative teaching is the program of instruction that should be based on one's learning needs.

In this case, preoperative teaching will include the epidural or spinal anesthesia which will be administered to the patient.

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which position would help the client who has an above-the-knee amputation prevent a contracture

Answers

A prone position every 3 to 4 hours for 20 to 30 minutes periods.

What does amputation mean and what are the different types of amputation?

The lessening by surgery of a limb (arm or leg) or another body part because of damage or disease, such as diabetes or cancer.

Above-knee amputationBelow-knee amputation.Arm amputation.Hand amputation.Finger amputation.

Thus, this could be the answer.

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A year ago, Tyree drank about one cup of coffee per day. Now, he needs four cups of coffee to receive the same effect. Tyree is experiencing: Please choose the correct answer from the following choices, and then select the submit answer button. drug withdrawal. drug sensitization. drug addiction. drug tolerance.

Answers

If Tyree now needs four cups of coffee to receive the same effect then it is an example of drug tolerance.

What is drug tolerance?

Drug tolerance is a physiological phenomenon where an individual must increase the amount of drug to have the same effect.

Drug tolerance is caused by the presence of more receptors in the brain that need to bind to the active principle of the drug.

In conclusion, if Tyree now needs four cups of coffee to receive the same effect it is an example of drug tolerance.

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Tyree is encountering a possibility of Drug tolerance. Thus, the correct option is D.

What is Drug toleration?

Drug toleration may be characterized as a pharmacological concept that transpires when the body acquires employed a medicine so that either more medicine is required or distinct medicine is needed to display the same influence.

Drug tolerance is an action that is adjudicated by several receptors which are present throughout the body. But the receptors of the central nervous system control or supervise the whole system's effectiveness.

Thus, it is well described above.

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You are providing high-quality CPR on a 6-year-old patient who weighs 44 pounds. The AED arrives. It does not have a pediatric setting and includes only adult AED pads. What should you do

Answers

You are providing high-quality CPR on a 6-year-old patient who weighs 44 pounds. The adult AED cannot be used.

Can you use adult AEDs on children?

The AED Defibrillator works through self-adhesive electrodes that are attached to the patient's chest and these electrodes are available in adult and child models. The children's models can be used in children from 4 to 25 kg, that is, from babies of approximately 2 months to children of 8 years old.

With this information, we can conclude that you are providing high-quality CPR on a 6-year-old patient who weighs 44 pounds. The adult AED can be used because the child's AED is for children under 4 years old.

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The laboratory test that measure the percentage by volume of packed red blood cells in a whole blood sample is known as a/an test.

Answers

Answer:

A hematocrit (he-MAT-uh-krit) test

The only direct connection between the pectoral girdle and the axial skeleton is where the.

Answers

it is the clavicle bone...............

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8. A group of teenagers were surveyed to find out whether they like to drink coffee or tea. The result is shown below. 21 teenagers like to drink coffee or tea 3 teenagers like to drink coffee and tea. 2 teenagers do not like to drink coffee or tea. Based on the information, calculate (a) the total number of teenagers in the group. (b) the number of teenagers who like to drink coffee only or tea only. two number cubes are rolled. Deterimine the number of ways that you could get a sum that is less than 5. The number cube is out of 6 Select all the correct answers.What are two reasons East Germans decidedto flee and seek safety in West Germany?They experlenced political oppression by the East German government.E East Germany had started manufacturing and testing nuclear weapons.West Germany had decided to declare a nuclear war on East Germany.0The standard of living in West Germany was higher than in East Germany.0East Germany had better consumer goods. what is the formula for finding balance length How did the town of Dowson originate? Read the excerpt from It's Our World, Too!: Young People Who Are Making a Difference.At 10:30, students from all grades packed themselves into the lab. Andy stood up and reported what was happening, then read his letter aloud and asked for suggestions to improve it. There were a few. Then he asked for, and got, the students' unanimous approval to have it read at halftime.The authors purpose in this excerpt is toinclude facts and details about what it takes to bring people together.create a suspenseful moment that prompts readers emotions.encourage readers to do something about what they believe in.describe to readers an environment where people work together. Need number 8 please!! An increase in venous return will _______ people singular or plural?? Help brainly plus this importantCreate a list of causes that caused The Great Depression.c. Explain what President Franklin Roosevelt did to restructure America during The Great Depression. A voltaic cell is made using a lead electrode and copper electrode. The electrolytes for each half cell are lead nitrate and copper nitrate. Write the cell notation for this cell and calculate its cell potential (Ecell). Lila and mick have pets. lila's pet has 6.73 toy bones. mick's pet has 5 times the many toy bones lila has. how many bones does mick's pet have? What is the value of x?tox = [? ]36EnterI will give you 25 pts Early anthropological research tended to focus on Question 3 options:A. rapidly changing indigenous societiesB. small, isolated indigenous societiesC. rural european villagesD. friendly and welcoming culturesPLEASE ANSWER WILL GIVE BRAINLIST! Your colleague works at a third-party marketing organization (TMO) and she said she did not need to take the Medicare training for brokers and agents or pass a test to market Medicare plans since her contract is with the TMO, not the plans that have the products she sells. What could you say to her? solve for x -[tex]\bold{x {}^{2} + 5x + 6 = 0}[/tex]ty! ~ Find the y-intercept.(2x + 1)(x + 7).(x + 3)(x + 4)y =([?],all three would be pretty nice Based on this passage of The Odyssey, one can conclude that the ancient Greeks greatly valued _____ 6z + 10= -2 solve this problem Piece Wise function Math...help!