Explain the importance of having a medical evaluation prior to beginning a personal fitness program

Rectangle pqrs has vertices p(1, 4), q(6, 4), r(6, 1), and s(1, 1). without graphing, find the new coordinates of the vertices of the rectangle after a reflection over the x-axis and then another reflection over the y-axis.

An african american young adult is admitted to the emergency department in sickle cell crisis with a report of 10/10 pain. the patient is known to several of the nurses and physicians in the department who have labeled the patient as a “drug seeker”. initial discussion post: identify one (1) intervention that can be taken by the rn to reduce the stigma and improve management of acute and chronic pain associated with sickle cell disease. does the intervention apply only to the patient? does it apply only to the interprofessional team? does it apply to both the patient and the members of the interprofessional team? explain and support your answer.

In regards to acetyl coa in the tca/kreb's cycle: how many cycles minimum would it take for an acetyl coa carbon to be removed? (what is the first step that this removal could happen? why can't we know for sure how many turns it takes?