Answer: D
Explanation:
Now a days people use the internet to pre-plan an appointment as its fast and convenient
Complete each statement to identify the form of asexual reproduction.
During_______
a new plant grows from parts of the parent plant.
During_______
a cell divides to produce a new, genetically identical cell.
During vegetative propagation, a new plant grows from parts of the parent plant.
During mitosis, a cell divides to produce a new, genetically identical cell.
Explanation:
Both vegetative propagation and mitosis are methods of asexual reproduction followed by various organisms. In both the methods, only a single parent is involved in the reproduction of new daughter cells.
Vegetative reproduction is the asexual reproduction in plants with the formation of a new plant from the existing structures of the parent plant. These structures include rhizomes, bulbs, tubers etc.
Mitosis is a type of cell division which leads to the formation of genetically identical daughter cells similar to their parents. This occurs due to replication of the chromosome which then splits to form two identical daughter cells each with the complete set of chromosomes.
Answer:
During vegetative propagation, a new plant grows from parts of the parent plant.
During binary fission, a cell divides to produce a new, genetically identical cell.
Explanation:
Got it right
The vital signs for a client with a possible head injury were, on admission: blood pressure 128/72 mm Hg, pulse 90 beats/min, and respirations 66 breaths/min. Which vital sign assessment conducted four hours later most likely indicates the presence of increased intracranial pressure (ICP)?
A. Blood pressure 172/68 mm Hg, pulse 42 beats/min, respirations 10 breaths/min
B. Blood pressure 160/90 mm Hg, pulse 112 beats/min, respirations 16 breaths/min
C. Blood pressure 130/72 mm Hg, pulse 50 beats/min, respirations 24 breaths/min
D. Blood pressure 100/70 mm Hg, pulse 120 beats/min, respirations 30 breaths/min
Answer: The correct answer to the question is option A
Blood pressure 172/68 mm Hg, pulse 42 beats/min, respirations 10 breaths/min
Explanation: Increased intracranial pressure can simply be defined as the increase/rise in the pressure within the brain and the structures sorrounding the brain.
Increased intracranial pressure can be caused by alot of things which includes trauma to the head,bleeding into the brain and it's sorrounding structure,build-up of fluid in the brain, inflammation/swelling of the brain or brain tissues,tumour or mass growing in the brain or its sorrounding structures which can either be benign (non-cancerous) or malignant (cancerous).
One of the symptoms of increased intracranial pressure is rise in blood pressure,this rise in blood pressure happens so that the body can compensate for the increased pressure and as well increase the cerebral perfusion pressure (CPP),as the pressure continues,there is decrease blood flow to the brain,cushing reflex(the nervous system way of responding to increased ICP) will set in which will reduce the heart rate(bradycardia) and also reduce respiratory rate or make it irregular.
This vital signs in option A is indicative of increased intracranial pressure.
At rest,a healthy human has a normal ICP level of 7-10mmHg
Which statement by a registered nurse (RN) represents appropriate delegation to a nursing assistant? "
a) Inspect the site for thrombophlebitis.
b) Discontinue the IV solution.
c) Check the infusion rate.
d) Dispose of the disconnected IV set.
A
Explanation
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A new mother brings in her 6‐month‐old baby for not being able to keep his eyes together when
looking to the left. On examination, both of his eyes appear in alignment (conjugate) when
looking to the right. However, when looking to the left, the baby's left eye stays in the forward
gaze position, while the right continues on with full adduction to the left. The eyes appear to be
out of alignment (dysconjugate). Which cranial nerve (CN) is responsible for the dysfunction in
looking left?
) The left oculomotor nerve (CN III)
b) The right abducens nerve (CN VI)
c) The right trochlear nerve (CN IV)
d) The right oculomotor nerve (CN III)
e) The left trochlear nerve (CN IV)
f) The left abducens nerve (CN VI)
Answer: f) The left abducens nerve (CN VI)
Explanation:
The correct response is the left abducens nerve (CN VI), since the left abducens nerve (CN VI) pushes the left eye outwards towards the left. The muscle's paresis or weakness can create the baby's inability to move the left eye outwards to the left.
The right oculomotor nerve (CN III) is wrong as this nerve pushes the right eye upwards, upwards and inwards, upwards and outwards, downwards and outwards.
The right trochlear nerve (CN IV) is wrong as this nerve travels downwards and inwards the right eye.
The right nerve abducens (CN VI) is incorrect as this nerve pushes the right eye outwards to the right.
The left oculomotor nerve (CN III) is wrong as this nerve pushes the left eye inwards, upwards and inwards, upwards and outwards and downwards and outwards.
The left trochlear nerve (CN IV) is incorrect, as this nerve pushes the left eye downwards and inwards.
Hence, the correct option is f) The left abducens nerve (CN VI).
1. There are 3 examples of non-specific immune responses to exterior barriers. Which of the following is NOT one of them? Immersive Reader
hair
Skin surfaces
saliva & mucus
Digestive juices
Answer:
Immersive reader hair.
Explanation:
Non specific immune responses is the defence system from birth and it protects against all antigens.
This involves barriers that keep harmful substances from entering the body. It includes:
Skin surfaces
Mucus and saliva
Digestive juices
Cough reflex
Enzymes in tear.
Encouragement and appropriate praise should be given to hyperactive clients to help them increase their feelings of self-esteem. When they have acted appropriately, what is the best statement for the nurse to make in an effort to let them know of their improvement?
Options are not provided. The complete question is as following:
Encouragement and appropriate praise should be given to hyperactive clients to help them increase their feelings of self-esteem. When they have acted appropriately, what is the best statement for the nurse to make in an effort to let them know of their improvement?
1. "You behaved well today."
2. "I knew you could behave."
3. "Everyone likes you better when you behave like this."
4. "Your behavior today was much better than it was yesterday."
Answer: 1. "You behaved well today."
Explanation:
Hyperactive behaviour generally refers to excessive movement, being easily distracted, impulsivity, loss of attention, aggressiveness and similar behaviour. Typical habits may include talking too much, wandering, and fidgeting or running continuously.
Behavior therapy may help with hyperactivity disorder replace negative habits and actions with positive ones.
Praising the pateint will raise positivity in the pateint and increase their feelings of self-esteem, so the suitable statment for the patient is "You behaved well today."
The statement "You behaved well today" is more powerful to make th epateint belive that what he did is good and will encourage him to do well in future as well.
Hence the correct answer is 1. "You behaved well today."
According to the Standards of Nursing Practice, Board Rule 217.11, LVNs have a "directed" scope of practice. Mention an appropriate nursing practice supervisor for the LVN
LVNs have a "directed" scope of practice and their nursing practice supervisor can be an RN, APRN, physician, dentist, or podiatrist.
Explanation:
According to the Standards of Nursing Practice, LVNs (Licensed Vocational Nurses) have a "directed" scope of practice as defined by the Texas Board of Nursing in Rule 217.11. This means that LVNs are under the supervision and direction of a registered nurse (RN), advanced practice registered nurse (APRN), physician, dentist, or podiatrist.
An appropriate nursing practice supervisor for the LVN would be an RN, APRN, physician, dentist, or podiatrist who oversees and guides the LVN's work. They provide guidance, and support, and ensure that the LVN is practicing within their defined scope of practice and following the Standards of Nursing Practice.
In summary, the appropriate nursing practice supervisor for an LVN depends on the healthcare setting and the specific situation, but it is generally an RN, APRN, physician, dentist, or podiatrist who supervises and directs the LVN's work.
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According to the Standards of Nursing Practice, Board Rule 217.11, Licensed Vocational Nurses (LVNs) have a 'directed' scope of practice.
LVNs must practice under the supervision of a healthcare professional with a more advanced scope of practice. Appropriate nursing practice supervisors for LVNs include the following:
Registered Nurse (RN): RNs have a broader and more advanced scope of practice compared to LVNs and can provide the necessary supervision.
Advanced Practice Registered Nurse (APRN): This includes Nurse Practitioners (NPs), Clinical Nurse Specialists (CNS), Nurse Anesthetists (CRNA), and Nurse Midwives (CNM), all of whom have specialized training and can supervise LVNs.
Physician (MD or DO): Medical Doctors (MDs) or Doctors of Osteopathic Medicine (DOs) are qualified to oversee the practice of LVNs, ensuring that patient care aligns with medical standards.
Physician Assistant (PA): PAs can also supervise LVNs as they work under the supervision of physicians and have extensive medical training.
The supervision provided by these professionals ensures that LVNs perform their duties safely and in accordance with established medical protocols and ethical standards.
When structuring a home program, the clinician has to be sure that the assistants understand in detail what needs to be accomplished and how (pp. 280-281). That includes answers to questions such as when and how long the session should be, how to judge the relative accuracy of the child's productions, and how to motivate and reward the client.
Answer:
DCD is a common and chronic disorder resulting in considerable consequences in daily life; prevalence estimates of 5% to 6% of children are most frequently quoted in the literature.2, 6 At least 2% of all individuals with typical intelligence experience severe consequences in everyday living including academic productivity, and a further 3% have a degree of functional impairment in activities of daily living (ADL) or school work.7 Nonetheless, DCD is largely underrecognized by health care and educational professionals.8-10
There are, however, considerable costs for long‐term treatment with questionable effectiveness. For example, the German Therapy Report 2016 (also known as Heilmittelbericht 2016) reports on the largest health insurance in Germany (Allgemeine Ortskrankenkasse). According to Waltersbacher,11 this document states sensorimotor disorders are treated in about 50% of all occupational therapy sessions and are therefore ranked as the primary concern overall. Waltersbacher11 also reported that for those being treated for sensorimotor disorders, 90% include therapeutic sessions for children and adolescents under 15 years; within this 90% allotment, hemiparesis accounts for 10.3% and DCD accounts for 8.6% of all occupational therapy intervention sessions. When the number of occupational therapy assessments was analysed, DCD was found to be the leading diagnosis, accounting for 7.4% of all of the children and young people tested.
Explanation: As unveiled above
Answer:
This is case of Dismissal and reevaluation criteria.
Explanation:
There are guidelines given for structuring a home program and the case study is a dismissal and reevaluation criteria
You are asked to assess a 34-year-old homeless man admitted through the ER with an abrupt onset of chills and fever. He has bilateral rhonchi with a productive cough. His SpO2 is 88% on room air. What should you recommend?
A. intubate and provide mechanical ventilation with 40% O2B. institute noninvasive positive pressure ventilation via nasal maskC. provide O2 therapy, give an antibiotic, and obtain sputum for C&SD. implement postural drainage and percussion with directed coughing
Answer:
C. provide O2 therapy, give an antibiotic, and obtain sputum for C&S
Explanation:
Knowing fully well about the conditions of the homeless man admitted through the Emergency Room with an abrupt onset of chills and fever, I'll recommend to provide O2 therapy, give him an antibiotic and finally obtain sputum for Culture and Sensitivity (C&S).
What kind of infection does Ray have? What medication does Ray's doctor prescribe for treatment? Ray's doctor diagnoses him with a infection of the ear called otomycosis. The doctor prescribes Ray an for treatment.
Can you explain more of the question? Ray has an ear infection, so he gets treated. What is the question?
Answer:
1- fungal 2-anti-infective
Explanation:
10. What are the health-related fitness components?
Peter has a vitamin deficiency, a skin problem, brain damage, and a chronic liver problem due to his chronic substance abuse of which drug?
A. Nicotine
B. Cocaine
C. Alcohol
D. Heroin
Answer:
1. alcohol 2. they contain tar, like traditional cigarettes
Explanation:
1. for him to have chronic liver problems it has to travel through the liver, alcohol is the leading cause of liver problems
2.e-cigarettes do not contain tar because it is an electrical product which is one factor of why they are not harmful
A lot of people are known to often abuse substances. Peter's issue is due too Alcohol.
Chronic alcohol use is known to affect the brain. A lot of studies has shown that excessive alcohol use and damaged brain function leads to dementia, deficits in learning and memory, mental disorders, etc.The act of drinking alcohol can also lead to vitamin deficiency. It can cause deficiencies in vitamin A, C, D, E, K, and B.
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What are the steps used when performing CPR?
While giving cardiopulmonary resuscitation (CPR), it is important to make sure the area is secure for you and the victim, then check to see whether they are responsive by tapping them lightly and yelling, "Are you okay?"
Thus, in CPR, call all emergency services or ask someone else to do so if the victim is not responding. Start the chest compressions by putting the heel of one hand on the victim's center chest, interlacing the other hand on top, and applying a forceful, rapid pressure at a pace of 100–120 compressions per minute.
After 30 compressions, tilt the victim's head back, lift their chin, and cover their mouth with yours while sealing their nose to provide two rescue breaths. Until assistance arrives, keep performing cycles of 30 compressions and two rescue breaths.
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Aurora is a neuropsychologist focused on mapping certain reward circuits in the brain. She is not concerned about how her work might be used to change behavior but instead she is just trying to further knowledge about these circuits for the sake of knowledge. Aurora's research can be described as:
Answer:
Basic research
Explanation:
Basic research can also be referred to as fundamental research. This type of research is done to generate or increase scientific knowledge base. It seeks to generate new theories, principles and ideas, which is not necessarily applied, but can form the basis of scientific development.
In other words, basic research is mostly theoretical, with the purpose of increasing the understanding or explanation of a behavior or phenomenon, without seeking problem solving.
Therefore Aurora's research can be described as basic research.
Which of the following is an appropriate literature play-based learning experience?
A. Using puppets to act out a story
B. Separating blocks according to size
C. Using predominantly informational books
D. Silent reading
A nurse observes a few small, yellow nodules on the cervix of a client during the speculum exam. They are not painful or odorous, and a thin, clear discharge is present. The nurse recognizes that these are most indicative of what type of condition?a) Nabothian cysts
b) Columnar epithelium
c) Chlamydia infection
d) Cervical eversion
The nurse is providing care to the family of a preschool-age child who is diagnosed with sickle cell disease. Which statement made by the sibling would initiate a teaching session with the parents regarding discipline?
3. "When I lied to my parents, I was punished for a week and my brother never gets punished." The statement by the sibling about discipline indicates a perception of unfair treatment, which necessitates a conversation about balancing attention and disciplinary needs among all children, especially in a family affected by sickle cell disease.
The statement made by the sibling that would initiate a teaching session with the parents regarding discipline is: "When I lied to my parents, I was punished for a week and my brother never gets punished." This suggests a perception of unequal treatment between the siblings when it comes to discipline, which can lead to feelings of resentment or misunderstanding. A family dealing with a child who has sickle cell disease may often focus a lot of attention and resources towards the affected child, sometimes unintentionally overlooking the emotional and disciplinary needs of their other children.
The parents need to address this statement by ensuring that all children in the family feel valued and treated fairly, also considering the special healthcare needs that a child with sickle cell disease might require. This can be a complex balance to strike, and parents may need guidance on providing supportive yet consistent discipline to all their children, regardless of health status. An open conversation about feelings and a clear explanation of any necessary differences in treatment can help alleviate feelings of unfairness.
The _______________
is an example of a catabolic activity. Carbohydrates break down into glucose, glucose into pyruvate, and pyruvate into acetyl-CoA. In the process, ATP is released.
Final answer:
The catabolic activity involves the breakdown of carbohydrates into glucose, glucose into pyruvate, and pyruvate into acetyl-CoA. It is a part of cellular respiration and releases ATP.
Explanation:
The catabolic activity under discussion involves the breakdown of carbohydrates into glucose, glucose into pyruvate, and pyruvate into acetyl-CoA. This process is a part of the cellular respiration pathway and occurs in all cells throughout the body. It is an example of a catabolic reaction, which is a type of exergonic reaction that breaks down larger molecules and releases energy.
Catabolic reactions in biology involve the breakdown of larger molecules, such as carbohydrates, lipids, and proteins from ingested food, into their constituent smaller parts. The breakdown of glucose during cellular respiration is a catabolic activity and releases ATP, which is a form of energy used by cells for various metabolic processes.
Describes the distribution of sodium and potassium between cells and body fluids
Answer:
Refer below.
Explanation:
The distribution of sodium and potassium between cells and body fluids are:
K+ mainly in the cells, Na+ in the body fluids.
Answer:
The distribution and balance of sodium and potassium between cells and tissue fluids is by means of a pump that requires ATP, that is, it is ATP dependent, and generates a countergrade of the minerals by balancing them, three sodium molecules are taken for two of potassium
Explanation:
These pumps are activated at necessary and punctual times, they are not constantly active.
Being a countergrade means that you need energy to go against the spontaneous gradient of the membrane, to overcome it and achieve balance.
The sodium potassium pumps are FUNDAMENTAL for cell life since without them the cells could suffer from hyper or hypoteonicity of the concentrations of these minerals, thus generating serious failures and cell death.
Why are the male and female reproductive systems important
ANSWER: The male and female reproductive systems are important because the cells that allow humans beings to reproduce are produced by these systems. Reproduction allows for the survival of the human species.
Answer:
ANSWER: The male and female reproductive systems are important because the cells that allow humans beings to reproduce are produced by these systems. Reproduction allows for the survival of the human species.
Explanation:
The females and male reproductive system are a function of different sex organs that both poses. These organs are responsible for the reproduction processes and allow humans to reproduce.
They are important as the cells that allow human beings to reproduce are produced by these systems. Reproduction allows for the survival of the human species. Due to the reproductive process, humans have evolved as a species.Learn more about the male and female reproductive systems is important.
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Preeti discovers that her roommate Shari recently experimented with methamphetamine. Preeti, worried about her roommate, informs Shari that there are risks associated with methamphetamine use, such as the induction of symptoms associated with _________.
a. psychosis
c. bipolar disorderb. obsessive compulsive disorder
d. generalized anxiety disorder
Answer: Psychosis---A
Explanation: According to research, Over time, methamphetamine abuse has been found to have many negative effect leading to firstly, Addiction which is compulsive drug engagement and use which have a ripple effect in disorganizing the functional and molecular changes in the brain. followed by display of psychotic symptoms such as confusion, paranoia, hallucinations etc lasting for months and even longer years even when such person involved has withdrawn.
Preeti, is worried about her roommate, Shari because she knows that that there are risks associated with methamphetamine use, such as the induction of symptoms associated with Psychosis
Final answer:
Chronic methamphetamine abuse is associated with the induction of symptoms akin to a. psychosis, including hallucinations and delusions, similar to those seen in schizophrenia.
Explanation:
Preeti is correct to be concerned about her roommate Shari's use of methamphetamine, as it is associated with a range of serious health risks. One of the major risks associated with chronic methamphetamine abuse is the induction of symptoms associated with psychosis. These can include paranoia, visual and auditory hallucinations, delusions, and the sensation of insects crawling under the skin. Methamphetamine abuse can lead to psychotic features that are similar to those seen in schizophrenia, a debilitating mental illness characterized by difficulties in differentiating between reality and imagination, as well as disordered thoughts and perceptions. Furthermore, methamphetamine is neurotoxic, causing damage to dopamine and serotonin neurons in the central nervous system, which impacts brain structure and function.
The rising use of video display terminals at work has led to the proliferation of visual difficulties, radiation hazards, muscular aches and pains, and increased job stress for employees using personal computers or network work stations on the job.
A. True
B. False
Answer:
Option A => True.
Explanation:
The VDT is an acronym which stands for Video Display Terminals and is used for displaying information on the computer screens.
According to some researches that have been made it has been found out that the Video Display Terminals is really causing a lot of problems at work which is mostly about eyes problem and this has become a great concern for Occupational Safety and Health Administration(OSHA) which is saddled with the responsibility of providing safe environment for workers.
1. Which is NOT a benefit of warming up? A. Your heart has time to adjust to exercise B. You will perform better C. Chance of injury is increased D. Your muscles work better when they are warm
Answer:
C. Chance of injury is increased.
How is physical performance enhanced through the development of muscular strength and muscular endurance?
Answer:
As muscles become stronger, physical performance is improved. Improving muscular strength and muscular endurance gives the body the ability to work, exercise or play more often, with more power and for longer periods of time. Muscles act as tiny furnaces that burn fat.Explanation:
Muscular strength improves the ability to lift heavier weights, while muscular endurance enhances the capacity to sustain repeated muscle contractions.
The development of muscular strength and muscular endurance plays a crucial role in enhancing physical performance across various activities, from sports to daily life.
These components of fitness are fundamental for improved athletic performance and overall functional movement.
Muscular strength refers to the maximum amount of force a muscle or muscle group can exert against resistance in a single effort.
By increasing muscular strength, individuals can generate more force during movements like lifting, pushing, or pulling.
This translates into improved performance in activities such as weightlifting, sprinting, and high-intensity exercises.
The ability to lift heavier weights, for instance, allows athletes to optimize their training and achieve better results.
Muscular endurance, on the other hand, pertains to the muscle's capacity to sustain contractions over an extended period.
Developing muscular endurance enables individuals to perform repetitive or sustained activities without experiencing fatigue as quickly. This is particularly beneficial for endurance sports like running, cycling, or swimming, where the ability to maintain muscle function over an extended duration is key to success.
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Olga and Boris Mikhailov come to an outpatient clinic with their five-year-old daughter, Anya. The receptionist gathers information during the initial history. Olga and Boris were born in Russia and they have lived in the country for 8 years. They are both employed full time and speak English well. Anya was born in this county and she is fluent in Russian and English. Olga states that Anya is basically healthy. She experienced a viral illness a couple of months ago, but she quickly recovered. Anya is at the clinic for her 5-year-old check-up for kindergarten.
Answer:
The missing statement in question is;
According to Erickson, in what stage of development is Anya?
Explanation:
According to Erikson theory, Anya is in Initiative v Guilt stage.
Erikson theory is related to the different psychosocial developments that happen in complete human cycle through his life span. There are eight stages from birth till adulthood.
One of them is Initiative v Guilt, which is the third stage. This is related to children where they tend to assert themselves more often
Explain a strategy that you can use to ensure that your own personal beliefs and preconceptions don’t get in the way of your job response?
Answer:
A good strategy is: an organizational and tolerant culture in the workplace
Explanation:
A good strategy is. Having an organizational and tolerant culture at work, this means, what is work must be done at work and what corresponds to our personal values and beliefs, are only ours; But we must be willing to be receptive and share our beliefs and values with others as long as the occasion for it arises in a social setting.
Now, we must be tolerant and very respectful of the opinions and beliefs of others, we must not turn our work into a place of religious and philosophical competences.
To avoid personal beliefs interfering with job performance, a strategy is to practice empathy, open-mindedness, and self-reflection.
Explanation:A strategy to ensure that personal beliefs and preconceptions don't interfere with job performance is to practice empathy and open-mindedness. This involves actively listening to others, considering different perspectives, and being willing to change one's opinion based on new information. Additionally, self-reflection and self-awareness are important to recognize and challenge any biases or assumptions.
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What are some mental effects of stress
Answer:
Depression.
Anxiety
Irritability
What are some ways to stay safe from corona virus??
Answer:
Wash your hands, social distance (no leaving the house for unnecessary reasons and no visiting friends or family members), wear a mask if you must go out in public.
Explanation:
Rofonzo is a 36 year old recently divorced primigravida at 30 weeks gestation. She weighs 120 pounds with a BMI of 22 which indicates a normal height to weight proportion. Rofonzo's health history is negative for chronic health problems. She is an active career woman who experiences a moderate to sometimes severe level of stress with her job. Her diet consists of a lot of fast foods to "save time" especially when she has to eat on the run or while working. Rofonzo was diagnosed with mild preeclampsia. When the diagnosis is explained, she states that her mother and one of her sisters had a blood pressure problem when they were pregnant.
How should the nurse explain preeclampsia to Rofonzo?
Answer:
Preeclampsia can be defined as the condition in which pregnant women faces hypertension which develops after 20 weeks of pregnancy. Preeclampsia can affect multisystem of the body and is characterized by spasms of the blood vessels (vasospastic) that makes difficulty in the dilation of increased bood produced during pregnancy.
She may experience a number of signs and symptoms that may escalate and worsen as the progression of the disease progresses from mild to severe. The only solution is getting her baby, but it has been found that a number of treatment methods are effective in managing the disease's progress until it is time for her baby to be born.
This is the way nurse can explain Rofonzo about preeclampsia.
When one is performing a box-to-box plyometric drop jump, in order to generate sufficient force in a limited amount of time (< 200 ms), which muscle fibers are bypassed through the principle of selective recruitment?
Answer:
Muscle Fibers Type I
Explanation:
Muscle fibers in the body are classified based on how they produce energy or generate force. The Muscle Fibers type I, type I C, type IIC, type IIAC, type IIA, type IIA and type IIX are generally classified as being either slow-twitch or fast-twitch.
Muscle Fibers Type I is generally a slow twitch fiber. They can provide their own source of energy and can sustain force for an extended period of time, but they are not able to generate a significant amount of force.
However, the activation threshold is quite low, this means that while they get recruited first when a muscle contracts, they are unable to generate the amount of force necessary for the specific activity. They are, therefore, bypassed through the principle of selective recruitment and the fast-twitch muscle fibers are engaged.