Which of the following is an indicator of neurovascular compromise? a) Capillary refill more than 3 seconds Capillary refill more than 3 seconds is an indicator of neurovascular compromise. Other indicators include cool skin temperature, pale or cyanotic color, weakness, paralysis, paresthesia, unrelenting pain, pain on passive stretch, and absence of feeling.

Which of the following is an indicator of neurovascular
compromise?
a) Capillary refill more than 3 seconds
Capillary refill more than 3 seconds is an indicator of neurovascular
compromise. Other indicators include cool skin temperature, pale or
cyanotic color, weakness, paralysis, paresthesia, unrelenting pain, pain
on passive stretch, and absence of feeling.
b) Warm skin temperature
Cool skin temperature is an indicator of neurovascular compromise.
c) Diminished pain
Unrelenting pain is an indicator of neurovascular compromise.
d) Pain on active stretch.
Pain on passive stretch is an indicator of neurovascular compromise.
by

1 Answer

Answer :

a) Capillary refill more than 3 seconds
Capillary refill more than 3 seconds is an indicator of neurovascular
compromise. Other indicators include cool skin temperature, pale or
cyanotic color, weakness, paralysis, paresthesia, unrelenting pain, pain
on passive stretch, and absence of feeling.
by

Related questions

Paresthesia is the term used to refer to a) abnormal sensations. Abnormal sensations, such as burning, tingling, and numbness, are referred to as paresthesias. b) absence of muscle movement suggesting nerve damage. The absence of muscle tone suggesting nerve damage is referred to as paralysis. c) involuntary twitch of muscle fibers. Involuntary twitch of muscle fibers is referred to as fasciculation. d) absence of muscle tone. A muscle which holds no tone is termed flaccid.

Description : Paresthesia is the term used to refer to a) abnormal sensations. Abnormal sensations, such as burning, tingling, and numbness, are referred to as paresthesias. b) absence of muscle movement suggesting ... fasciculation. d) absence of muscle tone. A muscle which holds no tone is termed flaccid.

Last Answer : a) abnormal sensations. Abnormal sensations, such as burning, tingling, and numbness, are referred to as paresthesias.

A 68-year-old male who underwent a repair of an abdominal aortic aneurysm 5 days ago, develops tachycardia, tachypnea, hypotension with cool, pale, mottled cyanotic extremities. He is agitated and complains of shortness of breath. Which of the following statement(s) is/ are correct concerning his diagnosis and management? a. Myocardial ischemia secondary to preexisting coronary artery disease is most likely the underlying cause of this problem b. Invasive hemodynamic monitoring with a Swan-Gantz catheter will demonstrate a low cardiac output, a high systemic vascular resistance, and elevated cardiac filling pressures c. The use of morphine sulphate and nitrates should be part of the initial management d. The primary pharmacologic treatment involves the use of moderate doses of inotropic ag

Description : A 68-year-old male who underwent a repair of an abdominal aortic aneurysm 5 days ago, develops tachycardia, tachypnea, hypotension with cool, pale, mottled cyanotic extremities. He ... use of moderate doses of inotropic agents e. Afterload reduction with nitroprusside is absolutely contraindicated

Last Answer : Answer: a, b, d Intrinsic cardiogenic shock results from failure of the heart as an effective pump. Coronary artery disease is the most common cause of myocardial ... hemodynamic monitoring. Infusion of afterload-reducing agents can be administered in conjunction with inotropic support

Bell’s palsy is a disorder of which cranial nerve? a) Facial (VII) Bell’s palsy is characterized by facial dysfunction, weakness, and paralysis

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The nurse recognizes which of the following signs as typical of the patient in shock? a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate. b) Flushed face Pallor is an indicator of shock. c) Warm, dry skin Skin is generally cool and moist in shock. d) Increased urine output Usually, a low blood pressure and concentrated urine are observed in the patient in shock.

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Last Answer : a) Rapid, weak, thready pulse Pulse increases as the body tries to compensate.

Which of the following observations regarding ulcer formation on the patient’s lower extremity indicate to the nurse that the ulcer is a result of venous insufficiency? a) The border of the ulcer is irregular. The border of an ulcer caused by arterial insufficiency is circular. b) The ulcer is very painful to the patient, even though superficial. Superficial venous insufficiency ulcers cause minimal pain. c) The ulcer base is pale to black. The base of a venous insufficiency ulcer shows beefy red to yellow fibrinous color. d) The ulcer is deep, involving the joint space. Venous insufficiency ulcers are usually superficial.

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Last Answer : a) The border of the ulcer is irregular. The border of an ulcer caused by arterial insufficiency is circular.

Which of the following terms refers to muscular hypertonicity with increased resistance to stretch? a) Spasticity Spasticity is often associated with weakness, increased deep tendon reflexes, and diminished superficial reflexes.

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The patient with which of the follow characteristics is considered high risk for the development of infective endocarditis? a) The patient who has complex cyanotic congenital malformations is at high risk for the development of infective endocarditis.

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Last Answer : a) The patient who has complex cyanotic congenital malformations is at high risk for the development of infective endocarditis.

A person suffering from carbon monoxide poisoning a) appears intoxicated. A person suffering from carbon monoxide poisoning appears intoxicated (from cerebral hypoxia). Other signs and symptoms include headache, muscular weakness, palpitation, dizziness, and mental confusion.

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Which of the following physical findings are associated with the various classes of hemorrhagic shock? a. Mild shock (< 20% blood volume): Pallor, cool extremities, diminished capillary refill and diaphoresis b. Moderate shock (20%–40% blood volume): All of the above plus tachycardia and hypotension c. Severe shock (> 40% blood volume): Systemic hypotension, changes in mental status, tachycardia, oliguria d. All of the above

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Which nerve is assessed when the nurse asks the patient to dorsiflex the ankle and extend the toes? a) Peroneal The motor function of the peroneal nerve is assessed by asking the patient to dorsiflex the ankle and extend the toes while the sensory function is assessed by pricking the skin between the great and center toes. b) Radial The radial nerve is assessed by asking the patient to stretch out the thumb, then the wrist, and then the fingers at the metacarpal joints. c) Median The median nerve is assessed by asking the patient to touch the thumb to the little finger. d) Ulnar Asking the patient to spread all fingers allows the nurse to assess motor function affected by ulnar innervation.

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Last Answer : a) Peroneal The motor function of the peroneal nerve is assessed by asking the patient to dorsiflex the ankle and extend the toes while the sensory function is assessed by pricking the skin between the great and center toes.

Signs of low perfusion include all except A. hypotension B. tachycardia C. High Urine Output D. Poor Capillary refill

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The relaxation techniques of progressive muscle relaxation, relaxation with guided imagery, and the Benson Relaxation Response share which of the following elements? a) A mental device (something on which to focus the attention) Similar elements also include a quiet environment, a comfortable position, and a passive attitude. b) Nutritional foundation Relaxation techniques do not encompass specific nutritional guidelines. c) Analgesic preparation Relaxation techniques are used to reduce one’s response to stress and do not require analgesia prior to practicing the techniques. d) Physician’s order A physician’s order is not required to assist an individual to learn techniques to reduce one’s response to stress.

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Lower motor neuron lesions cause a) flaccid muscle paralysis. Lower motor neuron lesions cause flaccid muscle paralysis, muscle atrophy, decreased muscle tone, and loss of voluntary control.

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The nurse teaching the patient with a cast about home care includes which of the following instructions? a) Dry a wet fiberglass cast thoroughly using a hair dryer on a cool setting to avoid skin problems. Instruct the patient to keep the cast dry and to dry a wet fiberglass cast thoroughly using a hair dryer on a cool setting to avoid skin problems; do not cover it with plastic or rubber.

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Which of the following terms describes the passage of a hollow instrument into a cavity for the withdrawal of fluid? a) Paracentesis Paracentesis may be used to withdraw ascitic fluid if the fluid accumulation is causing cardiorespiratory compromise.

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Most skin conditions related to HIV disease may be helped primarily by a) highly active antiretroviral therapy (HAART). The goals of all HIV-related conditions include improvement of CD4 count and lowering of viral load. Initiation of HAART (highly active antiretroviral therapy) will help improve most skin conditions related to HIV disease. Symptomatic relief will be required until the skin condition improves.

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Instructions for the patient with low back pain include which of the following? a) When lifting, avoid overreaching. Instructions for the patient with low back pain should include that when lifting, the patient should avoid overreaching. The patient should also keep the load close to the body, bend the knees and tighten the abdominal muscles, use a wide base of support, and use a back brace to protect the back.

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41. For a client complaining of mild musculoskeletal pain, the nurse will anticipate that the treatment for this client’s level of discomfort will include which of the following?

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Which nerve is assessed when the nurse asks the patient to spread all fingers? a) Ulnar Asking the patient to spread all fingers allows the nurse to assess motor function affected by ulnar innervation while pricking the fat pad at the top of the small finger allows assessment of the sensory function affected by the ulnar nerve. b) Peroneal The peroneal nerve is assessed by asking the patient to dorsiflex the ankle and extend the toes. c) Radial The radial nerve is assessed by asking the patient to stretch out the thumb, then the wrist, and then the fingers at the metacarpal joints. d) Median The median nerve is assessed by asking the patient to touch the thumb to the little finger.

Description : Which nerve is assessed when the nurse asks the patient to spread all fingers? a) Ulnar Asking the patient to spread all fingers allows the nurse to assess motor function affected by ulnar innervation ... The median nerve is assessed by asking the patient to touch the thumb to the little finger.

Last Answer : a) Ulnar Asking the patient to spread all fingers allows the nurse to assess motor function affected by ulnar innervation while pricking the fat pad at the top of the small finger allows assessment of the sensory function affected by the ulnar nerve.

An osteon is defined as a a) microscopic functional bone unit. The center of an osteon contains a capillary. b) bone-forming cell. An osteoblast is a bone-forming cell. c) bone resorption cell. An osteoclast is a bone resorption cell. d) mature bone cell. An osteocyte is a mature bone cell.

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Last Answer : a) microscopic functional bone unit. The center of an osteon contains a capillary.

69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Description : 69. When Marina checked the capillary blood glucose of the client at 6 PM before meals as instructed by the senior nurse, the result showed 65 mg/dl. Which of the following will Marina do first?

Last Answer : C. Check the physician’s order in case CBG is below 70 mg/dl

Which of the following terms refers to weakness of both legs and the lower part of the trunk? a) Paraparesis Paraparesis is a frequent manifestation of degenerative neurologic disorders.

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When the post-cardiac surgery patient demonstrates restlessness, nausea, weakness, and peaked T waves, the nurse reviews the patient’s serum electrolytes anticipating which abnormality? a) Hyperkalemia Hyperkalemia is indicated by mental confusion, restlessness, nausea, weakness, and dysrhythmias (tall, peaked T waves). b) Hypercalcemia Hypercalcemia would likely be demonstrated by asystole. c) Hypomagnesemia Hypomagenesemia would likely be demonstrated by hypotension, lethargy, and vasodilation. d) Hyponatremia Hyponatremia would likely be indicated by weakness, fatigue, and confusion without change in T wave formation

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Last Answer : a) Hyperkalemia Hyperkalemia is indicated by mental confusion, restlessness, nausea, weakness, and dysrhythmias (tall, peaked T waves).

Which of the following terms is used to refer to protrusion of abdominal organs through the surgical incision? a) Evisceration Evisceration is a surgical emergency. b) Hernia A hernia is a weakness in the abdominal wall. c) Dehiscence Dehiscence refers to partial or complete separation of wound edges. d) Erythema Erythema refers to redness of tissue.

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Last Answer : a) Evisceration Evisceration is a surgical emergency.

Capillary nail refill test?

Description : Capillary nail refill test?

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Neostigmine reverses the following actions of d-tubocurarine except: A. Motor weakness B. Ganglionic blockade C. Histamine release D. Respiratory paralysis

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Last Answer : C. Histamine release

When measuring the blood pressure in each of the patient’s arms, the nurse recognizes that in the normal adult, the pressures a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures. b) must be equal in both arms. The pressures in each arm do not have to be equal in order to be considered normal. c) may vary 10 mm Hg or more between arms. Pressures that vary more than 10 mm Hg between arms indicate an abnormal finding. d) may vary, with the higher pressure found in the left arm. The left arm pressure is not anticipated to be higher than the right as a normal anatomical variant.

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Last Answer : a) differ no more than 5 mm Hg between arm pressures. Normally, in the absence of disease of the vasculature, there is a difference of no more than 5 mm Hg between arm pressures.

There are some substances whose odor changes in acidic or basic media. These are called - (1) Olfactory indicators (2) Litmus indicator (3) Gustatory indicators (4) All of the above

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the signs of might include pale, moist skin, heavy sweating, and dizziness. -General Knowledge

Description : the signs of might include pale, moist skin, heavy sweating, and dizziness. -General Knowledge

Last Answer : The signs of heat exhaustion might include pale, moist skin, heavy sweating, and dizziness.

Ageism refers to a) Bias against older people based solely on chronological age Individuals demonstrating ageism base their beliefs and attitudes about older people based upon chronological age without consideration of functional capacity. b) fear of old age. Fear of aging and the inability of many to confront their own aging process may trigger ageist beliefs. c) loss of memory. Age-related loss of memory occurs more with short-term and recent memory. d) benign senescent forgetfulness. Benign senescent forgetfulness refers to the age-related loss of memory in the absence of a pathologic process.

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Last Answer : a) Bias against older people based solely on chronological age Individuals demonstrating ageism base their beliefs and attitudes about older people based upon chronological age without consideration of functional capacity.

A continuous passive motion (CPM) device applied after knee surgery a) promotes healing by increasing circulation and movement of the knee joint. A CPM device applied after knee surgery promotes healing by increasing circulation and movement of the knee joint.

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Last Answer : a) promotes healing by increasing circulation and movement of the knee joint. A CPM device applied after knee surgery promotes healing by increasing circulation and movement of the knee joint.

Passive range-of-motion exercises are indicated during which stage of rheumatic disease? a) Acute Passive range of motion is indicated because the patient is unable to perform exercises alone during an acute stage of rheumatic disease.

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Which of the following terms related to aphasia refers to difficulty reading? a) Alexia Alexia or dyslexia may occur in the absence of aphasia.

Description : Which of the following terms related to aphasia refers to difficulty reading? a) Alexia Alexia or dyslexia may occur in the absence of aphasia. b) Agnosia Agnosia is failure to recognize familiar ... continued and automatic repetition of an activity, word, or phrase that is no longer appropriate.

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Which of the following terms refers to the absence of the natural lens? a) Aphakia When a cataract is extracted, and an intraocular lens implant is not used, the patient demonstrates aphakia.

Description : Which of the following terms refers to the absence of the natural lens? a) Aphakia When a cataract is extracted, and an intraocular lens implant is not used, the patient demonstrates aphakia. b) ... deformity of the cornea. d) Hyphema Hyphema refers to blood in the anterior chamber of the eye.

Last Answer : a) Aphakia When a cataract is extracted, and an intraocular lens implant is not used, the patient demonstrates aphakia.

Which of the following statements reflects the World Health Organization’s definition of health? a) A state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity. Such a definition, however, does not allow for any variations in the degrees of wellness or illness. b) A condition of homeostasis and adaptation.

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Last Answer : a) A state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity. Such a definition, however, does not allow for any variations in the degrees of wellness or illness.

When performing endotracheal suctioning, the nurse applies suctioning while withdrawing and gently rotating the catheter 360 degrees for which of the following time periods? a) 10-15 seconds In general, the nurse should apply suction no longer than 10-15 seconds because hypoxia and dysrhythmias may develop, leading to cardiac arrest. b) 30-35 seconds Applying suction for 30-35 seconds is hazardous and may result in the patient’s developing hypoxia, which can lead to dysrhythmias and, ultimately, cardiac arrest.

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Last Answer : a) 10-15 seconds In general, the nurse should apply suction no longer than 10-15 seconds because hypoxia and dysrhythmias may develop, leading to cardiac arrest.

Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a) Widened pulse pressure Additional signs of increasing ICP include increasing systolic blood pressure, bradycardia, rapid respirations, and rapid rise in body temperature.

Description : Which of the following findings in the patient who has sustained a head injury indicate increasing intracranial pressure (ICP)? a) Widened pulse pressure Additional signs of increasing ICP ... regarded as unfavorable because hyperthermia may indicate brain stem damage, a poor prognostic sign.

Last Answer : a) Widened pulse pressure Additional signs of increasing ICP include increasing systolic blood pressure, bradycardia, rapid respirations, and rapid rise in body temperature.

Water melon for seed should be harvested when a. Tendrils wither b. Skin color is green c. Skin color is pale yellow d. Vine dry out

Description : Water melon for seed should be harvested when a. Tendrils wither b. Skin color is green c. Skin color is pale yellow d. Vine dry out

Last Answer : Tendrils wither

When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are a) normal. Normal bowel sounds are heard every 5-20 seconds. b) hypoactive. Hypoactive bowel sounds is the description given to auscultation of one to two bowel sounds in 2 minutes. c) sluggish. Sluggish is not a term a nurse would use to accurately describe bowel sounds. d) absent. The nurse records that bowel sounds are absent when no sound is heard in 3-5 minutes.

Description : When bowel sounds are heard about every 15 seconds, the nurse would record that the bowel sounds are a) normal. Normal bowel sounds are heard every 5-20 seconds. b) hypoactive. Hypoactive bowel sounds ... absent. The nurse records that bowel sounds are absent when no sound is heard in 3-5 minutes.

Last Answer : a) normal. Normal bowel sounds are heard every 5-20 seconds.

Which stage of anesthesia is termed surgical anesthesia? a) III With proper administration of the anesthetic, this stage may be maintained for hours. b) I Stage I is beginning anesthesia, as the patient breathes in the anesthetic mixture and experiences warmth, dizziness, and a feeling of detachment. c) II Stage II is the excitement stage, which may be characterized by struggling, singing, laughing, or crying. d) IV Stage IV is a stage of medullary depression and is reached when too much anesthesia has been administered.

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Last Answer : a) III With proper administration of the anesthetic, this stage may be maintained for hours.

Is there a term for a person that gets unrelenting (and non-sexual) pleasure out of flatulating and wanting other people to smell it?

Description : Is there a term for a person that gets unrelenting (and non-sexual) pleasure out of flatulating and wanting other people to smell it?

Last Answer : Yes, they are called, ‘an older brother’.

A doctor advises a patient to take plenty of citrus fruits, guavas, tomatoes and amlas over a period of two months regularly. What do you think is the complaint of the patient? (a) Softness and pain in bones, bending of vertebral column (b) Gums spongy, swollen and bleed easily (c) Blurred vision, burning and dryness of eye and tongue, cracking of skin of angle of mouth (d) Extreme weakness, swelling and pain in legs, loss of appetite, headache

Description : A doctor advises a patient to take plenty of citrus fruits, guavas, tomatoes and amlas over a period of two months regularly. What do you think is the complaint of the patient? (a) Softness and ... skin of angle of mouth (d) Extreme weakness, swelling and pain in legs, loss of appetite, headache

Last Answer : Ans:(b)

Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased fluid intake, a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

Description : Which of the following is a reversible cause of urinary incontinence in the older adult? a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other ... level in the menopausal woman is a reversible cause of urinary incontinence in the older woman.

Last Answer : a) Constipation. Constipation is a reversible cause of urinary incontinence in the older adult. Other reversible causes include acute urinary tract infection, infection elsewhere in the body, decreased ... a change in a chronic disease pattern, and decreased estrogen levels in the menopausal women.

The drug, Interleukin-2, is an example of which type of biologic response modifier? a) Cytokine Other cytokines include interferon alfa and filgrastim. b) Monoclonal antibodies Monoclonal antibodies include rituximab, trastuzumab, and gemtuzumab. c) Retinoids Retinoic acid is an example of a retinoid. d) Antimetabolites Antimetabolites are cell cycle-specific antineoplastic agents.

Description : The drug, Interleukin-2, is an example of which type of biologic response modifier? a) Cytokine Other cytokines include interferon alfa and filgrastim. b) Monoclonal antibodies Monoclonal ... an example of a retinoid. d) Antimetabolites Antimetabolites are cell cycle-specific antineoplastic agents.

Last Answer : a) Cytokine Other cytokines include interferon alfa and filgrastim.

Which of the following types of cells have a latent ability to regenerate? a) Stable Stable cells have a latent ability to regenerate if they are damaged or destroyed and are found in the kidney, liver, and pancreas, among other body organs. b) Labile Labile cells multiply constantly to replace cells worn out by normal physiologic processes. c) Permanent Permanent cells include neurons — the nerve cell bodies, not their axons. Destruction of a neuron causes permanent loss, but axons may regenerate. d) Epithelial Epithelial cells are a type of labile cell that multiply constantly to replace cells worn out by normal physiologic processes.

Description : Which of the following types of cells have a latent ability to regenerate? a) Stable Stable cells have a latent ability to regenerate if they are damaged or destroyed and are found in the ... a type of labile cell that multiply constantly to replace cells worn out by normal physiologic processes.

Last Answer : a) Stable Stable cells have a latent ability to regenerate if they are damaged or destroyed and are found in the kidney, liver, and pancreas, among other body organs.