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Total number of electron pairs around the central atom in water (O) is:
Water has 2 bond pairs (O-H) and 2 lone pairs โ total 4 electron pairs (tetrahedral electron geometry).
In qualitative research, the concept of theoretical (or data) saturation refers to the point at which no new information or themes are emerging from additional data collection.
Why 'purposive sampling'? Qualitative researchers deliberately select participants based on specific characteristics relevant to the research question โ this is purposive (or purposeful) sampling.
Comparison of qualitative sampling methods:
| Method | Description |
|---|---|
| Purposive | Deliberate selection based on specific criteria |
| Snowball | Participants recruit other participants (used for hard-to-reach populations) |
| Theoretical | Sampling continues until saturation โ guided by emerging theory (Grounded Theory) |
Birth-related Brachial Plexus Injuries:
| Type | Nerve Roots | Presentation | Cause |
|---|---|---|---|
| Erb's Palsy | C5, C6 | 'Waiter's tip': arm adducted, internally rotated, elbow extended, wrist pronated, fingers flexed | Shoulder dystocia (excessive lateral neck traction) |
| Klumpke's Palsy | C8, T1 | Claw hand deformity (intrinsic hand muscles paralyzed); Horner's syndrome if T1 root avulsed | Arm hyperabduction during delivery |
| Total Plexus Palsy | C5โT1 | Flail arm, complete paralysis | Severe traction |
'Waiter's tip' = Erb's Palsy (C5โC6). Absent Moro on the affected side (normal Moro requires shoulder abduction/external rotation via C5โC6).
Nursing management:
- Gentle range of motion exercises after 7โ10 days
- Proper positioning (avoid abduction)
- Physiotherapy referral
- Most recover spontaneously in 3โ6 months
- EMG/nerve conduction at 3 months if no improvement
- Surgical repair (nerve grafting) if no recovery by 3โ9 months
In acute asthma, bronchoconstriction, mucosal edema, and mucus plugging all lead to airway obstruction and impaired gas exchange โ the immediate life-threatening problem.
Nursing priority hierarchy in asthma (ABC framework):
- Impaired gas exchange โ life-threatening, top priority
- Ineffective airway clearance
- Anxiety (which worsens bronchoconstriction)
- Activity intolerance
- Deficient knowledge (addressed after stabilization)
Immediate nursing interventions:
- Position: High Fowler's or leaning forward (tripod position)
- Administer short-acting bronchodilators (Salbutamol/Albuterol nebulization)
- Supplemental oxygen to maintain \\text{SpO}_2 \\geq 94\\%
- Continuous monitoring of peak expiratory flow rate (PEFR)
The maximum range is $R_{max} = \frac{u^2}{g}$.
- Area covered is a circle: $A = \pi R_{max}^2 = \pi (\frac{u^2}{g})^2 \propto u^4$.
- Ratio: $\frac{A_1}{A_2} = (\frac{u_1}{u_2})^4 = (\frac{1}{2})^4 = 1:16$.
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