The nurse working in the emergency department is assessing four clients' ability to tolerate pain. Which client is likely to tolerate a higher level of pain?
A. A 10-year-old who was burned by a camp fire earlier today.
B. A 70-year-old who has a postoperative infection from a surgery one week ago.
C. A 23-year-old woman who sprained her knee while bicycling.
D. A 55-year-old woman who has had moderate low back pain for three months.

Answers

Answer 1

The nurse working in the emergency department is assessing four clients' ability to tolerate pain and D. A 55-year-old woman who has had moderate low back pain for three months is the client who is likely to tolerate a higher level of pain.

Emergency Department is that the 1st purpose of contact for any critically sick patient, needing immediate medical attention. trendy Emergency Departments square measure managed by qualified Emergency Physicians and nurses, trained specifically for providing aborning care to save lots of a life or limb.

Ability to tolerate pain is the most quantity, or level, of pain someone will tolerate or bear. for instance, once taking note of a sound, the amount of loudness, or pressure, at that the sound becomes painful is delineated because the absolute threshold for that person at that point.

To learn more about emergency department here

brainly.com/question/28301666

#SPJ4


Related Questions

A school-age client has a fever, joint inflammation, and a nonpruritic rash. knowing that these are signs of rheumatic fever, the nurse should ask the parents

a. True
b. False

Answers

Knowing that these are signs of rheumatic fever, the nurse should ask the parents that has your child had strep throat recently.

Strep throat is generally transmitted by direct contact with the secretion or sores of somebody else with strep. Common symptoms embrace inflammatory disease, fever and swollen humour nodes within the neck. Rarely, complications will involve the center or kidneys. Treatment is very important to scale back complications with oral antibiotics.

Allergies, wounds, and diseases will all cause joint inflammation. The foremost common causes of joint inflammation are injuries and inflammatory inflammatory disease. Pain and inflammation ensuing from injuries typically resolve, however inflammatory inflammatory disease could be a chronic condition that will aggravate with time.

To learn more about rheumatic fever here

brainly.com/question/14633015

#SPJ4

Question 5 of 20
Which of these should be reportable diseases to protect public health?

Answers

Answer:

Measles

Explanation:

Measles should be a reportable disease to protect public health.

What happens if you have an infection under a crown?

Answers

If we notice redness, soreness, or swollen or painful gums around the crown, we might conclude that the tooth crown is infected.

There are certain symptoms we may look out for to determine whether or not we have an infected tooth crown.

Below are some of the indicators.

1. The area surrounding the crown is red and delicate.

2. Swollen or painful gums around the crown

3. A burning feeling that never goes away on one side of your mouth.

4. Discharge that is yellow, clear, or greenish close to the crown.

5. Poor breath

6. Feeling feverish.

7. Swollen glands in the neck.

Any of these symptoms should be treated medically right away by a doctor.

To know more about tooth crown, visit,

brainly.com/question/2110247

#SPJ4

Do you think laughter is the purest expression of joy why?

Answers

Yes, laughter is often considered the purest expression of joy because it is spontaneous and comes from a place of genuine happiness.

What do you mean by Laughter?

Laughter is a physical reaction that is caused by something funny or humorous. It is usually expressed in the form of a series of short, explosive vocal sounds and is accompanied by changes in facial expression and body language. Laughing can be a way to express joy, happiness, surprise, or even discomfort.

It is a form of communication that is free of any conscious thought or effort - it is simply a response to something that brings joy. Laughter is also contagious, and can spread joy to others just as quickly as it is felt.

To know more about laughter,

https://brainly.com/question/958964

#SPJ4

Which potential complications can arise if appendicitis is not diagnosed and treated promptly?

Answers

The potential complications which can arise if appendicitis is not diagnosed and treated promptly is that the appendix can burst and cause potentially life-threatening infections.

The appendix is a pouch-like structure connected at the beginning of the massive internal organ that has no well-known purpose. Appendicitis begins with fever and pain close to the belly button then moves toward the lower-right aspect of the abdomen. usually|this can be} often amid nausea, vomiting, loss of appetency, fever and chills.

If your appendix bursts, you'll develop a pocket of infection (abscess). In most cases, a MD drains the symptom by inserting a tube through your paries into the symptom. The tube is left in situ for regarding period of time, and you are given antibiotics to clear the infection.

To learn more about appendix here

brainly.com/question/13387646

#SPJ4

How long do you have to hold a plank to see results?

Answers

Initially, Orange Theory personal trainer Benji Tiger advises holding planks for 30 seconds in order to notice benefits. Furthermore, you want to hold each one for 20 seconds if you're performing them in intervals.

Planks—can they help you lose belly fat?

Planking stimulates a variety of muscles at once, which boosts metabolism and strengthens the core, making it the greatest exercise for shedding belly fat. When all is said and done, holding the plank posture is a fantastic alternative to stimulate your complete body.

Does planking assist in reducing belly fat?

The reason planks are the ideal exercise for losing belly fat is that they work a multitude of muscles simultaneously, improving metabolism and strengthening the core. When all is said and done, holding a plank is a great choice to engage your complete body.

To know more about plank exercise visit:-

https://brainly.com/question/25510157

#SPJ4

What are 2 examples of endurance activities?

Answers

Exercises that increase endurance activities include:

briskly jogging or strolling.lawn work (mowing, raking)Dancing.Swimming.Biking.escalating slopes or steps.playing basketball or tennis.

Your breathing and heart rate rise when you engage in endurance exercises, also known as aerobic exercises.

Long-distance walking or jogging, cycling, strength training, calisthenics, swimming, circuit training, aerobics, and dancing, as well as rope climbing, are exercises that improve muscle endurance.

Exercises that build muscle endurance include long-distance running, cycling, or swimming as well as circuit training and bodyweight exercises. The capacity to continue contracting a muscle, or group of muscles, despite ongoing resistance, such as weights or body weight, is known as muscular endurance.

Learn more about "endurance activities " to visit here;

https://brainly.com/question/29618667

#SPJ4

approximately ______ of adolescents ever experience major depressive disorder.

Answers

Answer: 5 to 8 percent

Explanation: In the United States, the prevalence of major depressive disorder (MDD) is approximately 1 percent of preschoolers, 2 percent of school-aged children, and 5 to 8 percent of adolescents. The prevalence of depression appears to be increasing in successive generations of children, with onset at earlier ages.

In what way is classical conditioning used?

Answers

Classical conditioning is a type of learning that occurs unconsciously.

When you learn through classical conditioning, an automatic conditioned response is added with a specific stimulus. This creates a behavior.

The best-known example of this is from what some dutiful to be the father of classical conditioning: Ivan Pavlov. In an experiment on canine digestion, he builds that over time dogs were salivating not only when their food was presented to them, but when the people who fed them arrived.

1. Unconditioned stimulus: This is the thing that triggers a reflexive response. Food is the reflex stimulus in Pavlov’s dog experiment.

2. Unconditioned response: This is what response naturally happens when you experience an unconditioned stimulus, such as salivating from the food.

3. Conditioned stimulus: This is considered a neutral stimulus. When you are presented with it over and over before the unconditioned stimulus (Ex.., food), it will start to evoke a similar response. The bell before the food is the conditioned stimulus.

To know more about Classical Conditioning:

https://brainly.com/question/12691454

#SPJ4

How many types of HACCP are there?

Answers

Answer:

Seven HACCP principals

When assessing a client, what finding would the nurse interpret as indicating stimulation of the parasympathetic nervous system?

Answers

When assessing a client, construction of pupils would the nurse interpret as indicating stimulation of the parasympathetic nervous system.

Construction of pupils happens as a result of a pause of the pathway of the sympathetic nerves that connect your brain stem to your eyes and face. The nerves management involuntary functions like dilation and constriction of the pupils of the attention.

Your parasympathetic nervous system could be a network of nerves that relaxes your body once periods of stress or danger. It conjointly helps run vital processes, like digestion, throughout times once you feel safe and relaxed. The parasympathetic systema nervosum decreases respiration and pulse rate and will increase digestion.

To learn more about parasympathetic nervous system here

brainly.com/question/28485355

#SPJ4

What are the 7 fitness principles?

Answers

Individuality, specificity, progression, overload, adaptation, recuperation, and reversibility are the seven guiding principles of exercise.

Who created the seven tenets?

A working group of architects, product designers, engineers, and researchers in environmental design, led by the late Ronald Mace at North Carolina State University, created the 7 Principles of Universal Design in 1997.

What are the seven fundamentals of movement?

So let's start by defining the seven "principles.

" The solution is easy:

rotation, squat, lunge, push, pull, plank, and hinging. These seven movements, whether performed separately or in more functional combinations, are the basis of all workout and nearly all human movement.

To know more about Adaptation

Visit:

https://brainly.com/question/28881538

#SPJ4

What city in the US produces the most avocados?

Answers

San Diego is the city in USA which is widely known for the production of avocados.

San Diego also known as the Avocado Heaven of the world and produces almost 60% of the total production of Californian avocados. Avocado is a bright green to yellow colored fruit with hard peel which is highly beneficial for human body as it is rich in Vitamins such as C, B6, E and K along with the presence of multiple other minerals such as magnesium, calcium and omega 3 fatty acids. This makes the fruit highly expensive and imported fruit too. Avocados are highly sensitive to pest infections and fungal diseases. It also requires specific conditions for good growth and high yield which is not present in all states of US.    

Learn more about Avocados at:

brainly.com/question/29818026

#SPJ4

What is the most popular breakfast food?

Answers

Answer:

The most popular breakfast food is eggs

What is flexibility and example?

Answers

Flexibility is the capacity of your muscles and other connective tissues to momentarily stretch. stretching, yoga, tai chi are some of the example of flexibility.

What is flexibility?

Flexibility is the biophysical word for a joint's or a group of joints' and muscles' capacity to move freely and painlessly over their range of motion. Flexibility specifically refers to the extent of tissue extension that joints are capable of.

Flexibility varies greatly between individuals and is impacted by a wide range of elements, including anatomical structure, genetics, age, gender, injury history, and degree of exercise. A minimum range of motion is necessary to preserve the health of the joints and the entire body, and a lack of flexibility can put abnormal stress on the tissues and structures nearby as well as farther away from the original site of inflexibility.

To know know more about Flexibility click below :

brainly.com/question/10881309#

#SPJ4

Why is it most important for nutrition to obtain most of our nutrients from food sources rather than from supplements?

Answers

Supplements aren't intended to replace food. They can't replicate all of the nutrients and benefits of whole foods, such as fruits and vegetables.

What are supplement ?

The body needs certain molecules called nutrients to carry out its essential tasks. Since the human body is unable to produce nutrients, they must be received from eating. The three primary roles of nutrients are to give us energy, support our body's structure, and/or control our body's chemical reactions.

Dietary supplements are more likely to contain hazardous levels of nutrients; foods offer phytochemicals and zoochemicals, foods offer gratifying flavours and scents or all of the aforementioned statements are true.

Learn more about Supplement here:

https://brainly.com/question/9153851

#SPJ4

What is the most environmentally damaging food?

Answers

According to WWF the most damaging food for the environment is sugar. It replaces habitats rich in other flora and fauna, sugarcane plantation destroys the most biodiversity in the world.

1) Sugar: the worst harvest for the environment

Sugar is one of the most harmful crops for the planet, according to a WWF study. By displacing a rich habitat for animals, plants and insects, sugar cane plantations are destroying the world's largest biodiversity. In addition to intensive use of water and pesticides, sugar cane and sugar beet cultivation also caused erosion, with Papua New Guinea, where sugar cane was grown, losing 40% of its organic carbon content. , that is, carbon in the atmosphere, which contributes to global warming.

2) Coffee

The history of coffee is similar to that of chocolate. Grown in areas with highly sensitive forests and biodiverse ecosystems. In theory, coffee is a shade-growing plant, but in order to facilitate intensive production, today the proportion of coffee is increasing, often resulting in intensive deforestation, pesticide and water use. , soil erosion is taking place.

According to a 2014 study, today's production was the worst in terms of environmental impact. Again, alleviating these dire situations by choosing shade-grown coffee certified bird-friendly or sustainably grown coffee certified by the Rainforest Alliance. Yes, but not all cafes have joined the movement yet.

3) Processed Meat: Our Worst Carbon Footprint

Industrial meat is highly contaminated. Meat and beef production contributes to deforestation and the production of greenhouse gases, especially methane. Beef and lamb in particular are the most contaminated types of meat. For less contaminated meat, favor small farms where animals are raised outdoors and raised on pasture.

4) Mineral water (and its bottle)

Mineral water has the image of being a healthy and natural food. French people love this drink. They buy about 5.5 billion bottles each year. But things look bad when you think of the plastic bottle this water is in. Not only does it take about 3 liters of water to make a 1 liter bottle, it also takes about 11 fluid ounces of oil. It is estimated that 50 billion bottles of water are sold worldwide each year and 17 million barrels of oil are consumed annually to make these bottles. This is the annual fuel consumption of 1 million cars.

5) Industrial waste:

Industry experts estimate that 80% of plastic bottles sold worldwide are not recycled. Countless bottles become waste in the natural environment, polluting these ecosystems, including our oceans. Several studies have shown that bottled water in developed countries contains more toxic residues than tap water, and blind tests have shown that consumers are more likely to drink bottled water than tap water. has been shown to be indistinguishable. Therefore, this environmental disaster can be easily avoided in countries where tap water is healthy and treated.

6) Some fruits and vegetables are not always green

Bananas, mangoes and peaches are delicious and healthy, but require the most water and pesticides to grow in industrial quantities. 1200 liters of water for 1 kg of peaches, 800 liters of water bananas for 1 kg, 1600 for mangoes, 3000 for dates. If you're looking for a truly green fruit, you can look to apples, pears, or oranges (depending on the season) that require far less input. Like vegetables, tomatoes, lettuce, or cabbage, especially when grown in unfavorable climates, consume large amounts of water and food. On the other hand, lentils and roots are very useful from an ecological point of view.

learn more about sugarcane:

https://brainly.com/question/17194648

#SPJ4

What is the best thing to drink with food?

Answers

Answer:

The best thing to drink with food is water!

All of the following are correct about single parents except:

Answers

Option 2 is the correct answer. The following are not correct about single parents except their children tend to do as well in life as children born to two parents

Kids from single-parent households are more likely than peers raised by married parents to experience emotional and behavioral children health issues, such as anger or participating in high-risk activities. Single parent families are made up of a parent or caregiver and one or more dependent children without the help of a spouse or other adult partner who is also responsible for raising the children.

The complete question for reference is:

All of the following are correct about single parents except:

1.  their children doesn't tend to do as well in life as children born to two parents

2. their children tend to do as well in life as children born to two parents

3. they were attracted to divorce.

4. they will be suffered without other parent.

learn more about Single parent here:

https://brainly.com/question/383739

#SPJ4

What is the importance of nutritional facts labels of the food product?

Answers

You are shown a few important nutrients that have an effect on your health. Just use label to meet your individual dietary requirements by seeking out items that have higher concentrations of a nutrients you .

What are each person's nutritional requirements?

Dietary restrictions have various causes, and each person has their own unique set of considerations. The following are a few of the more typical ones: Food intolerances and allergies, include a need to avoid dairy products, shellfish, nuts, and fish. Pregnancy, vegetarianism, and other special dietary needs

What does an individual dietary analysis entail?

Using a wide range of vitamins, minerals, plus energy-producing macronutrients, this technique evaluates the quality of your nutrition from the foods you eat on a daily basis.

To know more about  personal dietary visit:

https://brainly.com/question/28114570

#SPJ4

What are the types of research publications?

Answers

Newspapers are one of 4 different forms of periodicals. Popular publications. magazines and trade journals.

A primary publication and a secondary publication are what?

Journal papers and press releases are examples of primary publications. Summaries and syntheses of main articles are referred to as secondary publications. Practice recommendations, review papers, and meta-analyses are some instances of secondary publishing.

The majority of articles published fall into one of the following categories: original research, review articles, short reports or letters, case studies, methodologies, etc. Despite the fact that there appear to be many different types of articles published due to the wide range of names they are published under.

Articles authored by subject-matter specialists can be found in scholarly publications. These articles' primary readers are other professionals. These articles often present novel research findings.

learn more about publication refer

brainly.com/question/25817628

#SPJ4

What are Scope 3 upstream emissions?

Answers

Waste management, purchased goods & services, and business travel on equipment not owned or controlled by an organization.

What are emissions upstream and downstream?

80–90% of your emissions are probably in the scope 3 range. • They comprise both downstream emissions-producing operations as well as upstream emissions-producing activities (everything done to generate your product) (everything to consume your product). Related.

What are carbon emissions in the upstream?

Bioeconomy. The GHG emissions that happened during the extraction, processing, and transportation of the biofuel to the end user are referred to as upstream emissions for biomass fuels. Typically, this includes all fossil GHG emissions as well as non-CO2 GHG emissions from biomass. Scope 3 emissions are further divided into upstream and downstream categories by the GHG-P.

To know more about upstream emissions visit:-

https://brainly.com/question/29371074

#SPJ4

Can drinking water lower eye pressure?

Answers

Answer:

Drinking a bottle of water very quickly does raise eye pressure, so we recommend you drink slowly to avoid this.

Describe one (1) difference between coding guidelines for debridement (11042-11047) and coding guidelines for repair (12001-13160).

Answers

For example, for the debridement codes 11042-11047, while the whole wound floor is debrided, then the size of the wound ought to be taken after the real debridement manner is performed.

When simplest a part of a wound floor is debrided, document the size of the location that turned into truely debrided.One distinction among coding suggestions for Wound Debridement (11042-11047) and coding suggestions for Repair of Wounds (12001-13160) is that .

Wound Debridement could be taken into consideration a manner and could be coded the usage of the manner code 11042, at the same time as Repair of Wounds could be taken into consideration a analysis and could be coded.

Read more about coding:

https://brainly.com/question/23275071

#SPJ4

Why is it important for employees to have the annual influenza vaccination?

Answers

If an employee chooses not to receive the flu shot, they have a higher risk of getting sick. Because healthcare workers are at risk of exposure, influenza vaccination has been found to be an essential preventative .

Do you need to receive two Covid vaccinations?

You should have some protection from the first dose for 3 to 4 weeks after receiving it. For better and more enduring protection, you need two doses. To help strengthen the protection provided by the initial two doses of the vaccination, the majority of patients additionally require a booster dose.

What does "vaccination" mean?

The process of administering a vaccine to the body in order to generate protection from a particular disease. Immunization: The method by which an individual receives a vaccination to provide them with disease protection. This phrase is frequently used synonymously with the words vaccination or inoculation.

To know more about vaccination visit:

https://brainly.com/question/6683555

#SPJ4

Do you think laughter can spread positive energy Why or why not?

Answers

Laughter may boost your immune system.

Does laughter have a positive impact on our health?

Negative thoughts can have an effect on your body by causing hormonal changes that boost stress and weaken immunity. On the other side, thinking positively can actually cause the production of neuropeptides that lessen stress and perhaps even more severe illnesses.

What type of energy is laughter?

Sigmund Freud expressed it clearly in his notion that laughing releases tension and "psychic energy.

"What negative effects could laughter have?

Other risks included protruding abdominal hernias that could cause hysterical or painful laughter.Due to a rapid air intake during laughter, it is possible to breathe in foreign things.causes asthma attacks to happen.Incontinence.Headaches

For further information about chemical changes

Visit:

https://brainly.com/question/23693316

#SPJ4

How many HACCP general principles are there?

Answers

Answer:

I believe there is seven

How would you describe the sound of laughter in writing?

Answers

Laughter has a warm and joyful sound, like the ringing of bells or a chorus of birdsong. It is a sign of happiness and good health, and can bring a sense of contentment and wellbeing to any situation.

What is Laughter?

Laughter is a physical reaction to certain stimuli, such as jokes, funny stories, or amusing situations. It is a positive emotion and a social behavior that can help to reduce stress, create a sense of connection, and improve overall health.

Laughter is like a breath of fresh air – it is a sound of joy and vitality that can fill a space and bring a sense of wellbeing. It can be contagious, prompting others to join in, and the sound of it can be uplifting and energizing. It is a sign of healing and harmony, and a reminder that life is full of joy and laughter.

To know more about laughter,

https://brainly.com/question/958964

#SPJ4

How do you know if frozen fish is bad?

Answers

Once your fish has thawed, look for any strong "fishy" odours, which indicate that it has passed its prime. Look for ice crystals and dry or discoloured patches,

which suggest that the fish was exposed to air and temporarily thawed before re-freezing, according to Seaver. Fish that has been properly frozen will keep in your freezer for up to 6 months. This rule does have a few exceptions. Fatty fish, such as trout and salmon, have a lower freezer shelf life. They are only good for three months. Scombroid poisoning happens when people consume improperly preserved seafood. Scombroid does not affect the appearance or taste of the fish, and cooking or freezing the fish will not prevent it.

Learn more about to Fish visit here;

https://brainly.com/question/29115848

#SPJ4

Why is it important to know the importance of maintaining the proper exercises?

Answers

Exercise helps ones cardiovascular system function more effectively by delivering nutrients and oxygen to your tissues.

Simply put, exercise and regular physical activity are essential for everyone. Physical activity is essential for children, teenagers, but also adults of all ages. Regular exercise encourages good health, and regardless of ones body type or BMI, you should keep active throughout your life.

Regular physical activity and exercise improve muscle strength, bone mass, flexibility, as well as stability. Physical fitness, especially as one get older, can reduce your risk of and adaptability to accidental injuries. Stronger muscles as well as better balance.

For example, mean you're less probable to stumble and fall, as well as stronger bones mean you're less inclined to sustain bone injuries if you fall.

There is no magic formula that converts minutes of exercise into minutes of life gained, and though research indicates that people that are more active are healthier and live longer lives.

To know more about the Exercise, here

https://brainly.com/question/13128077

#SPJ4

Other Questions
let x be the set of 2000 correct: your answer is correct. people (the pigeons) and y the set of all 1825 incorrect: your answer is incorrect. possible birthdays (the pigeonholes). How will you communicate information? About the advantage of living in the countryide. 2. What do you think the mot eriou problem in the big citie? 3. What hould you do to olve that problem? Talk about teen tre and preure and how to cope with them Do you like living in the city? Why or why not? A countryide. Where are they? 1. Talk about the diadvantage of living in the 2. Tell three famou citie around the world. 3. What city in the world would you like to viit mot? Why? Why did Protestants develop many different sects? how do self-fulfilling prophecies work? a. our social locations are a crucial factor in determining how others see us; therefore, social status is the most important determinant of deviance. b. we tend to respond to the physical and social marks that discredit our identities and leave us vulnerable to negative social judgments. c. we learn to be deviant through our interactions with others who break the rules. d. we respond not only to the objective features of a situation but also to its meaning. once meaning has been assigned to our behavior, the consequences of that behavior are determined by the meaning. How long does it take snails to mature? A an) is an individual stationed outside one or more permit spaces who monitors the authorized entrants. a. entrant b. attendant c. competent person d. monitor CHECKING FOR UNDERSTANDINGIDENTIFYING CONNECTIONSHow did changing alliances in Europe lead to the Seven Years War and how was the war carried out on a global scale?EXPLAINING CAUSE AND EFFECTWhy were there conflicts on three continents (Europe, North America, and Asia)?USING MAPSBased on the map, why was Russias involvement influential to the outcome of the Seven Years War? Noah has 5 m of rope how many pieces of rope of length 1/2 meter can he cut from it Which 3 types of entries can be made in QuickBooks Online that are classed as non posting? What is the basic methodology of a client's evaluation based on? a company incurred the following costs associated with the purchase of a piece of land that it will use to re-build an office building: purchase price of the land $ 660,000 sale of salvaged parts already on land $ 23,000 demolition of the old building $ 24,000 ground-breaking ceremony (food and supplies) $ 1,700 land preparation and leveling $ 6,900 what amount should be recorded for the purchase of the land? Use what you know about multiplying integers to explain why this equation is true: 20 (5) = (4). TRUE/FALSE. The right to use various designations or phrases in connection with the product, event, or facility, such as official sponsor, official supplier, official product, and presented by, creates exclusivity for a sponsor. definethe concept of terrorism compare and contrast different psychological factors which explain why people engage in terrorism At the output level that maximizes total surplus A) marginal benefit exceeds marginal cost by the greatest amount. B) consumer surplus exceeds producer surplus by the greatest amount. C) the maximum willingness to pay for the last unit of output equals the minimum acceptable price of that unit of output. D) the areas of consumer and producer surplus necessarily are equal. What were the major characteristics of Roman society in the Roman Republic? How do you find the slope in 7th grade math? What number is X in math? HELP PLSS ILL MARK BRAINLIEST!!! Select the correct images on the graph.Identify which shapes on the graph are congruent to shape I by performing these sequences of transformations on shape I:a reflection across the y-axis, followed by a 90 counterclockwise rotation about the origin, and then a translation 3 units down. a 90 counterclockwise rotation about the origin and then a translation 2 units up and 2 units lefta 180 rotation about the origin and then a translation 1 unit right