boxford lathe serial numbers. Discontinuing the heparin infusion 2. 511 s gilbert st iowa city Nursing Care Plan for Gastric Cancer Nursing Diagnosis. While auscultating a client ’s heart sounds,. Monitor blood pressure throughout the threatement. A nurse is caring for a client who has a pulmonary embolism. If there are 2. What assessment finding indicates that the client’s condition is improving? a. See Answer. The nurse anticipates that which action is needed? 1. 20 CSR 2200-6. View full document. canadian tire tarps. A nurse is caring for a client who has dysphagia following an ischemic stroke. Complete blood count (CBC) Rationale: Heparin is an anticoagulant, so a CBC will not provide the nurse information to evaluate a therapeutic response to heparin. Physical Therapist 2. roblox bypassed clothing 2022. What assessment finding indicates that the client’s condition is improving? a. check 02 sats with pulse oximeter. A client is receiving a continuous intravenous infusion of heparin sodium to treat deep vein thrombosis. Most adult patients receive continuous IV fluids with 1,000 mL bags . The nurse knows that intravenous administration of medication is appropriate in which of the following situations? when clients have disorders, such as severe burns, that affect the absorption and metabolism of medications. A nurse reviews the client's medication administration record. Fentanyl transmucosal 2. A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Lie down for at least 20 minutes after meals C. 165 / 5 points The nurse is caring for a client who has deep vein thrombosis (DVT) and is to receive 1,000 units/hr in a continuous infusion of prescribed heparin. which of the following actions should the nurse take first a. Teaching points This drug must be given by a parenteral route (cannot be taken orally). For which of the following adverse effects should the nurse monitor when administering lisinopril? a. After assessing the client’s respiratory status and stopping the me dication infusion. Which of the following laboratory results will the nurse specifically review to determine if an effective and appropriate dose of the heparin is being delivered? A. ) A nurse is assessing a client who is receiving intravenous therapy. Significant changes in client condition, and iv. [Show More] Preview 2 out of 13 pages Generating Your Document Exam Details $14. HESI APril - Practice questions - HESI Exit Exam April 2022 1-While caring for a client who is being - Studocu Practice questions hesi exit exam april 2022 caring for client who is being mechanically ventilated, the nurse responds to alarm on the ventilator. The nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (Select all that apply. Compare the client's wristband to the medication administration record. All clients receiving intravenous therapy, both intermittent and continuous, must also be evaluated and monitored in terms of the presence of any complications associated with intravenous lines. A nurse discovers that a client receiving heparin sodium by way of continuous intravenous (IV) infusion has removed the IV tubing from the infusion pump to change his hospital gown. roblox bypassed clothing 2022. Terms in this set (74) 1. A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin via continuous IV infusion. Demonstrate caring behaviors in the delivery of care to clients According to Jane Anne Yaworski, MSN, RN, a Clinical Nurse Specialist in the Nutrition Support Service and Intestinal Care Center, "parenteral" actually means to eat (-enteral) through an IV (par-) This section will be implemented in Phase 1 with the following exceptions: • (a. Your patient's recent PTT is 42. The nurse anticipates that which action is needed? 1. Modify Therapy/Monitor Closely. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity? Vitamin K physostigmine protamine calcium gluconate-A nurse is planning care for a client who has neutropenia. Bradycardia b. A nurse is caring for a client who has a pulmonary embolism. The nurse determines that the client has the best understanding of the dietary measures to follow if the client states an intention to increase the intake of: 1. Remove the medication from the dispensing system. Blood pressure of 100/60 mm Hg D. Morphine tablet c. safe exam browser configuration file. A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. The client's activated partial thromboplastin (aPTT) time is 65 seconds. gmc 351 v6. Sodium 134 mEq/L. What is the drip rate in drops per minute? gtt/min: ml/hr x gtt/ml 125 ml/hr × 60 gtts/mL = 7,500 7,500+ 60 min = 125 gtt/min 2). Deciding on hiring nursing in-home care services for a loved one is a difficult one for many reasons. Place the tourniquet on the client's arm about 3 to 4 inches above the selected site. The client is receiving heparin via continuous IV infusion at 1200 units/hr and warfarin 5 mg PO daily. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse anticipates that which action is needed? 1. Infertility B. Obtain an infusion pump to regulate the continuous flow of the medication. A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. It stop new clots from forming. A patient is to receive Lidocaine at 3mg/min. It stop new clots from forming. methodist hospital omaha ne watauga county nc Tech. The client's weight is 80 kg (176. the nurse plans to do which to enable the DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions StuDocu University University of Houston-Clear Lake. A client with atrial fibrillation is receiving a continuous heparin infusion at 1000 . A nurse is assessing a client who is receiving heparin IV continuous IV. There is no information in the question to indicate that inability to care for self, inability to cope, or inability to maintain health is a problem. Use Caution/Monitor. Phlebitis b. Demonstrate caring behaviors in the delivery of care to clients According to Jane Anne Yaworski, MSN, RN, a Clinical Nurse Specialist in the Nutrition Support Service and Intestinal Care Center, "parenteral" actually means to eat (-enteral) through an IV (par-) This section will be implemented in Phase 1 with the following exceptions: • (a. The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding. The client has an PPT of 90 seconds. Unclamp the suction tubing near the connection site toinstill solution. A nurse reviews the client's medication administration record. A nurse is providing teaching to a client who has Parkinson's disease and has a new prescription for carbidopa/levodopa. May 02, 2009 · Health issues and medicines Heart medicines - Statins, Anticoagulants and Thro The physician orders heparin to infuse at 900 units/hour. The client has an PPT of. The nurse sets the infusion pump at how many milliliters per hour to deliver 1300 units/hour?. The nurse shou. The nurse tells the client to: A. A nurse is caring for a. When the nurse is. A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. The nurse anticipates that which action is needed? 1. Medication level D. A nurse is planning care for a client who is 8 hour post-op following a coronary artery bypass grafting. Infertility B. Answer D is correct answer for this. What patient care order should the nurse anticipate? The nurse is preparing to insert an intravenous (IV) catheter in a. Respiratory rate of 10 breaths/min 975. Heparin Infusion Rate: Total Units (in IV bag) = Units/hour Total Volume (ml) X (ml/hour) Your patient has a DVT is ordered for a heparin infusion to start at 18 units/kg/hour per the practitioner’s order. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. basketball jersey maker online free. Low-molecular-weight heparin (LMWHs). Comment: Low molecular weight heparins may suppress adrenal aldosterone. A nurse discovers that a client receiving heparin sodium by way of continuous intravenous (IV) infusion has removed the IV tubing from the infusion pump to change his hospital gown. A nurse is caring for a client who has breast cancer and reports pain 1 hr after administration of prescribed morphine 10 mg IV. Rt ☆ * *. Terms in this set (74) 1. Lidocaine patch d. 3 gtts/min Expert Solution Want to see the full answer? Check out a sample Q&A here. Discontinuing the heparin infusion 2. Decreased serum transferrin d. Stand upright 2. Morphine tablet c. Provide education. What is the drip rate in drops per minute? gtt/min: ml/hr x gtt/ml 125 ml/hr × 60 gtts/mL = 7,500 7,500+ 60 min = 125 gtt/min 2). severe hypertension and is to receive nitroprusside via continuous IV infusion. A noncoring needle d. The nurse tells the client to: A. A nurse is preparing to administer an antibiotic via intermittent IV bolus for a client who has a continuous IV infusion. Place the tourniquet on the client's arm about 3 to 4 inches above the selected site. A nurse is caring for a client undergoing IV therapy. blaklader work vest. which DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home. 32 gtt/min ANS: A. A registered nurse/midwife, who has been trained in the management of epidural infusions, will be able to care for these patients. A nurse is assessing a client who is receiving heparin via continuous IV. show my email address and password; mikayla nogueira accent. Heparin is an anticoagulant that is used to treat and/or prevent blood clots. The morning lab values for the client are aPTT 98 seconds and INR 1. The procedure for inserting a peripheral intravenous catheter is: Explain the procedure to the client and use sterile supplies and sterile technique to start an intravenous line. A nurse is caring for a client who is receiving heparin therapy via continuous iv infusion. basketball jersey maker online free. Urine output 80 mL/hr Decreased LOC. ATI Mental Health Proctored Exam 2019 1. Which of the following assessments should the nurse plan to perform first?. Continue to monitor the heparin infusion as prescribed C. Which of the following should the nurse use to assess the port? a. After assessing the client’s respiratory status and stopping the me dication infusion. A client is caring for a client who develops ananaphylactic reaction to IV administration. Request a prothrombin time D. A nurse discovers that a client receiving heparin sodium by way of continuous intravenous (IV) infusion has removed the IV tubing from the infusion pump to change his hospital gown. A patient is to receive Lidocaine at 3mg/min. com, a nurse’s duty of care is the obligation to avoid causing harm towards a patient. See Page 1. For which of the following adverse effects should the nurse monitor when administering lisinopril? a. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. Unfractionated heparin is administered subcutaneously to prevent development of DVT, or by intermittent or continuous IV infusion for 5 days to prevent the extension of a thrombus and the development of new thrombi. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. Increase the heparin infusion flow rate by 2 ml/hr B. Surgery of heart and blood vessels for patients undergoing. The goal of this CE activity is to provide nurses and nurse practitioners with knowledge and skills to manage patients on anticoagulant drugs. The nurse would determine that the client is receiving. -A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. infusion of heparin. A nurse is planning care for a client who is 8 hour post-op following a coronary artery bypass grafting. All clients receiving intravenous therapy, both intermittent and continuous, must also be evaluated and monitored in terms of the presence of any complications associated with intravenous lines. Fentanyl transmucosal 2. A nurse is monitoring a client who is receiving a continuous intravenous infusion of morphine sulfate. A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. dark cherry colored 3. Nursing questions and answers. Surgery of heart and blood vessels for patients undergoing. A nurse is caring for a client who has heart failure and is taking hydrochlorothiazide. A nurse discovers that a client receiving heparin sodium by way of continuous intravenous (IV) infusion has removed the IV tubing from the infusion pump to change his hospital gown. A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. eprosartan. Lidocaine patch d. After assessing the client’s respiratory status and stopping the me dication infusion. A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. The nurse would identify this finding as which of the following complications of IV therapy? a. Continue to monitor the heparin infusion as prescribed C. Stop the heparin. When heparin is given by continuous intravenous infusion, . The dosage of heparin sodium should be adjusted according to the patient's coagulation test results. See Answer. The client has an aPTT of 90 seconds. safe exam browser configuration file. Use Caution/Monitor. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. A nurse is planning care for a client who is 8 hr postoperative following a coronary artery bypass grafting. Blurred vision Rationale: 2. Contact the electrical maintenance department for assistance. Calculate the starting rate of the infusion (ml/hour). The morning lab values for the client are aPTT 98 seconds and INR 1. Naloxone IV b. Liver function test d. Heparin Infusion Rate: Total Units (in IV bag) = Units/hour Total Volume (ml) X (ml/hour) Your patient has a DVT is ordered for a heparin infusion to start at 18 units/kg/hour per the practitioner's order. study sheets pharm ati nurse assessing client who is receiving intravenous therapy. The nurse anticipates that which action is needed? 1. The Pain Nursing Team and the. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity? Vitamin K physostigmine protamine calcium gluconate-A nurse is planning care for a client who has neutropenia. The client has an aPTT of 90 seconds. If the patient no longer requires IV access for infusions, remove the cannula at the earliest to avoid complications. The nurse should expect to administer which of the following medications if the client experiences acute heparin toxicity. The client's weight is 80 kg (176. Unclamp the suction tubing near the connection site toinstill solution. Infertility B. Which of the following medications should the nurse expect to administer? a. When caring for a client who is receiving heparin, the nurse should monitor the aPTT to evaluate medication effectiveness. A nurse is assessing a client who is receiving heparin via continuous IV. Enzymes A nurse is caring for four antepartum clients. The dosage of heparin sodium should be adjusted according to the patient's coagulation test results. federal register notices This is attempt to keep current employees from jumping ship and working with the agency for premium pay. Ringing in the ears Like All replies. Increasing the rate of the heparin infusion 3. After reading this article, you will be able to: Identify common indications for use of anticoagulants Describe monitoring requirements Consider important safety implications to help prevent complications Discuss patient/family educational needs related. A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. May 02, 2009 · Health issues and medicines Heart medicines - Statins, Anticoagulants and Thro The physician orders heparin to infuse at 900 units/hour. A. Acid level C. The patient weighs 163 lbs. Using the client information provided, which of the following actions should the nurse take? (Click on the "Exhibit" button below for additional information about the client. A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. See Page 1. A nurse is providing teac. Transcribed image text: A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. A nurse is caring for a client who is 4 hr postoperative following a hip replacement. During a pre-treatment exam, the nurse explains to the client that the most likely side effect would be: A. Calculate the starting rate of the infusion (ml/hour). The 58-year-old client who was admitted 2 days ago with <b>heart</b> <b>failure</b>, BP of 126/76, and a respiratory rate of 21 breaths a. Respiratory rate of 10 breaths/min - D. . A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. A nurse is providing teac. 146 4. Demonstrate caring behaviors in the delivery of care to clients According to Jane Anne Yaworski, MSN, RN, a Clinical Nurse Specialist in the Nutrition Support Service and Intestinal Care Center, "parenteral" actually means to eat (-enteral) through an IV (par-) This section will be implemented in Phase 1 with the following exceptions: • (a. Answered step-by-step A nurse is caring for a client who is receiving a continuous intravenous infusion of heparin. Continuous intravenous infusion of heparin sodium (IV heparin) is used to prevent. 21 gtt/min d. Naloxone IV b. The nurse should slow the IV and notify the provider. After reading this article, you will be able to: Identify common indications for use of anticoagulants Describe monitoring requirements Consider important safety implications to help prevent complications Discuss patient/family educational needs related. cdl champs 23 code
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Use an extension cord from the nurses' lounge for the pump plug. A nurse is planning care for a client who is 8 hour post-op following a coronary artery bypass grafting. Temperature of 97. Heparin Infusion Rate: Total Units (in IV bag) = Units/hour Total Volume (ml) X (ml/hour) Your patient has a DVT is ordered for a heparin infusion to. Which of the following actions should the nurse take? a. Urine output of 30 mL/hr C. You will recheck the PTT in 6 hours. Increasing the rate of the heparin infusion 3. For which of the following adverse effects should the nurse monitor when administering lisinopril? Hypotension. which DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home. A nurse is caring for a client who has a DVT and has been on heparin continuous infusion for 5 days. 1 mg/kg, it makes sense to administer 3 mL. Each time a patient needs an IV medication, there is potential for error if a concentration different from the previous patient care area is . The morning lab values for the client are aPTT 98 seconds and INR 1. A nurse is caring for a client who is receiving heparin therapy via continuous iv infusion wuling marathon mini truck parts The benefit of monitoring IV heparin once a therapeutic threshold has been exceeded is not well defined. the nurse has viewed the lab result of the client being treated for nephrotic syndrome An RN asks the assistive personnel to record the intake and output. The intravenous (IV) tubing available is 10 gtt/mL. A nurse is providing teac. Terms in this set (74) 1. Diarrhea C. Discontinuing the heparin infusion 2. Heparin Infusion Rate: Total Units (in IV bag) = Units/hour Total Volume (ml) X (ml/hour) Your patient has a DVT is ordered for a heparin infusion to start at 18 units/kg/hour per the practitioner’s order. panzer arms ar12. UFH is administered intravenously (IV) as a continuous infusion or. Replace the infusion with 0% sodium chloride • b. Decreased serum transferrin d. The client's activated partial thromboplastin (aPTT) time is 65 seconds. A nurse discovers that a client receiving heparin sodium by way of continuous intravenous (IV) infusion has removed the IV tubing from the infusion pump to change his hospital gown. S- Implement adjustments to Heparin infusion therapy according to protocol f. Demonstrate caring behaviors in the delivery of care to clients According to Jane Anne Yaworski, MSN, RN, a Clinical Nurse Specialist in the Nutrition Support Service and Intestinal Care Center, "parenteral" actually means to eat (-enteral) through an IV (par-) This section will be implemented in Phase 1 with the following exceptions: • (a. Phlebitis 2. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. The client asks the nurse how long it will take for the heparin to. Phlebitis 2. S- Recognize changes in the patient’s status Learning Objective 3: Demonstrate effective communication when caring for the patient receiving Heparin infusion therapy a. A health care provider prescribes heparin sodium, 1300 units/hour by continuous intravenous (IV) infusion. canadian tire tarps. Morphine tablet c. What is the drip rate in drops per minute? gtt/min: ml/hr x gtt/ml 125 ml/hr × 60 gtts/mL = 7,500 7,500+ 60 min = 125 gtt/min 2) Question. heparin increases toxicity of eprosartan by Other (see comment). The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding. The client's activated partial thromboplastin (aPTT) time is 65 seconds. Home health care includes skilled nursing care, as well as other skilled care. Take this nursing quiz now!. A rapid, irregular HR D. The client's weight is 80 kg (176. The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding. What is the drip rate in drops per minute? gtt/min: ml/hr x gtt/ml 125 ml/hr × 60 gtts/mL = 7,500 7,500+ 60 min = 125 gtt/min 2) Question. A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. The morning lab values for the client are aPTT 98 seconds and INR 1. A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? A. dpdk architecture; what does 38th percentile mean on uworld; typhoon f12 jamming. check 02 sats with pulse oximeter. . The client has an aPTT of 90 seconds. unreal engine 5 tips; four seasons massage spa. A nurse is conduction a physical examination for an adolescent and is assessing the range of motion of the legs. roblox bypassed clothing 2022. heparin increases toxicity of eprosartan by Other (see comment). Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? Rapid decrease in client’s heart rate. scalarworks aimpoint pro mount. The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding. 165 / 5 points The nurse is caring for a client who has deep vein thrombosis (DVT) and is to receive 1,000 units/hr in a continuous infusion of prescribed heparin. This is a 40-item sample questions with rationales in preparation for the 2014 Philippine Nurse Licensure Exam. A nurse is providing teac. There is no information in the question to indicate that inability to care for self, inability to cope, or inability to maintain health is a problem. A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Supplied is a one liter bag of D5W containing Lidocaine 4g. Nursing staff monitor their patients; we are not monitored by monitor techs. The nurse is caring for a client who is to receive an IV antibiotic by a macroinfusion set (10 gtts/mL). A nurse is monitoring a client who is receiving a continuous intravenous infusion of morphine sulfate. Ringing in the ears Like All replies. A nurse is caring for a client who is receiving heparin therapy via continuous IV infusion to treat a pulmonary embolism. Which of the following laboratory values should the nurse monitor for in order to titrate the heparin dose? O Platelet function assay 0 aPTT O INR O Amylase. Rt ☆ * *. continuous anticoagulant infusion therapy (e. Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider?. A nurse is assessing a client who is receiving heparin via continuous IV. A client has an order for 5,000 units of subcutaneous heparin every 12 hours. The dosage of heparin sodium should be adjusted according to the patient's coagulation test results. The nurse is caring for a postpartum client with a diagnosis of deep vein thrombosis who is receiving a continuous intravenous. A nurse is caring for a client scheduled to receive external radiation to the neck for cancer of the larynx. Select the nurse case management model used for patient care delivery that is accurately paired with one of its descriptors: The ProACT Model: Registered nurses . The first action the nurse should take is to assess the client for injury due to medication error. Heparin Infusion Rate: Total Units (in IV bag) = Units/hour Total Volume (ml) X (ml/hour) Your patient has a DVT is ordered for a heparin infusion to start at 18 units/kg/hour per the practitioner's order. Registered Nurse – Neonatal Intensive Care - (NICU RN) StartDate: 02/13/2023Available Shifts: 12 D/N Pay Rate: $2074. A nurse is caring for a client who has deep-vein thrombosis and is receiving heparin via continuous IV infusion. The nurse is caring for a client in the immediate post-operative period following an esophagectomy. Blood pressure of 100/60 mm Hg D. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. If a nurse falls short of expected obligations, she may be charged with negligence. To help reduce risk, monitor GRV every 4 hours (or according to protocol) in patients receiving continuous tube feedings. Consume primarily soups and liquids at mealtimes Rationale: Low-fat foods and easily digested. Dilute more than the amount prescribed to obtain the correct dosage. Increasing the rate of the heparin infusion 3. Teaching points This drug must be given by a parenteral route (cannot be taken orally). Dysphagia Rationale: Radiation therapy does not hurt while it is being given. A nurse is reviewing the laboratory results of a client who has hepatic cirrhosis. Nurse is caring for a client who had a partial laryngectomy and is receiving continuous enteral feedings at 65 mL/hour through a gastrostomy tube. Unfractionated heparin. A nurse is caring for a client who has heart failure and a new prescription for lisinopril. See Page 1. the nurse should identify which of the following DismissTry Ask an Expert Ask an Expert Sign inRegister Sign inRegister Home. The nurse has an electronic infusion device (EID) in place that provides for the regulation of hourly infusion. Which of the following medications should the nurse expect to administer? a. Unclamp the suction tubing near the connection site toinstill solution. Access venous access devices, including tunneled, implanted and central lines. Blood pressure of 100/60 mm Hg D. Increasing the rate of the heparin infusion 3. A nurse is caring for a client who has thrombophlebitis and is receiving heparin by continuous IV infusion. Two days ago, the provider also prescribed warfarin (Coumadin). Which of the following findings should the nurse identify as an adverse effect of the medication and report to the provider? Rapid decrease in client’s heart rate. . oc craigslist cars for sale by owner, mrsafetylion, craigslist houston tx trucks for sale by owner, chatsworth police activity today, porn socks, pokemon gold foil cards, subvencije za poljoprivredne masine, trash taste, spiral curve example problems with solutions, houses for sale quad cities, friend fucks my wife pics, craigslist long island jobs co8rr