A 40-year-old woman has an 80-year-old mother who recently fractured her hip and femur after a minor fall. The woman is aware that her mother has decreased in stature by nearly 4 inches. What condition does the mother have, and what sorts of precautions should the woman take to avoid a similar condition

Answers

Answer 1

Answer:

The correct answer is - osteoporosis

Explanation:

The 80 year old woman appears to have osteoporosis due to her brittle bones and decrease in stature.

To stay away from this condition, the multi year elderly person ought to keep up a sound way of life by eating right and working out, taking nutrients consistently, and guaranteeing that she gets heaps of calcium.


Related Questions

Identify what nutrition treatment is trying to prevent after an ostomy. Select ALL that apply [mark all correct answers] a. obstructions b. gas and odor c. weight gain d. diarrhea e. fluid overload

Answers

Which of the following statements is generally true about change in the workplace ? a ) Most people accept change easily . b) Smart companies can avoid change altogether. c) Change in the workplace fairly infrequently d) Individuals can learn to manage the change in their lives.

Test
Record Observations/Results
Against Resistance
Feel for Muscle
Contraction
Cranial nerve(s) tested
Name and Roman Numeral
Elevate and depress shoulders
against resistance. Turn head left
and right against resistance.
Stand on one leg, with eyes
closed and arms out for several
seconds.
Follow a moving target with eyes
only.
Identify a substance by scent
with eyes closed.
Open and close the jaw with
resistance.
Smile, frown, raise eyebrows,
and puff cheeks.
Stick tongue straight out. Retract
tongue back into mouth.
Pupils constrict when pen light is
shined into eye.
Identify a substance by taste
using tasting paper.
Swallow and say 'ahh' against
resistance.
Test hearing with a tuning fork.
(Ideally with Webber test)
Identify a substance by touching
it to the face with eyes closed.

Answers

Answer:

Tuhiuo is an excellent resource for all of your own message boards from the movie and all of the latest features in the world of cinema and to be in

First responding nurses would NOT use _____ as an indicator to identify victims of human trafficking.

(1)- unwanted pregnancy
(2)-childhood vaccination records
(3)-trauma similar to domestic violence
(4)-​AIDS​

Answers

I believe it is 4 as well! Good luck!

Answer:

Childhood vaccination records.

Explanation:

Childhood vaccination records are not typically used as an indicator to identify victims of human trafficking because they do not directly provide information about a person's trafficking status. While vaccination records can be important for assessing a person's overall health and medical history, they do not specifically point to human trafficking. Other indicators, such as signs of trauma similar to domestic violence, the presence of sexually transmitted infections including HIV/AIDS, and indicators of unwanted pregnancy, may be more relevant in identifying potential victims of human trafficking. These indicators are often considered in conjunction with other factors and a comprehensive assessment of the individual's situation.

What level of civilian chemical equipment would healthcare providers don when providing initial medical treatment after an incident but not involved with decontamination?

Answers

The level of civilian chemical equipment that is used here is level C.

We have 4 different levels of protection available for hazardous materials. These are from levels A to D.

Level A protection is the highest while level d offers the minimum protection. The protection that level C offers includes:

Clothing with hoods that have chemical resistanceA mask that serves as air purifying respiratorGloves that are resistant to chemicalssafety boots

When level C protection ensemble is to be used, contact with chemicals at the site of the incident would cause no harm to the provider and the level of air contaminants have been recognized.

In conclusion the level of equipment that healthcare providers would wear when answering such calls after an incident that is not involved with decontamination is level C.

read more on a related topic at https://brainly.com/question/14319429?referrer=searchResults

The vast majority of adults in the United States who are receiving care receive it: from professionals in a nursing facility. from professionals at an adult day center. at home from family caregivers. at home from professional caregivers.

Answers

Answer:

C. At home from family caregivers.

What does this mean in medical form. It’s on my ws and I’m clueless

Answers

Answer:

it means without in nursing

Other than consulting the internet, where can a pharmacy technician access information on updates being made to the medical field?

Answers

Answer:

magazines

Explanation:

Without accessing the internet, one really good option are magazines. There are specific magazines such as the Stanford Medecine Magazine and the Hopkins Medicine Magazine that provide great and up to date information. These magazines containe updates on everything going on in the medical field including new discoveries, exciting projects, new treatments, inquiries, experiences, insights, etc. It was made to revolve specifically around medecine and is a great source of information.

1. In which of the following situations may 10 access be used?
O An extremity with signs of infection
O An extremity with signs of a crush injury
O An extremity with a previous unsuccessful 10 attempt
O An extremity with slow cap refill time

Answers

Answer:

O An extremity with slow cap refill time

Explanation:

Intraosseous access can be used in patients, children inclusive, to gain vascular access when they are in shock due to sickness or injury. IO cannulation rapidly delivers drugs and fluid to a marrow venous plexus that is noncollapsible. This is especially important if the patient is in shock and is to be resuscitated fast. Slow or prolonged capillary refill time is an indication of shock.

This option is used when other measures of delivering drugs, for example, the intravenous route are unavailable. The distal femur, the proximal tibia under the growth plate, the distal tibia above the medial malleolus are common sites where intraosseous access can be administered.

Describe the effectiveness of each of the following antibiotics with regards to controlling S. epidermidis based on your test results:
i. penicillin
ii. novobiocin
iii. gentamicin

Answers

Answer:

These help by prevention the spread of infections and growth of bacteria.

Explanation:

The S. epidermidis is a Gram-positive bacterium and is a part of human flora It is an anaerobic bacteria. It leads to the development of infections which are indwelling in medical devices. These can flow into blood stream.Penicillium is a group of antibiotics which are formed from moulds. Novobiocin is an antibody that is made by the actinomycetes and has antibacterial properties.  Gentamicin are those antibodies that can  treat infections and helps to stop the growth of bacteria.

which of the following antidiarrheal agents has only one mild side effects such as gas or bloating

Answers

Karen is listen to college

Tuve relaciones con una chica de confianza sin protección y se tomó la pastilla del día después luego de el primer acto , sucede que 15 minutos después tuvimos relaciones de nuevo en un corto tiempo pero ninguna de las 2 veces eyacule dentro ,debería estar preocupado ?

Answers

Si perro usa protección cuantos años tienes ??

Frank is a 60- year-old man who is well-loved in his community since he was a boy. He is someone who is outgoing, a party lover, and love to have fun hanging out with peers. Frank is confident about life. From an early age he knew exactly what he wanted to become, and now as a man, he is confident about his career and family and want to leave them a good life when he departs this life. Frank express that he is not afraid of dying but he wants them to be ok when he is gone. At work Frank is helpful to his colleagues, and even in his community he is well-known among the elderly since he is always putting on Christmas treats for them. Imagine that Frank is your colleague, and that your boss asks you to write a character reference for Frank. Using Jung’s personality theory to guide your writing, present a minimum one- page character reference in which you spell out Franks behaviour, his outlook on life, his philosophy about people and all the other important things you know about him. Ensure you point out how these different parts of Franks life fits into Jung’s theory and overall what Jung’s theoretical concept says about him. (20 mks)

Answers

Jung's personality theory- Carl Gustav Jung's research was deep rooted in psychoanalysis and was a Swiss Psychiatrist. He was greatly influenced by Sigmund Freud and had also worked with him. He had research in personality, human psyche and dream

Hugo has major depression. He might be treated with any of the following EXCEPT​


​a. Tofranil
b. ​Xanax
​ c. Zoloft
​d. Nardil

Answers

Answer:

B

Explanation: Xanax is for anxiety

The drug Xanax is not used to treat depression, it is generally used to treat anxiety. The correct option is b.

What is depression?

Depression is a psychological condition characterized by persistent sadness and loss of interest.

It influences how you feel, think, and start behaving and can lead to a wide range of mental and physical problems. It is also known as major depressive disorder or clinical depression.

A depression is defined as a sharp decline in economic activity accompanied by a drop in growth, work opportunities, and output.

Depression raises cortisol levels in the hippocampus, preventing neuron development in the brain.

Tofranil, Zoloft, and Nardil are commonly used to treat it.

Thus, the correct option is b, as Xanax is generally used treat anxiety disorder.

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https://brainly.com/question/17293944

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Mrs. McIntire is enrolled in her state’s Medicaid plan and has just become eligible for Medicare as well. What can she expect will happen to her drug coverage?

Answers

Unless she chooses a Medicare Part D prescription drug plan on her own, she will be automatically enrolled in one available in her area.

Based on the information given, it should be noted that unless Mrs Mclntire chooses a Medicare Part D prescription drug plan, she will have to be automatically enrolled in one that is available in her area.

Medicaid is the health insurance program for the people that have low income. The program is important as it helps in the long term care of the health of the people in the country.

In conclusion, since Mrs. McIntire is enrolled in the Medicaid plan in her state and has just become eligible for Medicare as well, then she has to choose a Medicare Part D prescription drug plan. If she doesn't, she will have to be automatically enrolled in one that is available in her area.

Read related link on:

https://brainly.com/question/18543454

5. Which of the following is not a common feature of practice management software?
a. claims processing
b. financial report generation
c. word processing
d. appointment scheduling

Answers

Answer:

i would say a

Explanation:

Jennifer, age 16, is an active cheerleader who just developed type 1 diabetes. She is worried that she will not fit in with her friends anymore because she does not think she can have all the same snacks they have. How do you respond

Answers

Answer:

The correct answer is - any snack that are sufficient in calories to maintain her normal weight

Explanation:

In type 1 diabetes one should follow a well balanced diet that include proper amount of an have snacks that are sufficient in amount of carbs, protein and fat. She can Have calories to maintain her normal weight. She should consume adequate amounts of carbohydrates, fats, and proteins in a well-balanced diet.

Austin is nine years old and was recently hit by a car while riding his bike on the sidewalk. He broke his arm and leg and also hit his head very hard. When he came home from the hospital he looked just fine, but he needed a tremendous amount of help. Now back in school, there are changes in Austin that are hard to understand. It takes Austin longer to do things and he has trouble remembering. He cannot always find the words he wants to use. Dr. Carter’s math class is difficult for him now, but it was his strongest academic area before the accident. What developmental disability does he have and why?

Answers

Answer:

sorrry

Explanation:

. Phát biểu sau đây là đúng hay sai? Giải thích? Hai nước có thể đạt được lợi ích thương mại ngay cả khi một trong hai nước có lợi thế tuyệt đối.

Answers

Sai , phải cả hai đạt được lợi ích gọi là lợi ích song phương mới đi đến được thỏa thuận chung chứ không thể một trong hai nước có lợi thế tuyệt đối


plasma is a component of edema​

Answers

Answer:

Edema occurs when an excessive volume of fluid accumulates in the tissues, either within cells (cellular edema) or within the collagen-mucopolysaccharide matrix distributed in the interstitial spaces (interstitial edema)

Explanation:

The definition of edema is a swelling due to the expansion of interstitial fluid volume in tissues or an organ. Several clinical conditions present with edema, making it a critical clinical feature for diagnostic medicine. Edema can present in numerous forms including unilateral, bilateral, localized, or generalized edema. Therefore, it is vital to assess the unique presentation and mechanism of edema to understand how it relates to disease pathophysiology, clinical presentation, and treatment. This review will present an overview of the general and cellular characteristics of edema, the mechanism, and pathophysiology of edema, and how edema relates to a specific disease presentation and development.

Which procedure is performed to affix sagging breasts in a more elevated position

Answers

Answer:

Mastopexy is a surgical procedure to affix sagging breasts in a more elevated position. menarche menarche Menarche is the beginning of the menstrual function during. . menometrorrhagia menometrorrhagia.

Explanation:

What position would you put the victim with a head, neck or back injury?
1. over arm head Splint
2.over neck head splint
3. under arm head splint
4. under neck head splint

Answers

Which of the following statements is generally true about change in the workplace ? a ) Most people accept change easily . b) Smart companies can avoid change altogether. c) Change in the workplace fairly infrequently d) Individuals can learn to manage the change in their lives.

1. Discuss the process of the production of T lymphocytes.​

Answers

T lymphocytes originate from haematopoietic stem cells within the bone marrow. T lymphocytes that survive thymic selection will mature and leave the thymus. After that, They circulate through peripheral lymphoid organs, ready to encounter their cognate antigens and become activated.

Can someone please help me with this?
John is a 35-year-old male (he/him) administrative assistant who enjoys playing baseball on weekends. During one of their games, John began running from first to second base. As he pushed off to start running, John heard a pop and felt a sharp pain in his right calf as though he had just been kicked in the back of his leg. John fell to the ground and experienced significant pain when putting weight on his right leg. John tried to walk but had to be carried off the field and was taken to the emergency department. At the hospital, it was noted that John had significant swelling at the back of his right leg, had a palpable and visible deformity in the distal calf, and was only able to put small amounts of weight on his right leg. The emergency doctor squeezed the back of John’s right calf and noticed that the ankle would not plantarflex. An x-ray and blood work were ordered which came back without any significant findings.”


Case Study Questions:
1. Explain the possible anatomical structures that were affected by the injury and how each relates to John’s presenting symptoms and test results (250 word maximum).


2. Identify and explain three differential diagnoses (diseases or conditions that present similar signs and symptoms that could possibly account for the patient's symptoms) with appropriate justifications. After describing your three differential diagnoses, indicate the most likely diagnosis based on your analysis and provide rationale and support for your selection.

3. From an anatomy point of view:

a) Propose a management plan for the most likely diagnosis. This should include the treatment options you would implement given your patient's presenting symptoms. You should provide short- and long-term goals for the patient and a timeline on when you would implement each treatment. There may be several possible treatments you could prescribe to your patient. Include support, justification, and evidence for your prescribed treatment(s) and management plan.

b) Explain the effects of your management plan for your patient's condition. From the management plan you've proposed, what effects will each treatment have on the patient's anatomy? Include any positive and negative effects this plan may have on the patient.

Answers

Answer and explanation: To treat a broken right leg, Immobilization. Restricting the movement of a broken bone in your leg is critical to proper healing. To do this, you may need a splint or a cast. And you may need to use crutches or a cane to keep weight off the affected leg for six to eight weeks or longer.

A CCMA is collecting a capillary blood
sample from a patient. The MA should take
which action?
Squeeze the finger firmly
O Wipe away the first droplet of blood
Keep the patient's hand above heart level
Use the patient's second or fifth digit

Answers

Squeeze the finger firmly

Q57. What is the standard first aid for a needle stick injury?
1.
2.
3.
4.
5.

Answers

Answer:

Tweezers

Alcohol Swab

Cotton Swab

Band Aid

A 31-year-old male with celiac sprue has been noncompliant with his diet and has suffered a 15-pound weight loss since his last check 4 months ago. He reports easy bruising but denies gum bleeding. What lab test can you perform to quickly evaluate his vitamin K status

Answers

Answer:

Prothrombin time [PT/INR]

Explanation:

Vitamin K level test are rarely offered in laboratories. This test is very rare and only few laboratories offer this test. The bleeding level of the body is regulated by Vitamin K therefore its deficiency can cause excess bleeding. There is Prothrombin time test used to evaluate vitamin K status in the human body.

¿Qué describen las propiedades de la materia?
Son aquellas que definen las características de todo aquello que tiene masa y ocupan un volumen de masa: cantidad de materia que tiene un cuerpo

Answers

Answer:

Las propiedades de la materia son aquellas que definen las características de todo aquello que tiene masa y ocupa un volumen. ... Masa: cantidad de materia que contiene un cuerpo. Volumen o extensión: espacio que ocupa un cuerpo. Peso: la fuerza que ejerce la gravedad sobre los cuerpos.9 jun. 2021

Male Reproduction Coloring Rectum Prostate gland Seminal vesicle Penis Scrotum Testis Word Bank Urinary Bladder Bulbourethral (Cowper's) gland Ductus (Vas) deferens Urethra Epididymis Uterus Utenne (fallopian tube Rectum Vagina Reproductive System of Human Male 2. 8. 4. 9. CURLIN VU 10. ANCHE 11. 6. VALMEDEDIN 5. 6. https://www.proprofs.com/quiz-school/story.php?title=Teproductive system-male​

Answers

Answer:

Explanation:

https://www.camphillsd.k12.pa.us/site/handlers/filedownload.ashx?moduleinstanceid=679&dataid=11241&FileName=male%20and%20female%20key.pdf

Please Answer Fast Before Friday July 23, 2021. Sara, a 14-year-old, has come to the office for her school physical. She is very remote, moody, and unwilling to answer any questions you ask her as part of her physical exam. She seems to have changed a great deal in the past year, and is thinner, more unkempt, and lethargic. You notice also that her mother is constantly badgering her and rolling her eyes in exasperation at her lack of cooperation. What could you do to facilitate the examination and improve communication with Sara? What possible problems could Sara be experiencing? What should you do about the concerns that you have for Sara?

Answers

Answer:

Sara is likely suffering from depression

Explanation:

To facilitate the exam, ask the parent to wait in the waiting area so you and Sara can talk alone. This way Sara will feel more comfortable in discussion with you without her mother hovering.

Sara may be suffering from depression. Her mother's criticism and judgements may be making her feel down or never "good enough".

To address your concerns for Sara:

1. administer a depression screening such as the PHQ-9 depression test questionnaire. If you find Sara is indeed depressed or has thoughts of hurting herself or others, she will need prompt treatment from a qualified health professional.

2. If Sara does NOT have intentions of hurting herself and her behavior is related to parent conflict, friend conflict, etc. then get her permission to have a discussion with her mother about it.

3. provide Sara with local/national hotline for depression and any other mental health resources that are available in your area (therapists, psychiatrists, community centers, etc.)

4. Follow-up with Sara with another visit in a timely manner to access her mental health.

Something is going on with her maybe try taking to her without her mom in the room where it’s one on one

Gerardo is a 43 year-old businessman who leads a sedentary lifestyle and has decided that he wants to get back into shape. Currently, he is researching local gyms and has cut down on added sugar in his diet. Which stage of change is Gerardo in

Answers

He is on the stage of preparation because he intends to take action in the immediate future by currently researching local gyms. And he has also already taken some significant action by cutting down on added sugar in his diet.
Other Questions
1. For this assignment you will print the steps for 8-bit by 8-bit multiplication. 2. Your program should read in two unsigned numbers from stdin, the first being the multiplicand and the second being the multiplier. Your program should verify that both values are within the range 0 to 255. If not, the program should print an appropriate error message and exit.3. Your program should then initialize the simulated registers and echo the input values in decimal and also in binary.4. Then your program should illustrate the eight steps required for multiplication using the same type of step diagrams as given in the lecture notes.5. Finally, your program should print a check section that shows a summary of the multiplication in binary as well as in decimal. See the example below.6. You may write your program in C, C++, or Java. If you choose to work in C, here is an example function that will allow you to represent an n-bit value within an int data type and print out the binary value in "length" bits. It uses the shift right operator and the bitwise and. (You can also choose to use unsigned int as the data type; since you are using only the lower 8 of the 32 bits in an int, there will be no apparent difference between using int and using unsigned int. However, if you choose to use char as the data type, you should use unsigned char to ensure that the compiler generates logical rather than arithmetic shifts.) void prt_bin( int value, int length ){ int i; for( i=(length-1); i>=0; i--){ if((value>>i)&1) putchar('1'); else putchar('0'); } }For example, if you declare acc as an int, then you could call prt_bin(acc,8) to print the 8-bit value in the accumulator.You should format your output to exactly match the output below. 10% of the grade will be awarded for following the same format.Sample Run is given below:multiplicand: 33multiplier: 55c and acc set to 0mq set to multiplier = 55 decimal and 00110111 binarymdr set to multiplicand = 33 decimal and 00100001 binary---------------------------------------------------step 1: 0 00000000 00110111 + 00100001 ^ add based on lsb=1 ---------- 0 00100001 00110111 >> shift right 0 00010000 10011011---------------------------------------------------step 2: 0 00010000 10011011 + 00100001 ^ add based on lsb=1 ---------- 0 00110001 10011011 >> shift right 0 00011000 11001101---------------------------------------------------step 3: 0 00011000 11001101 + 00100001 ^ add based on lsb=1 ---------- 0 00111001 11001101 >> shift right 0 00011100 11100110---------------------------------------------------step 4: 0 00011100 11100110 + 00000000 ^ no add based on lsb=0 ---------- 0 00011100 11100110 >> shift right 0 00001110 01110011---------------------------------------------------step 5: 0 00001110 01110011 + 00100001 ^ add based on lsb=1 ---------- 0 00101111 01110011 >> shift right 0 00010111 10111001---------------------------------------------------step 6: 0 00010111 10111001 + 00100001 ^ add based on lsb=1 ---------- 0 00111000 10111001 >> shift right 0 00011100 01011100---------------------------------------------------step 7: 0 00011100 01011100 + 00000000 ^ no add based on lsb=0 ---------- 0 00011100 01011100 >> shift right 0 00001110 00101110---------------------------------------------------step 8: 0 00001110 00101110 + 00000000 ^ no add based on lsb=0 ---------- 0 00001110 00101110 >> shift right 0 00000111 00010111---------------------------------------------------check: binary decimal 00100001 33 x 00110111 x 55 ---------------- ------ 0000011100010111 1815 Find the area of this what is development? Describe about your house in French mark is making a square pen for his puppy. he wants the puppy to have 36 square feet of space to play in. he can use square roots to determine the length of one side of the square section so that he can be sure to purchase enough fencing for the pen. how is the side of the square pen related to the area ?how long is one side of the square pen ?how much fencing will mark need to purchase ?someone please help me lol This...ik what mean is I'm just trying to find what the original numbers would be? A farmer weighs a dozen chicken eggs. The heaviest egg is 56 g. which gases does NOT contribute to greenhouse effect? Alan has missed his sales goals for three months in a row As a result, Alan's boss is worried Alan is usually the best sales rep on the teamWhich sentence best restates this information?Alan is the best sales rep on the team under normal circumstances, but he'smissed his goals for three months in a row, and now his boss is concerned.Alan is usually the best sales rep on the team and has missed his goals forthree months straight, worrying his boss.Usually the team's best sales rep, Alan has missed his sales goals for threemonths in a row, and his boss is concerned.Alan's boss is worried that he, the team's best sales rep, has missed hisgoals for three consecutive months.Alan's boss is worried because Alan has missed his sales goals for threemonths running and is usually the best sales rep on the team. Suzanne has purchased a car with a list price of $23,860. She traded in her previous car, which was a Dodge in good condition, and financed the rest of the cost for five years at a rate of 11.62%, compounded monthly. The dealer gave her 85% of the listed trade-in price for her car. She was also responsible for 8.11% sales tax, a $1,695 vehicle registration fee, and a $228 documentation fee. If Suzanne makes a monthly payment of $455.96, which of the following was her original car?a. 2004 Intrepidb. 2008 Neonc. 2005 Viperd. 2007 Dakota The classification of an acid or base as weak or strong is based uponGroup of answer choicesthe solubility of the acid or basethe extent of dissociation of the acid or basethe concentration of acid or base in solutionmore than one response is correct An investor owned a 100-acre parcel that contained several natural asphalt lakes. A construction company was erecting highways for the state in the vicinity of the investor's land and needed a supply of asphalt. The investor executed a document that, in return for a payment of $1 per barrel, gave the company the right to enter on the land and take asphalt in whatever quantities the company desired. The investor reserved the right to remove asphalt herself and to grant this right to others. Last year, the state commenced an action in eminent domain to take the investor's land for a public park. Is the construction company entitled to compensation which is an example of incomplete dominance?a] A red flower and a yellow flower mating to produce a yellow flower.b] A red flower and a yellow flower mating to produce a red flower.c] A red flower and a yellow flower mating to produce an orange flower.d] A orange flowers mating to produce an orange flower. WHERE ARE THE EXPERTS AND ACE!!!!!!! I NEED HELP PLS SHARE YO SMARTNESS!!!!! WILL GIVE BRAINLIEST AND RATE AND VOTE!!! Amber had 56 of a book of postage stamps. She used 26 of the book of postage stamps. Which fraction of the book of postage stamps does Amber have now? 2. Use technology to graph, or graph by hand (on graph paper- MUST BE ACCURATE) each plan on the same set of axis (all three lines on the same graph this is not a scatter plot! You must have connecting line segments). Assume that a maximum of attendees will be 50 (you will need to adjust the scale - wrench setting). Place a copy of your graph into this document. You must have labeled axis!!! To label your axis on Desmos, go to the wrench settings. (4 marks) Ellen just got a new supervisor. How can she establish good communication habits with her supervisor? a) Constantly check in with her supervisor b) Show her emotions freely c) Take notes during conversations Od) Ask her supervisor a lot of personal questions Tapeworm and Roundworn What did General Sherman demonstrate to southerners about Reconstruction when he directed that freed people be granted title to forty acre plots on the Sea Islands off the coast of South Carolina? Group of answer choices That freedmen would have to work for their land That Congress was committed to punish former slaveholders That ex-slaves would become independent landowners That whites would soon regain their control over black laborers 2+9 +11+98+99999999999999999