We are given that \( R \) is the set of ordered pairs \( (x, y) \) such that \( y = 2x - 7 \), and \( x \) and \( y \) belong to the set \( A = \{1, 2, 3, \dots, 20\} \). For each \( x \in A \), we can compute \( y = 2x - 7 \). To ensure that \( y \) is in \( A \), it must satisfy:
\[
1 \leq y \leq 20
\]
Substituting \( y = 2x - 7 \), we get:
\[
1 \leq 2x - 7 \leq 20
\]
Solving this inequality:
\[
1 + 7 \leq 2x \leq 20 + 7
\]
\[
8 \leq 2x \leq 27
\]
\[
4 \leq x \leq 13.5
\]
Since \( x \) must be an integer, the possible values of \( x \) are \( x = 4, 5, 6, \dots, 13 \). Thus, there are 10 values for \( x \), so the number of elements in \( R \) is \( 10 \).