Scenario #2

J. B is a 45- year old male taking sildenafil and tamsulosin. The patient’s wife confides that her husband has been taking sildenafil and tamsulosin but she isn’t sure why they were prescribed.

Why are these medications prescribed?

What are the side effects, adverse effects, and contraindications for sildenafil?

What teaching needs to be included to the patient taking sildenafil?

What are the side effects, adverse effects, and contraindications for tamsulosin?

What teaching needs to be included to the patient taking tamsulosin?

Mrs. Marshall was admitted to your surgical progressive care unit after repair of an abdominal aortic aneurysm. Her husband and son have been at her bedside continuously and are planning to stay through the night in spite of posted visiting hours. The best therapeutic action would be to: a. ask the family members to comply with visiting restrictions. b. ask the family to relocate to the waiting area. c. assess the patient’s response to family presence. d. provide names of nearby lodging locations.

This violates Liskov Substitution Principle (LSP), can someone explain why and refactor it so it does not?

  
public abstract class Bird
    {
        public abstract void LayEgg();
        public abstract void FlyAway();
    }
    public class Penguin : Bird
    {
        public override void LayEgg()
        {
            //Make husband penguin do all the incubation work.
        }
        public override void FlyAway()
        {
            //Penguins can't fly.
            throw new NotImplementedException();
        }

        public void SwimAway()
        {
            //Swimming is way more fun.
        }
    }

1. Piper Wells is single and received the items and amounts of income shown below during 2015, as shown below. Determine the marginal tax rate applicable to each item. Note that if the item is not taxable, the marginal rate is 0.

Salary $30,000

Dividends 800

Gift from mother 500

Child support from ex-husband 3,600

Interest on savings account 250

Rental property 900

Loan from bank 2,000

Interest on state government bonds 300

6. Examples of price discrimination

Complete the following table by indicating whether or not each scenario is an example of price discrimination.

Hint: To determine whether a scenario is an example of price discrimination, think about whether the market can be segmented into two groups that pay different prices for the same good.

We want to price options using the binomial lattice. The current stock price is 104 and the strike price is 100. Assume that the stock up-trend rate is u=1.2 with probability p=0.4 and the down-trend rate is d=0.8 with probability 1-p=0.6. The annual risk-free rate is r=0.02. Assume that the lenth of a period is one month.

1. Construct a binomial lattice that gives the price of a 5-month European call option.

2. Construct a binomial lattice that gives the price of a 5-month American put option.

Which of the following individuals is likely to need life insurance to manage their income risk? (select all that apply)

2. Explain the principle of risk pooling.

3.You have a client who is very concerned about outliving her money. Explain two approaches to managing this risk to your client.

Alice, a primigravida, calls the labor unit. She tells a nurse that she thinks she is in labor. “I have had some pains for about 2 hours. Should my husband bring me to the hospital now?” Provide EB rationale for all responses.

Describe how a nurse should approach this situation. Write several questions a nurse could use to elicit the appropriate information required to determine the course of action required. Based on the data collected during the telephone interview, the nurse determines that Alice is in very early labor. Because she lives close to the hospital, she is instructed to stay home until her labor progresses. Outline the instructions and recommendations for care Alice and her husband should be given for the nursing diagnosis: Readiness for enhanced knowledge of labor progression RT lack of exposure.

Part 2

Question: Answer the following questions and provide rationale for the answer choice:

A woman has just arrived at the labor and delivery suite. To report the client’s status to her primary health care provider, which of the following assessments should the nurse perform? Select all that apply.

a)      Fetal heart rate

b)      Contraction pattern

c)      Contraction stress test

d)      Vital signs

e)      Biophysical profile

case Scenario # 2

A couple in their 50s is shopping in a mall where a health fair is set up. You are a nurse participating at a booth offering blood pressure readings. After much coaxing, the woman persuades her husband to have his blood pressure taken. You obtain a reading of 168/94 mm Hg. The wife reacts strongly, saying, “I told you that your lack of exercise and overeating would catch up with you one day. How am I going to manage being a widow at such an early age?” The husband responds by saying, “Don’t worry about me. I’m just as healthy as ever, and I plan to live until I’m 99 years old. I’m sure there’s something wrong with that machine.” Both of them turn to you. The wife says, “Tell him it’s not the machine and that he isn’t taking care of himself!”

   1.   Identify possible interpretations of an isolated blood pressure reading of 168/94 mm Hg. List factors that may have affected the reading’s accuracy.

   2.   Analyze the man’s reaction to this situation. Indicate the teaching points about blood pressure that may be appropriate at this time.

   3.   Outline potential ways to deal therapeutically with the wife’s anxiety, describing possible verbal and nonverbal interactions.