It is September 1, 2019 and Richard Spender has a problem... HE SPENDS TOO MUCH! Richard has managed to rack up some impressive debts over the past few years; however, he has another problem. He has four kids: a 14 year old son, a 13 year old daughter, and twins (a boy and a girl) aged 11 who will all be going to university. Each child will begin university in September of the year they turn 18 (so for his 14 year old son, there are exactly 4 years to go, for his 13 year old daugter there are 5 years to go, and for his twins there are 7 years to go). Each child will require $5,581 per year for four years, for tuition payments payable each September. Richard would like to set up a savings plan to cover this expense. As his Financial Advisor, you can offer him an interest rate of 3% compounded monthly for a college savings plan. However, Richard must take care of his other debts as well:                                      
                                      
Type of Debt           Outstanding Principal                          
Credit Card 1           $8,300                          
Credit Card 2           $4,200                          
Credit Card 3           $1,400                          
Credit Card 4           $13,390                          
Line of Credit           $191,200                          
Car Loan           $48,000                          
Mortgage           $319,000                          
                                      
You have offered to consolidate all of Richard's debts into a single loan with a 10 year term and interest at 6% compounded monthly. Because he would like to continue his spending ways, Richard would like to pay as little as possible and will not accumulate any additional savings during the 10 years beyond what he is saving to meet his children's tuition expenses. Richard would like to make EQUAL payments at the end of each month that will save exactly enough to pay for his children's education and eliminate all of his debts.                                      
                                      
a) How much must Richard save each month in the college savings plan?                                  
b) How much must he pay each month towards his debts?      

3.On January 1, 2016, Fuller Company acquired a 80% interest in Wilson Company for a purchase price that was $240,000 over the book value of the Wilson’s Stockholders’ Equity on the acquisition date. Fuller uses the equity method to account for its investment in Wilson. Fuller assigned the acquisition-date AAP as follows:

Wilson sells inventory to Fuller (upstream) which includes that inventory in products that it, ultimately, sells to customers outside of the controlled group. You have compiled the following data for the years ending 2018 and 2019:

The inventory not remaining at the end of the year has been sold outside of the controlled group.

The parent and the subsidiary report the following financial statements at December 31, 2019:

a. Compute the EOY noncontrolling interest equity balance
b. Prepare the consolidation journal entries.

You are a new graduate registered nurse working in the paediatric ward of your local hospital.

Sam Nicolaides is a nine-year-old boy who until recently has been in good health. Sam lives with his mother and father and two siblings. Following a respiratory virus a few weeks ago he has been slow to recover, lacking in his usual energy. He has been hungry and thirsty all the time, and has recently begun wetting the bed, which he has not done for many years.

Sam presented to the Accident and Emergency department two day ago with nausea, abdominal pain and feeling generally unwell. His observations taken on admission were:

Blood pressure 80/50mmHG, pulse 140, respiratory rate 28 deep and sighing with an unusual sweet smell to the breath, oxygen saturation 100%, temperature 37.2 degrees Celsius. Urinalysis SG1025, pH 5, sugar++++ ketones+++ no other abnormalities. BGL 28mmol/L.

A medical diagnosis of Diabetes type 1 with keto-acidosis was made.

Question

Briefly explain the pathophysiology causing the following symptoms Sam was experiencing on admission:

1. Glycosuria
2. Thirst
3. Ketonuria
4. Kussmaul breathing

Question

List four (4) ongoing nursing assessments, other than vital signs, that will be required to monitor Sam’s fluid status and ensure safe fluid replacement therapy over the next 48 hours.

Question

Explain the concept of family centred care and why this is important to the physical and psychological care for Sam.

Question

For the ongoing management of type 1 diabetes, current best practice recommends an intensive insulin therapy regime called multiple dose insulin (MDI) or basal/bolus regime. Explain:

1. What this insulin regime involves and
2. Discuss why this is considered best practice management for type 1 diabetes.

Question

Explain what the HbA1c test is and why it is important in the management of patients with diabetes.

SORRY FOR POSTING 5 QUESTIONS BUT ITS ALL BASED ON THE SAME SCENARIO

Could you use Australian standard

2. Baby girl Destiny was born by cesarean delivery 2 days ago. Destiny weighed 7 pounds 3 ounces, length 19 inches, head circumference 34 cm, chest circumference 34 cm. Her newborn course has been unremarkable. You observe that when held, Destiny appears alert and stares into her caregiver's face. Destiny appears to be a content baby and cries only when she is hungry or when she needs a diaper change. When hungry, you observe that she brings her hand to her mouth and starts sucking on her fist and then begins to cry. Destiny falls asleep immediately after the feeding. The telephone, which is next to Destiny on her mother’s bed, rings loudly and Destiny does not appear to respond to the loud sound by moving her extremities or awakening briefly. (Learning Objective 5)

Based on your observations of Destiny, are her behaviors normal? Which of the five typical behavioral responses were observed?

Does Destiny exhibit any behaviors that may be cause for concern? What is the concern and what might you as the nurse do to assess further?

Chapter 18: Nursing Management of the Newborn

1. As a postpartum nurse your next client is an LGA baby boy who was born at 37 weeks' gestation. He had Apgar scores of 8 and 9. He was circumcised. The mother is breast-feeding. Your unit requires a full assessment, screenings, discharge instructions, and documentation. (Learning Objectives 4, 7, 8, and 10)

Describe what a normal head-to-toe assessment would be for an infant born at 37 weeks' gestation. What test is used to determine this gestational age? What is the scale used to determine the Apgar score, and are this baby’s scores normal?

As the discharging nurse, you are responsible for what screenings in an infant in the first 24 to 48 hours? What immunizations would be required?

What discharge instructions would be pertinent to this mother? How would you educate her or the family?

How would you document your discharge teaching? Write a sample narrative of your teaching.

For the case study section only: Please only provide short answers for the case study No more than 2 sentence response. Answer all the questions in all case study scenarios.

Case Study # 1
Jordan is a 9-year-old boy who is a direct admit for observation. He has had a history of vomiting and diarrhea for 48 hours.
Subjective Data
Has a history of nausea and vomiting for 24 hours.
Has not voided today.
Is unable to tolerate oral fluids.
Objective Data
Vital signs: temp, 37.8º C; pulse, 120 bpm; resp, 24 breaths/min; blood pressure, 110/60 mm Hg
Weight: 34 kg
Hyperactive bowel sounds to auscultation
Questions:
1. When should the discharge teaching begin for Jordan and his family?
2. What is the best way to approach Jordan regarding the intravenous (IV) line that has been ordered?
3. What would be good distractions for a child of Jordan’s age?

Case Study #2
Susan is a 4-year-old girl with a 7-day history of fever and lethargy. Susan’s physician has ordered laboratory work that includes a blood culture.
Subjective Data
Susan has had a fever for 1 week.
Her mother has noticed a decreased activity level.
Susan states she is “afraid” of needles.
Objective Data
Weight: 26.1 kg
Vital signs: temp, 39.3º C; pulse, 110 bpm; resp, 40 breaths/min; blood pressure, 108/54 mm Hg; oxygen saturation (O2 sat) 100%
No abnormal findings on physical examination
Questions:
1. When should Susan’s nurse explain the procedure to her?
2. To give Susan some control over this situation, what choices could be given to her?
3. What actions should the nurse take in this clinical situation? Prioritize the actions.

Discussion Topic: What is the Perez reflex? Why is it important to know how to elicit it? Discuss the use of the Perez reflex in collecting urine specimens from infants.

1) You sequence a gene of interest and isolate the matching mRNA. You find that the mRNA is considerably shorter than the DNA sequence. Why is that?

a) There was an experimental mistake. The mRNA should have the same length as the gene.
b) The mRNA should be longer than the DNA sequence because the promoter is also transcribed.
c) The processed mRNA is shorter because introns were removed.
d) The mRNA is shorter because the signal sequence to cross the nuclear membrane was removed.

2) Why is it necessary that meiosis occurs in sexually reproducing organisms?

a) to maintain the viability of the gametes
b) to ensure that genetic variation is reduced
c) to maintain a constant chromosome number in each generation
d) to ensure evolutionary success

3) Explain how a boy could have his mother’s nose and his father’s ears.

a) independent assortment of chromosomes
b) the movement of homologous pairs during meiosis
c) by receiving his father’s Y chromosome
d) inheritance of intact chromosomes from parents

4) There are multiple ways that the diversity of offspring from the same parents is enhanced. What is the contribution of metaphase I to this diversity?

a) the random orientation of tetrads at the metaphase plate
b) the random alignment of homologous chromosomes when they cross over
c) the formation of chiasmata when the homologous chromosomes line up at the equator
d) the formation of a synaptonemal complex during chromosomal synapsis

5) Describe the general conditions that must be met at each of the three main cell cycle checkpoints.

a) G1 checkpoint - assessment of DNA damage, G2 - assessment of new DNA, M checkpoint - segregation of sister chromatids in anaphase.
b) G1 checkpoint - Energy reserves for s phase, G2 checkpoint - assessment of new DNA, M checkpoint- attachment of spindle to kinetochore.
c) G1 checkpoint - assessment of DNA damage, G2 checkpoint - energy reserves for duplication, M checkpoint - attachment of spindle to kinetochore
d) G1 checkpoint - Energy reserves for S-phase, S checkpoint - synthesis of DNA, G2 checkpoint - assessment of new DNA

On January 1, 2020, Wondersome Company acquired a 70% interest in Philmore Company for a purchase price that was $240,000 over the book value of the Philmore’s Stockholders’ Equity on the acquisition date. Wondersome uses the equity method to account for its investment in Philmore. Wondersome assigned the acquisition-date AAP as follows:

Philmore sells inventory to Wondersome (upstream) which includes that inventory in products that it, ultimately, sells to customers outside of the controlled group. You have compiled the following data for the years ending 2022 and 2023:

The inventory not remaining at the end of the year has been sold outside of the controlled group.

The parent and the subsidiary report the following financial statements at December 31, 2023:

Income Statement

Statement of Retained Earnings

Balance Sheet

Required:

1. Compute the EOY noncontrolling interest equity balance
2. Prepare the consolidation journal entries.

In January 1, 2015, Springfield Company acquired an 80% interest in Lincoln Company for a purchase price that was $350,000 over the book value of Lincoln’s Stockholders’ Equity on the acquisition date. Spring uses the equity method to account for its investment in Lincoln. Springfield assigned the acquisition-date AAP as follows:

Lincoln sells inventory to Springfield (upstream) which includes that inventory in products that it (Springfield), ultimately, sells to customers outside of the controlled group. You have compiled the following data as of 2020 and 2021:

The inventory not remaining at the end of the year has been sold outside of the controlled group.

Springfield and Lincoln report the following financial statements at December 31, 2021:

Required:

a.   Compute the EOY non-controlling interest equity balance.

b.   Prepare the consolidation spreadsheet on the acquisition date.