3. When performing the physical examination, what objective data should the nurse inspect and palpate for the head and neck?

4. How might the physical examination vary given the patient’s age?

Forten Company, a merchandiser, recently completed its calendar-year 2017 operations. For the year, (1) all sales are credit sales, (2) all credits to Accounts Receivable reflect cash receipts from customers, (3) all purchases of inventory are on credit, (4) all debits to Accounts Payable reflect cash payments for inventory, and (5) Other Expenses are paid in advance and are initially debited to Prepaid Expenses. The company’s income statement and balance sheets follow.

Additional Information on Year 2017 Transactions

The loss on the cash sale of equipment was $10,125 (details in b).

Sold equipment costing $61,875, with accumulated depreciation of $35,125, for $16,625 cash.

Purchased equipment costing $101,375 by paying $40,000 cash and signing a long-term note payable for the balance.

Borrowed $4,500 cash by signing a short-term note payable.

Paid $52,625 cash to reduce the long-term notes payable.

Issued 3,000 shares of common stock for $20 cash per share.

Declared and paid cash dividends of $51,100.

Mrs. Johnson is a 70-year-old woman who had a stroke less than a year ago. Mrs. Johnson is alert and oriented. She feels the sensation to void but right-sided weakness prevents her from always being able to get to the bathroom in time. For this reason, she wears incontinence undergarments. Mrs. Johnson’s daughter, Amy stops by twice each day to check on her and prepare meals for her. There are times when Mrs. Johnson is incontinent and remains in a wet undergarment until Amy comes to visit.

While assisting Mrs. Johnson in the bathroom, Amy notices that Mrs. Johnson’s coccyx and perineal area are reddened and excoriated. Amy learns that Mrs. Johnson sometimes sits in a wet undergarment until she arrives. Mrs. Johnson explains, “I know I am wet. It is just easier to wait for you to get here than to try and change the undergarment myself.” Amy is concerned. She calls a local visiting nurses association to get some information about how to manage Mrs. Johnson’s incontinence and asks if there is any skin therapy to reduce the redness.

1. Describe at least three factors that affect voiding and may result in incontinence in an adult.
2. What is incontinence? Describe the characteristics of each of the six types of urinary incontinence: stress, reflex, urge, functional, total, and transient.
3. Which type of incontinence does Mrs. Johnson have and what data support the diagnosis?
4. Mrs. Johnson tells the nurse, “I try to limit the amount of fluid I drink to one of two small glasses a day so that I do not have to go to the bathroom as much.” What teaching should the nurse provide in response to this comment?
5. Explain at least three factors that are contributing to Mrs. Johnson’s impaired skin integrity.
6. What will the visiting nurse most likely tell Mrs. Johnson and Amy to consider in an effort to minimize Mrs. Johnson’s incontinent episodes?
7. What are three suggestions the visiting nurse will include while teaching Amy to care for Mrs. Johnson’s skin?
8. List five nursing diagnoses that are appropriate for Mrs. Johnson (three-part diagnoses).

The patient, Mrs. Z., is a sixty-year-old woman who received a kidney transplant approximately one year earlier. Her current hospitalization is for a urinary tract infection and dehydration. She had a similar hospitalization three months ago. She is characterized in the medical record as “non-compliant” with her medicines, and she does not drink enough fluids to maintain her hydration. In order to treat her infection and to rehydrate her, the hospital staff would like to place a peripherally inserted central catheter (PICC) line and also additional IV lines. These would need to remain in place for several days. The patient refuses the placement.

            The ethics consultant interviewed Mrs. Z and found her very difficult to engage in any sustained conversation. Mrs. Z would only offer that she “didn’t want any tubes” and that the reason was because “they hurt.” She repeated this line over and over when questioned. When asked whether she understood that these interventions might help her get better and that a lack of treatment could lead to her getting worse, she would say, “I don’t want to talk about that.” She would repeat these sentences or something similar in response to virtually any questions.

            She has a husband, whom she married about five years ago, and who is currently in a rehabilitation facility after suffering a stroke. He has difficulty speaking, but when contacted by telephone, he said that he thought, “everything should be done.” Hospital staff also contacted her twenty-four-year-old son, who is going to school in another state and was her kidney donor. He says his mother’s mental status has never been completely right since the transplant and deteriorates significantly when she gets an infection and is dehydrated. He says that she has been negative about treatment since the transplant but would likely have wanted this care if she were her “old self”. Armed with this information, the ethics consultant asked Mrs. Z if she could say how her son felt about her decisions or why he thinks she should agree to the PICC line and IV line placements. In response, she would turn away in bed and sometimes cover her head with the sheet.

Questions:

1. Do you think Mrs. Z has the capacity to make decisions about her care? Why or why not?
2. If Mrs. Z does not have decision-making capacity, who is the more appropriate surrogate decision-maker; her husband or her son? Specifically, what effect on being able to act as the surrogate decision-maker is created by either the husband’s stroke or the fact that the son is the donor of Mrs. Z.’s kidney?
3. Can a surrogate consent to restraining the patient to treat her?
4. Should Mrs. Z receive treatment for her dehydration and infection despite refusing this care?
5. If Mrs. Z is treated despite her refusal, would you characterize this as “weak” paternalism or “strong” paternalism?

1. A 64-year-old man with a 40 pack/year history of cigarette smoking has been diagnosed with emphysema. He asks the APRN if this means he has COPD. Question 2 of 2: Explain the pathophysiology of chronic bronchitis and how it relates to COPD.

1. Assume you will invest $850 this year, $1,200 one year from now, $1,250 two years from now, $1,550 three years from now, $1,540 four years from now, and $1,250 five years from now. Assuming the interest rate of 11.9% and that it will compound annually, what will be the future value of these investments five years from now?

2. Assume ABC Corp. will earn $450 this year, $600 one year from now, $600 two years from now, $800 three years from now, $950 four years from now, and $1,200 five years from now. Assuming the interest rate of 12.8% and that it will compound annually, what will be the total present value of ABC Corp.’s earnings?

~These questions are completely unrelated to each other

Below is information extracted from General Electric’s 10k

current year prior year

Raw materials and work in process 5603 5515

finished goods 2863    2546

Unbilled shipments 246 280

----------------------------------

8712 8341

Less LIFO reserves    (2,226) (2,076)

---------------------------------

LIFO value of inventories 6486 6265   

requirements:

Compute the increase or decrease in the pretax operating profit (loss) that would have been reported for the current year had GE employed FIFO accounting for both years. Indicate whether it was an increase or decrease. (Indicate "increase" or "decrease")

Assuming a marginal tax rate of 35%, compute GE's cumulative tax savings since adopting LIFO

Assuming the same marginal tax rate, compute GE's tax savings this period from using LIFO

Lori, who is single, purchased 5-year class property for $200,000 and 7-year class property for $410,000 on May 20, 2017. Lori expects the taxable income derived from her business (without regard to the amount expensed under § 179) to be about $800,000. Lori wants to elect immediate § 179 expensing, but she doesn't know which asset she should expense under § 179. She does not claim any available additional first-year depreciation. Click here to access Exhibit 8.1 and the depreciation table to use for this problem. If an amount is zero, enter "0". a. Determine Lori's total cost recovery deduction if the § 179 expense is first taken with respect to the 5-year class asset. 5-year class property Immediate expense deduction under § 179 $ Regular MACRS 7-year class property Immediate expense deduction under § 179 $ Regular MACRS Total deduction $ Feedback b. Determine Lori's total cost recovery deduction if the § 179 expense is first taken with respect to the 7-year class asset. 7-year class property Immediate expense deduction under § 179 $ Regular MACRS 5-year class property Immediate expense deduction under § 179 $ Regular MACRS Total deduction $ Feedback Correct c. If § 179 expense is first allocated to the seven-year class property, the deduction for the year would be $ larger. Feedback Correct For parts d. and e. Assume a 6% discount rate The present value factors for a 6% discount rate are as follows: Year 1: 1.000, Year 2: 0.9434; Year 3: 0.8900, Year 4: 0.8396, year 5: 0.7921, Year 6: 0.7473, Year 7: 0.7050, Year 8: 0.6651. Hint: Set up two analysis - on to find present value of tax saving with Section 179, and one without Section 179. Then compare them. If required, round computations to the nearest dollar.

d. Assume that Lori is in the 25% marginal tax bracket and that she uses § 179 on the 7-year asset. The present value of the tax savings from the depreciation deductions for both assets $. Feedback Incorrect

e. Assume that Lori is in the 25% marginal tax bracket and that Lori decides not to use § 179 on either asset. The present value of the tax savings generated by using the § 179 deduction on the 7-year asset $.

pls help to solve part E

Commercial banks are very profitable, year after year. How do banks maintain such strong profitability? Answer in 4 paragraphs.

Required information Forten Company, a merchandiser, recently completed its calendar-year 2017 operations. For the year, (1) all sales are credit sales, (2) all credits to Accounts Receivable reflect cash receipts from customers, (3) all purchases of inventory are on credit, (4) all debits to Accounts Payable reflect cash payments for inventory, and (5) Other Expenses are paid in advance and are initially debited to Prepaid Expenses. The company’s income statement and balance sheets follow. FORTEN COMPANY Comparative Balance Sheets December 31, 2017 and 2016 2017 2016 Assets Cash $51,400 $74,500 Accounts receivable 67,310 51,625 Inventory 277,156 252,800 Prepaid expenses 1,300 2,025 Total current assets 397,166 380,950 Equipment 156,500 109,000 Accum. depreciation—Equipment (37,125) (46,500) Total assets $516,541 $443,450 Liabilities and Equity Accounts payable $54,141 $116,175 Short-term notes payable 10,300 6,200 Total current liabilities 64,441 122,375 Long-term notes payable 64,500 49,750 Total liabilities 128,941 172,125 Equity Common stock, $5 par value 164,750 151,250 Paid-in capital in excess of par, common stock 38,500 0 Retained earnings 184,350 120,075 Total liabilities and equity $516,541 $443,450 FORTEN COMPANY Income Statement For Year Ended December 31, 2017 Sales $587,500 Cost of goods sold 286,000 Gross profit 301,500 Operating expenses Depreciation expense $21,750 Other expenses 133,400 155,150 Other gains (losses) Loss on sale of equipment (6,125) Income before taxes 140,225 Income taxes expense 25,650 Net income $114,575 Additional Information on Year 2017 Transactions The loss on the cash sale of equipment was $6,125 (details in b). Sold equipment costing $49,875, with accumulated depreciation of $31,125, for $12,625 cash. Purchased equipment costing $97,375 by paying $32,000 cash and signing a long-term note payable for the balance. Borrowed $4,100 cash by signing a short-term note payable. Paid $50,625 cash to reduce the long-term notes payable. Issued 2,600 shares of common stock for $20 cash per share. Declared and paid cash dividends of $50,300. Required: 1. Prepare a complete statement of cash flows; report its operating activities using the indirect method. (Amounts to be deducted should be indicated with a minus sign.)