Clinical Reasoning Report

This assessment task aims to develop your ability to apply the first three phases of the clinical reasoning process, at an introductory level, to the patient scenario below.

Patient Scenario - Jessie Lin

You are a student nurse working with a school nurse (registered nurse) in a secondary school. You and your mentor are supervising a bubble soccer match this afternoon (26^th March) which commenced at 1400 hrs. The match goes for 40 minutes with a 5 minute break in between the two halves. It is a hot and sunny day, the air temperature is 32 ^oC and the humidity is 45%.

After the match, your mentor asks you to perform a range of health assessments to make sure the students are fit to go home.

Jessie Lin is 16 years old and in Year 11.

It is now 1450 hours. You assess Jessie's vital signs and record the following results:

• Temperature (tympanic) 38.5 ^oC
• Pulse rate 140 beats/min
• Respiratory rate (RR) 29 breaths/min
• Blood pressure (BP) 130/70 mmHg

Jessie has flushed skin and her t-shirt is soaked. Her past medical history has not yet been documented in the school record as she is a new student and only enrolled in the school last week after moving from another state. She informs you that her mother is waiting for her in the car park, but she feels very hot and that her heart feels like it is beating very fast. She asks you for a bottle of cold water and a chair.

Jessie's previous observation records (on a clinical chart) are:

What you need to do in your clinical reasoning report

• Provide a concise summary of Jessie's situation as an introduction to your report (approximately 50 words) - what pertinent information would someone reading your report need to know about who Jessie is and the context of this scenario?
• List the objective and subjective data (cues) that you have gathered from reviewing the information provided above (approx. 50 words)
• Analyse and interpret the identified cues and explain the assessment findings in relation to Jessie's context (approx. 450 words)
  
  To do this successfully, you should:
  • categorise the cues and identify what elements are normal or abnormal, and
  • compare the current situation and vital signs with previous health information known about Jessie, and
  • recall and apply knowledge of anatomy and principles of physiology (including concepts of homeostasis and the body's responses to physical activity) to explain her vital signs and other cues.
• Then propose what further cues you want to collect and explain why these are relevant and important to the situation (approx. 450 words)
  
  To do this successfully, you will need to form a logical opinion about what the further cues should be, when you would undertake the assessments to collect these cues (e.g. after some immediate actions for Jessie) and why these cues should be assessed. Relate your justification to Jessie's situation AND to the principles of anatomy and normal physiology (focusing on homeostasis).

Assessment criteria and marking rubric. Your clinical reasoning report will be assessed against the following criteria:

1. Apply a beginner's level of clinical reasoning to assess and interpret health information in relation to the patient's context.
2. Question 2. Apply knowledge of anatomy and principles of physiology to explain assessment findings in relation to the patient's context.  (including concepts of homeostasis and the body's responses to physical activity) to explain her vital signs and other cues.
3. Question 3. Apply a beginner's level of clinical reasoning to propose and justify further cues that are to be collected in relation to the patient's context

(Though these questions has been answered, please help me with quest 2 & 3 in Assessment criteria section . I basically joined this forum for these questions, as i have already done the rest. Thank you in advance).

All answers should be typed. Word limit (except the last question) is <50.



1. Show one benefit and one problem with the waterfall model in software development.

2. Briefly explain “pair programming” in agile development. First, you will tell how it works. Then you tell one benefit of applying pair programming in agile development.

3. Give one example when the client (customer), the software developer, and the end user are the same person. Then show one advantage in such a situation.

4. Recall what we had seen in the class, describe the Scrum process (in agile development). Note that the entire process is not only a meeting.

5. What is the connection between Miller’s Law and stepwise refinement?

6. In your project, what software process do you propose to use? Then tell how you are going to use the process in the software development. For this question, you will elaborate with more details about the project topic, size, time, cost (if applicable), team management, communication, planning, and all related activities during development. 

1) Saint Gobain High Performance Plastics produces architectural plastics for projects such as radar domes and large pavilion-style architecture. They also produce robust industrial plastics for applications such as conveyer belts in hostile environments such as extreme temperatures, extreme temperature changes or constant exposure to various kinds of radiation. Saint Gobain offers a portfolio of standard products to the marketplace to support customer projects. St. Gobain products are built on a make-to-order basis with an average lead time of three weeks.   Saint Gobain also has the capability to design one-off products to customer specifications; these engineer-to-order products represent a small fraction of the business (less than 10%) but they are high profit margin sales.

Their manufacturing process is highly capital-intensive consisting of three types of equipment:

•           Industrial looms for weaving the substrate weave for their products out of various types of thread. There are a relatively small number of different substrate weave and the each form of substrate weave can be used in multiple products. Set up times and tear down for product change overs for the looms are typically in the range of two hours. Substrate is manufactured in quantities to meet the requirements of the Tower operations and is stores in rolls.

•           ‘Towers’ – five-story high, purpose built machines that are used to apply coatings to the substrate weave and then bake the coatings to create the plastic. Each of the St, Gobain product offerings requires a different coating. Because of the long (on average four hours) set-up and tear down times required for product change overs, these machines produce thousands of yards of product per run which are stored in rolls.

•           Cutting Operations: The rolls are then cut to customer specifications which are provided at time of order. Set-up times for the cutting operations are relatively short; typically less than an hour and the run times for the cutting phase of a customer order is typically less than three hours.

One key customer segment for Saint Gobain is the food preparation industry; they have a line of products that are FDA approved as “cook safe”. To-date these “cook safe” plastics have only been marketed to industrial firms in the food processing business. Saint Gobain has a new opportunity. McDonald’s has invited Saint Gobain to bid on the manufacture of the “grill sheets” that would be used in cooking the hamburgers in every one of the growing network of more than 37,000 McDonald’s restaurants worldwide. Grill sheets are reusable non-stick cooking surfaces that prevent the hamburger patty from sticking to the grill during cooking. St. Gobain’s design engineers have reviewed the specifications and are certain that one of the existing “cook safe” formulations can be applied with only minor changes to the Tower set-up and processing. The specification calls for one grill sheet per grill with a useful life of at least three months in a commercial application. Most McDonald’s restaurants have two grills.

One key requirement of the McDonald’s bid would be that Saint Gobain would commit to same day shipment to McDonald’s 3PL partners for McDonald’s orders.

Evaluate the supply chain impact of this new opportunity by identifying potential changes to the (a)PLAN, (b)MAKE, and(c) DELIVER processes that would be required in order to execute on this opportunity? (d) What are the inventory impacts of your recommendations?

Match the fill-in-the-blank statement in the left column to the corresponding term/phrase in the drop down on the right. Stated another way, match the left column statements to the meanings presented in the right column drop down. There is only one BEST answer/statement combination.

1. _____ is another way of referring to a non-equity mode of entry with an alliance partner.

2. _____ is another way of referring to an equity mode of entry including, but not limited to, an acquisition.

3. A _____ grants the right or permission to use the property, including intellectual property, of another.

4. _____ is an agreement between at least two parties to join their efforts in attempt to sell a product or service.

5. The two main types of these are Sponsored and Collaborative.

6. A common feature of these includes the completion of an operable installation, and the physical access and control handed to the buyer after it is shown the facility operates as intended.

7. A common feature of these includes the completion of an operable installation and with the physical access and control handed to the buyer upon completion.

8. An FDI entry mode that can be described as starting "from the ground up."

9. An FDI entry mode involving a change of control of the OLI advantages.

10. An FDI entry mode involving a combination of two businesses.

11. This is typically the result of any FDI entry mode.

12. This is usually the easiest entry mode involving the least amount of risk.

13. This is usually the easiest entry mode involving the least amount of risk, but requires the assistance typically in the host location.

14. This type of arrangement allows a manufacturer to ship goods to a representative for resale.

15. Kentucky Fried Chicken and Arby's use these to open restaurants.

16. A _____ typically involves a local partner owning a majority interest in the business, and a foreign participant owning a minority stake.

17. A(n) _____ is a way to bring together complementary skills and assets that neither company could easily develop on its own.

18. _____ are common when competitors wish to avoid legal disputes by allowing each other to access and use their proprietary property rights.

19. Patents, trademarks, and copyrights are examples of _____.

20. Trucks, construction equipment, and manufacturing machines are examples of _____.

BOT agreements
Intangible property
Co-marketing
Access
Merger
Export
Indirect export
Greenfield
License
Alliance agreement
Franchise agreement
Joint venture agreement
Acquire
Tangible property
Acquisition
Cross-license agreements
Wholly Owned Subsidiary
Distributor agreement
Turnkey agreements
R&D agreements

Inventory Costing Methods-Perpetual Method

Kali Company uses the perpetual inventory system for its merchandise inventory. The June 1 inventory for one of the items in the merchandise inventory consisted of 60 units with a unit cost of $45. Transactions for this item during June were as follows:

Required
a. Compute the cost of goods sold and the ending inventory cost for the month of June using the weighted-average cost method. Do not round until your final answers. Round to the nearest dollar.

b. Compute the cost of goods sold and the ending inventory cost for the month of June using the first-in, first-out method.

c. Compute the cost of goods sold and the ending inventory cost for the month of June using the last-in, first-out method.

a) Weighted average

Ending Inventory:

Cost of goods sold:

b) First in, First out:

Ending Inventory:

Cost of goods sold:

c) Last in, First Out:

Ending Inventory:

Cost of goods sold:

1. Find the regression​ equation, letting the first variable be the predictor​ (x) variable. Using the listed​ actress/actor ages in various​ years, find the best predicted age of the Best Actor winner that year is 44 years. Is the result within 5 years of the actual Best Actor winner, whose age was 42 years?

Best actress: 28 29 30 61 32 35 46 28 61 23 44 51

Best Actor: 44 38 37 45 52 46 58 48 40 53 52 31

1a. Find the regression of the regression line.

y=___+(__)x. (Round the constant to one decimal place as needed.)

1b. Is the result within 5 years of the actual best actor winner , whose age was 42 years?

1. Determine George and Mary’s taxable income and tax liability for 2017 if George has $65,000 and Mary has $45,000 of salary income, they have $24,000 of allowable itemized deductions, no dependents, and file a joint tax return.

2. Carrie and Stephen have gross salary and wages of $76,000 in 2017 and file a joint return, claiming two personal exemptions and one dependency exemption for their seven-year-old child. They have $15, 000 of allowable itemized deductions and a $240 child care credit. Determine their taxable income and their tax liability.

3. Carolyn has a 50 percent interest in a general partnership that has a $14,000 loss for the year. She materially participated in the partnership. Her basis in the partnership is $10,000. She also has salary from other employment of $46,000. If she is single, has no dependents, and claims the standard deduction, what is her taxable income and her tax liability in 2017?

1. The turbine of a hydrostatic plant is driven by a falling head of water from a falling head of water from a source 30 m high up through a 600 mm penstock flowing full.
A. Evaluate the theoretical velocity of water as it hits the turbine blades in m/sec.
B. Evaluate the theoretical discharge of water in m³/s.
C.If the turbine is only 70% efficient, estimate the horsepower available from it..

2. Reservoir A supplies water to a nozzle having a diameter of 80 mm which is discharge water 40 m below the reservoir water level at a velocity of 24m/s
A. Determine the loss of head in the pipeline.
B. Determine the horsepower produced by the jet.
C. Determine the efficiency of the nozzle.

3. The diameter of a pipe carrying water changes gradually from 150 mm at A to 450 mm at B. A is 5 m lower than B. If the pressure at A is 70 kPa and at B is 50 kPa when 150 liters/ sec is flowing.
A. Determine the direction of flow
B. Determine the frictional loss between two points

4. Reservoir A and B have elevations of 100 m and 160 m respectively. A pump is installed near reservoir A to pump the water from A to B. The rate flow in the pipe is 650 liters/sec. If the head loss in the pipeline is 8.22 m, compute the horsepower required to pump the water to B.

5. A reservoir A contains water at an elevation of 45 m and a 50 mm pipe line leads downhill from the reservoir and discharges into air at B at an elevation 0. If the loss of head between the reservoir A and B is 43.5 m compute the discharge flowing in the pipe.

6. A turbine is located at an elevation 200 m below that of the surface of the water at intake. the friction loss in the pipeline leading to it is 8 m and the turbine efficiency is 90%. What will be the power delivered by the turbine if the flow is 3 m³/ sec in kW?

7. Water is discharged through a nozzle having a diameter of jet 100 mm at a velocity of 60 m/s at a point 240 m below the reservoir.
A. Compute the total headloss.
B. Compute the horsepower produced by the jet.
C. Compute the power lost in friction.