hint: for production of both X and Y
Questions 1-25: Suggestion: Use a scratch paper to solve all the variances first, then answer the questions.
2.Use the information given in Problem I.
Use standard cost information for all calculations except as noted below.
|
Department |
$Costs |
Activity Cost Driver |
|
Supplies |
$22,800 |
Direct labor hours |
|
Assembling |
$12,750 |
Units of standard direct material (Parts) |
|
Packaging |
$10,050 |
Completed units |
Questions 26-50: Suggestion: use the worksheet to complete the problem first, then answer the questions.
In: Accounting
Case Study: Fluid and Electrolytes Imbalance
Week 2 of 4 is due 01/28/18 by 1159 pm EST
Clinical Reasoning, Decision Making and Critical Thinking
We will use this scenario and build on it over the next 4 weeks.
Now, Mr. Donald had a partial colectomy and a colostomy, day 1 post-op. Morphine via PCA pump and an IVF NS + 20 mEq KCL at 75 mL/hr. Experienced insomnia and required 2 bolus of Normal Saline for hypotension. He has a hemovac and it drained 200 mLs of serous sanguinous drainage over 24 hours. Surgical dressing to the mid abd area dry and intact. He has a colostomy bag, currently with no effluent noted. Oxygen via nasal cannula at 4 L/min. O2 sat 95% on 02 at 4L via nasal cannula. Blood sugar are well controlled. He lives alone.
*****In part 1 of 4 you considered the patient situation and collected relevant cues and information.
Part 2 of 4 will focus on PROCESSING INFORMATION
The next step of the clinical reasoning cycle is to interpret the data (cues) that you have by carefully analyzing and then applying your knowledge about fluid and electrolyte balance. Remember you must know normal versus abnormal finding to get a complete understanding of Mr. Donald’s signs and symptoms.
|
Temperature |
37.0 C |
|
Heart rate |
118 |
|
Respiratory rate |
22 |
|
Blood pressure |
92/50 |
|
Oxygen saturation |
96% |
|
Hourly urine output |
27 ml/hr |
|
Blood sugar |
74 mg/dl |
Which of the following of the vital signs are considered to be within normal parameters for Mr. Donald. What are the normal values for the other vital signs? (2 points)
Temperature
Pulse rate
Respiratory rate
Blood pressure
His 02 sats are OK, right. A normal 02 sat level for Mr. Donald would be: (2 points)
80-85%
85-90%
90-95%
95-100%
True or false. Rational for your answer 3 points each. ½ point deducted for incorrect rational. Refer to the table
|
T or F |
Rational |
|
|
He is hpertensive from excessive IV fluids |
T or F |
Rational |
|
He is hypoxic as a result of the extended anesthetic period |
T or F |
Rational |
|
He is hypotensive from the preoperative bowel prep |
T or F |
Rational |
|
He is hypertensive as a result of surgical blood loss |
T or F |
Rational |
|
He has a post operative wound infection |
T or F |
Rational |
|
He has severe postoperative pain |
T or F |
Rational |
|
He is oliguric from hypotension |
T or F |
Rational |
Now that we identified the relationships above, let’s make inferences based on your analysis. From what you know about your patient’s, Mr. Donald’s history, surgery, s/s,you’re your knowledge about fluid balance, which of the two inferences are correct and include the rationals: 5 points
Normotensive and bradycardic
Hypertensive and tachycardic
Febrile and normotensive
Oliguric and tachycardic
Hypertensive and afebrile
Polyuric and hypotensive
Hypotensive and afebrile
Part 2 of 4, 30 possible points.
************************************************
Case study 1 of 4, already done. Refer to it as needed
Scenario:
Patient is a 68-year male patient who has a history of fluid and electrolyte imbalance. Mr. Donald is status post coronary artery bypass graft (CABG) 3 days ago. He also has multiple co-morbidities, colon cancer, anemia, and hypertension. Alterations in fluid and electrolyte status are common in the elderly population. Therefore, maintaining and managing fluid and electrolyte balance is of utmost importance in preventing avoidable events, complications and mortality.
Mr. Donald has a history of colon cancer and sought treatment as soon as he noted visible blood in his stool. His bowel patterns are not regular as he experience severe diarrhea or constipation. Gastroenterologist was consulted by the attending physician.
Effective clinical reasoning and decision making skills will aid you in recognizing and managing patient’s change of condition. Oh, I failed to mention, also noting early s/s and intervening in a timing manner.
First, we need to collect relevant data about his current condition. Review the following data:
|
Temperature |
37.0 C |
|
Heart rate |
118 |
|
Respiratory rate |
22 |
|
Blood pressure |
92/50 |
|
Oxygen saturation |
96% |
|
Hourly urine output |
27 ml/hr |
|
Blood sugar |
74 mg/dl |
____________________________________________________
|
Rational Explain, what physiological changes or compensatory mechanism is causing these symptoms? |
|||
|
a |
Color |
Pale |
|
|
b |
Oral mucosa |
Dry tongue with furrows |
|
|
c |
Level of thirst |
Extremely thirsty |
|
|
d |
Pain level |
4 |
|
|
e |
Appetite |
Poor |
|
|
f |
Cognitive state |
Restless and anxious |
|
|
g |
Urine |
High specific gravity |
While relevant data requires you to review current information, it also mandates that you gather new information (recall related knowledge - anatomy, physiology, pathophysiology, pharmacology, etc).
Therefore, a strong foundation of nursing knowledge is needed to help you synthesize and apply that knowledge to nursing practice (I cannot emphasize this enough).
___________________________________________________________________
In: Nursing
3. A mouse has approximately 1,400 olfactory genes. Provide an evolutionary explanation. [2]
4. A nose also functions as a humidifier. Explain the relationship between noses and people who live on the shores of the Mediterranean sea, compared to those further north, or further south. [2]
In: Biology
In: Biology
Total amount of credit or debit:
Maximum amount of loss:
Maximum amount of profit:
Break-even stock price of this spread:
Total amount of credit or debit:
Maximum amount of loss:
Maximum amount of profit:
Break-even stock price of this spread:
In: Finance
Outline 4 employer and 2 union unfair labour practices during the organizing campaign and certification process and list 4 remedies for those practices.
Unfair Labor Practice by Employers
In: Operations Management
Chapter 19
2.) How is the predetermined overhead allocation rate used to allocate overhead?
4.) Why is using a single plantwide overhead allocation rate not always accurate?
6.) What is activity-based management? How is it different from activity-based costing?
8.) What are the four steps to developing an activity-based costing system?
10.) List two ways managers can use ABM to make decisions.
12.) Explain the difference between target price and target cost.
14.) What is a just in time management system?
16.) What are the inventory accounts used in JIT costing?
18.) Why is JIT costing sometimes called backflush costing?
20.) What is the purpose of quality management systems?
22.) “Prevention is much cheaper than external failure.” Do you agree with this statement? Why or why not?
24.) Why are some quality costs hard to measure?
In: Accounting
Exercise 2-32 (Algorithmic) (LO. 4)
Compute the income tax liability for each of the following unrelated C corporations.
Click here to access the tax table to use for this problem.
a. Darter Corporation has taxable income of
$69,700.
$
b. Owl Corporation has taxable income of
$13,948,000.
$
c. Toucan Corporation, a personal service
corporation, has taxable income of $365,000.
$
In: Accounting
M4-6 Recording Adjusting Journal Entries [LO 4-2] For each of
the following transactions for the Sky Blue Corporation, prepare
the adjusting journal entries required on October 31. (If no entry
is required for a transaction/event, select "No Journal Entry
Required" in the first account field.)
a. Collected $3,300 rent for the period October 1 to December 31,
which was credited to Unearned Revenue on October 1.
b. Paid $1,920 for a two-year insurance premium on October 1 and
debited Prepaid Insurance for that amount.
c. Used a machine purchased on October 1 for $51,600. The company
estimates annual depreciation of $5,160.
In: Accounting
Update your program from Homework 4, number 2 (Hat, Jacket, and Waist size) to allow the user to repeat the calculation as many times as they wish. Include error handling - the program should throw an error if the user enters invalid input (ie. a negative height). The program must use try, throw and catch and must use the runtime_error kind of how I used it but it still has to be debugged.
#include <iostream>
#include <exception>
using namespace std;
double hat(double,double);
double jacket(double,double,int);
double waist(double,double,int);
int main ()
{
double height = 0.0, weight = 0.0;
int age = 0;
char answer;
do
{
try{
if (height <= 0){
throw runtime_error ("Error: Invalid input of height ");
}
cout << "Enter your height in inches: ";
cin >> height;
}catch (const runtime_error& e){
cerr << e.what ();
}
try{
if (weight <= 0){
throw runtime_error ("Error: Invalid input of pounds ");
}
cout << "Enter your weight in pounds: ";
cin >> weight;
}catch (const runtime_error& e){
cerr << e.what ();
}
try{
if (age <= 0){
throw runtime_error ("Error: Invalid input of age ");
}
cout << "Enter your age: ";
cin >> age;
}catch (const runtime_error& e){
cerr << e.what ();
}
cout << "\nYour Hat size is: " << hat(weight ,height);
cout << "\nYour Jacket size is: "<< jacket( height, weight, age);
cout << "\nYour Waist size is: "<< waist( height, weight, age);
cout << "\nWould you like to continue (y/n)? ";
cin>>answer;
}
while((answer) == 'y');
return 0;
}
double hat(double weight ,double height)
{
return ((weight/height) * 2.9);
}
double jacket(double height,double weight,int age)
{
double size;
int j;
if (age>=30)
{
if((age % 10) !=0)
age = age-(age%10);
j= (age-30)/10;
size =((height * weight) / 288)+((1.0/8)*j);
}
else
size =((height * weight) / 288);
return size;
}
double waist(double height,double weight,int age)
{
double size2;
int w;
if(age >= 28)
{
if((age % 2) !=0)
age = age-(age%2);
w = (age-28)/2;
size2 = (weight/(5.7))+( (1.0/10)*w);
}
else
size2 = weight / (5.7);
return size2;
}
In: Computer Science