You are a new graduate registered nurse working in a small local hospital emergency department.
Mr Gary MacDonald is a 52- year-old businessman. McDonald has a very stressful position, and as a coping mechanism he drinks quite heavily. Mr McDonald has been feeling increasingly unwell lately but has been too busy to go to the doctor for a check-up. His abdominal girth has increased, his ankles are a bit swollen and he gets short of breath on exertion.
Mr McDonald was attending a business meeting when he began to vomit quite a lot of bright red blood.
On arrival at the Emergency Department of the local hospital he has a vomit bag with about 350 mL of bright red blood. He is pale and complaining of feeling dizzy and appears confused as to what is happening to him and where he is. His immediate vital signs are:
Blood pressure 80/50mmHg, Pulse 130bpm, Respiratory rate 28, Oxygen saturation 91% on room air, Temperature 36.1 Celsius, Glasgow Coma Score (GCS) 13.
Question 1:
Based on your A-G assessment identify two (2) areas that are your highest priorities and express then as Nursing Diagnoses with “Related to” and “Evidenced by” statements.
Question 2:
The doctor makes an initial medical diagnosis of bleeding oesophageal varices due to alcoholic cirrhosis. Explain the pathophysiology that caused his bleeding oesophageal varices.
Question 3:
Based on Mr McDonald’s current condition, and NSW Health SAGO chart and DETECT policy requirements, outline four immediate nursing actions and their rationales within your scope of practice (as RN new graduate).
Question 4:
Briefly discuss the current best medical practice recommendations for the treatment of bleeding oesophageal varices including likely intravenous fluids, medications, and procedures.
Question 5:
Following treatment, Mr McDonald’s bleeding varices settled, and he was discharged home on the following medications: Lactulose orally 20 mL BD, Spironolactone 50mg mane. Explain the reason for each of these in relation to his underlying disease process.
SORRY FOR POSTING 5 QUESTIONS BUT ITS ALL BASED ON THE SAME SCENARIO
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Your grandmother just turned 65 and she is very confused about Medicare and Medicaid. She doesn't understand the differences between the two programs. She has asked you to help her enroll in a program to provide her some financial assistance.
Read the "Comparison Chart" between Medicare and
Medicaid
Explore the government website comparing Medicaid with Medicare
Based on the comparative chart given above, summarize the differences between Medicare and Medicaid.
Since the number of Medicaid recipients have increased in the recent times, some people argue that our country has become an entitlement state. Do you agree or disagree? Explain your response
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In recent years the Nobel Prize in economics goes to work in behavioral economic theory. In your text the authors state the basic economic theory is people make rational decisions? The links led to stories about lottery winners or losers depending on your viewpoint. If society uses rational behavior why do some lottery winners go broke?
The bulk of economic analysis continue to reply on rational assumptions. Economist continue to contend that rational thought is a reasonable viewpoint.
Is this a micro or macroeconomic issue?
Is this a reasonable assumption?
Is this a positive or normative assumption?
How does self-interest come into play?
Explain why economics a science or a social science?
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What do you think about letting financial institutions pursue simultaneous activities in the commercial banking, insurance market, and securities market?? is it good?? bad?? unclear? && WHY? EXPLAIN. & then ask your self if there is any lesson to learn about this policy from the US financial crisis of 2007-2008??. EXPLAIN USING AT LEAST 5 LINES
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You hold a 25 year bond from Telus with a par value of $1,000 and a coupon rate of $70 (7%) a year. This bond is currently selling for $1,023. (No calculations are needed in this question).
(a). What do you know about the yield of this bond? Explain.
(b). If Telus incurred a large amount of debt what would likely happen to the:
i. coupon rate on your Telus bond - explain
ii. Yield to maturity on your Telus bond - explain
iii. Your Telus bond price - explain
(c). If the Government of Canada suddenly increased interest rates on their bonds what would happen to the:
i. coupon rate on your Telus bond - explain
ii. Yield to maturity on your Telus bond - explain
iii. Your Telus bond price - explain
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Finance is exciting! In this course, we learned how money can grow through the use of compounding and interest rates and your growth strategies may now be different. What are your new financial goals? Would you like to become more liquid, to save more for your retirement, or to start a new business? Whatever your goals, finance is right at the core. Think about what you learned in this course regarding investing to complete this assignment.
Describe three ways you will invest in your future based on the principles of finance. Include terminology from the course and use citations as necessary to support your explanation of the terminology. Discuss one of the three ways you feel most confident as a way to invest in your future. Explain your level of confidence. Of the three ways that you will invest in your future, discuss the one that you perceive might be the most challenging. Then, discuss how you might overcome some of those challenges.
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Consider an orange farmer in the state of Florida. Discuss the inputs into production for the orange farmer. Now, suppose that the orange farmer sells oranges by the bushel. Detail both the costs and benefits to the farmer from selling an additional bushel of oranges. Make sure to describe how the costs and benefits are likely to change as the farmer sells more bushels.
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On September 20, 2017, Umatilla Company announced a 4 for 1 stock split. After the split, the company will have about 24.6 million shares outstanding. Shares traded for about $375 a share the day the split was announced.
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"Pure n-hexane as a red liquid, silicone as a static phase. Please predict and explain the order of the following substances: (1) Benzoic acid (2) Salicylic acid (3) Naphthalene"
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