Mr. B is a 52 year-old man in the surgical intensive care unit after a liver transplantation the previous day. He has a 15-year history of hepatic cirrhosis secondary to alcohol abuse. He is intubated and receiving multiple vasopressor medications for hypotension. He also has a triple lumen subclavian central line with TPN infusing. It is 1 hour post-op, The SICU nurse is reassessing the patient. Assessment findings for Mr. B include: Grimacing, can barely bend his fingers, coughing with some tears noted. Current vital signs are T97.8F, HR 130, B/P 168/102, breathing 25 breaths per minute on SIMV mode ventilation. What pain scale is appropriate for this patient? According to the scale, what is his score? Do his vital signs confirm this? What medications may be administered to control his pain? What should the nurse monitor after the med is administered? Morphine 5 mg IV has been administered by SICU nurse 30 minutes ago. On reassessment, Mr. B was found to be restless and turning his head left and right with both eyes closed. What is this patient most likely experiencing? What medications will help relieve this symptom? Is he still in pain? How will the nurse confirm this? What is the next nursing action? 3.The SICU nurse just got off the phone with the physician and he ordered for Mr. B to have” Versed 2mg IV q4 prn anxiety and Morphine 2mg IV Q 2 hours with first dose to be given now.” After administering these two medications slow IV push with 2nd RN to witness waste, what non-pharmacological interventions can the nurse implement to reduce pain and anxiety in Mr. B? What s/s should the nurse monitor in this patient? In regards to his hypertension, should the vasopressor meds be discontinued and why? Now that Mr. B may be requiring future doses of Versed in addition to pain medication, what tool should also be implemented during assessment of this patient? 4.It is 8 hours post-op and patient had 3 doses of Morphine and 2 doses of Ativan via IV. During routine assessment, SICU nurse notices Mr. B has a decreased response to verbal stimuli. He attempts to turn his head towards verbal stimuli but eyes remain closed and he did not move extremities. According to these findings, what is this patient most likely experiencing? What are the risk factors to developing this? What medication will help improve his cognition? What nursing interventions may be necessary for this patient?
In: Nursing
Blake Kredell owns and operates a retail business called Blake’s
Camera Shop. His post closing trial balance on December 31, 2019,
is provided below. Blake plans to enter into a partnership with
Carmen Santos, effective January 1, 2020. Profits and losses will
be shared equally. Blake will transfer all assets and liabilities
of his store to the partnership, after revaluation. Santos will
invest cash equal to Blake’s investment after revaluation. The
agreed values are: Accounts Receivable (net), $25,500; Merchandise
Inventory, $45,000; and Store Equipment, $26,000.
The partnership will operate under the name Picture Perfect.
| BLAKE’S CAMERA SHOP Post closing Trial Balance December 31, 2019 |
||||||
| ACCOUNT NAME | DEBIT | CREDIT | ||||
| Cash | $ | 24,000 | $ | |||
| Accounts Receivable | 26,000 | |||||
| Allowance for Doubtful Accounts | 700 | |||||
| Merchandise Inventory | 44,000 | |||||
| Store Equipment | 30,000 | |||||
| Accumulated Depreciation-Store Equip. | 26,000 | |||||
| Accounts Payable | 23,000 | |||||
| Blake Kredell, Capital | 74,300 | |||||
| Totals | $ | 124,000 | $ | 124,000 | ||
In: Accounting
Medtronic Inc., the world's largest manufacturer of implantable biomedical devices, reported earnings per share in 2017 of $3.95 and paid dividends per share of $0.68. Its earnings are expected to grow by 16% in 2018 and in 2019; the growth rate is expected to decline each year after that to a stable growth rate of 6% in 2021. The payout ratio is expected to remain unchanged from 2017 to 2019, after which it will increase each year to reach 50% in steady state. The stock is expected to have a beta of 1.25 from 2018 to 2019, after which the beta would decline each year to reach 1.00 by the time the firm becomes stable. The treasury bond rate is 1.25% and the equity risk premium is 5.5%.
(i)Assuming that the growth rate declines linearly (and the payout ratio increases linearly) from 2020 to 2021, estimate the dividends per share each year from 2018 to 2021.
(ii)Estimate the expected price at the end of 2021.
(iii)Estimate the value per share, using the three-stage dividend discount model.
In: Finance
Mark spent $80 to buy 10 cans of beer (good X) and 5 bottles of wine (good Y) last week. Each can of beer cost Px and each bottle of wine cost Py. Suppose he is a utility maximizing agent.
1. Now, the price of one bottle of beer has increased by $1 and he has spent the same amount of money to buy 8 cans of beer and 5 bottles of wine. Find the price of beer before the change and the price of wine.
2. What is the MRS before the price change and after the price change?
In: Economics
At the end of the year, before distributions, Bombay (an S corporation) has an accumulated adjustments account balance of $18,400 and accumulated E&P of $24,250 from a previous year as a C corporation. During the year, Nicolette (a 40 percent shareholder) received a $24,250 distribution (the remaining shareholders received $36,375 in distributions). (Assume her stock basis is $48,500 after considering her share of Bombay’s income for the year but before considering the effects of the distribution.)
Required:
In: Accounting
A clinical trial was conducted to test the effectiveness of a drug for treating insomnia in older subjects. Before treatment,
2323
subjects had a mean wake time of
100.0100.0
min. After treatment, the
2323
subjects had a mean wake time of
74.674.6
min and a standard deviation of
20.920.9
min. Assume that the
2323
sample values appear to be from a normally distributed population and construct a
9999%
confidence interval estimate of the mean wake time for a population with drug treatments. What does the result suggest about the mean wake time of
100.0100.0
min before the treatment? Does the drug appear to be effective?
In: Statistics and Probability
A clinical trial was conducted to test the effectiveness of a drug for treating insomnia in older subjects. Before treatment, 21 subjects had a mean wake time of 104.0 min. After treatment, the 21 subjects had a mean wake time of 99.9 min and a standard deviation of 24.5 min. Assume that the 21 sample values appear to be from a normally distributed population and construct a 90% confidence interval estimate of the mean wake time for a population with drug treatments. What does the result suggest about the mean wake time of 104.0 min before the treatment? Does the drug appear to be effective?
In: Statistics and Probability
Required:
In: Accounting
A clinical trial was conducted to test the effectiveness of a drug for treating insomnia in older subjects. Before treatment, 2121 subjects had a mean wake time of 101.0101.0 min. After treatment, the 2121 subjects had a mean wake time of 77.977.9 min and a standard deviation of 22.322.3 min. Assume that the 2121 sample values appear to be from a normally distributed population and construct a 95% confidence interval estimate of the mean wake time for a population with drug treatments. What does the result suggest about the mean wake time of 101.0 min before the treatment? Does the drug appear to be effective?
In: Statistics and Probability
Your firm is operating in a world where the only imperfection is that corporations must pay tax. The company is currently all equity financed. Your company has 2,900,000 shares outstanding. Your firm expects to generate earnings before interest and taxes of $3,450,000 per year in perpetuity. The company is planning on borrowing $9,000,000 and using the proceeds of the loan to repurchase some of its outstanding shares. The unlevered cost of equity is 11.20%. The company's cost of debt before taxes is 5.60%. The tax rate is 35.00%.
What will be the required rate of return on the equity after the recapitalization (borrow the money and repurchase shares) is completed?
In: Finance