A 77-year-old man is admitted to the intensive care unit (ICU) of a university hospital from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when roused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125 beats per minute. The abdomen was tense and distended. After the administration of 1 liter of intravenous crystalloid to restore the blood pressure, a computed tomographic scan of the abdomen showed extraluminal gas and suspected extraluminal feces consistent with a perforated sigmoid colon. He was treated with intravenous antibiotics and taken to the operating room for laparotomy. During this procedure, gross fecal peritonitis from a perforated sigmoid colon was confirmed; resection of the sigmoid colon with the closure of the rectal stump and creation of an end colostomy (Hartmann’s procedure) was performed with extensive peritoneal toilet and washout. On arrival in the ICU, he is still anesthetized and remains intubated. the arterial blood pressure is supported with a norepinephrine infusion. When the patient was in the operating room, he received a total of 4 liters of crystalloid. On his arrival in the ICU, the vital signs are a blood pressure of 88/52 mm Hg, heart rate of 120 beats per minute in sinus rhythm, central venous pressure of 6 mm Hg, and temperature of 35.6°C. An analysis of arterial blood shows a pH of 7.32, the partial pressure of carbon dioxide of 28 mm Hg, partial pressure of oxygen of 85 mm Hg, and a lactate level of 3.0 mmol per liter. Please use the following questions to help you formulate a response to this case study:

1. What is your suspected diagnosis of the patient (other than the listed surgical diagnosis)

2. What are the treatment options for this diagnosis?

3. What are the risks to the patient?

4. What nursing interventions and orders would you expect to be a part of this patient's care?

Here is a discussion dealing with bonuses and stock options: Geri Smart graduated from Troy University five years ago with a Masters degree in accounting. She obtained a position with a well-known professional services firm upon graduation and has become of its rising stars. Geri has developed a number of professional contacts in her work, both with clients and with outside companies. One of these companies, Busby Manufacturing Company, recently offered Geri a position as head of their financial services division. The offer includes a salary of $50,000 per year, annual bonuses of one percent of divisional operating income, and a stock option for 10,000 shares of Busby stock, to be exercised in two years at the current price of $15 per share. Last year, the financial services division earned $1,110,000. This year, it is budgeted to earn $1,600,000. Busby stock has increased in value at the rate of 16 percent per year over the past five years. Geri currently earns $65,000 per year. You are to advise Geri on the relative merits and downsides of the Busby offer.

Lon Timur is an accounting major at a midwestern state university located approximately 60 miles from a major city. Many of the students attending the university are from the metropolitan area and visit their homes regularly on the weekends. Lon, an entrepreneur at heart, realizes that few good commuting alternatives are available for students doing weekend travel. He believes that a weekend commuting service could be organized and run profitably from several suburban and downtown shopping mall locations. Lon has gathered the following investment information.

(a)

Determine the annual (1) net income and (2) net annual cash flows for the commuter service. (Round answers to 0 decimal places, e.g. 125.)

(b)

Compute (1) the cash payback period and (2) the annual rate of return. (Round answers to 2 decimal places, e.g. 10.50.)

(c)

Compute the net present value of the commuter service. (Round answer to 0 decimal places, e.g. 125. If the net present value is negative, use either a negative sign preceding the number eg -45 or parentheses eg (45). For calculation purposes, use 5 decimal places as displayed in the factor table provided.)

After graduating from University you obtained a job and have been working there for three years. You recently obtain a promotion and a bonus of $20,000 that you decided to use to buy a house. The cost of the property is $100,000 and a down payment of 20% is required. There are $1000 of closing costs (added to the loan) and no points. The mortgage loan term is 30 years and the interest rate is fixed at 3% per year compounded monthly. a)What is the amount of your monthly payment? You have made monthly payments during five years but you still have NOT done the last payment corresponding to the twelve month of the fifth year. You decide to sell the house and move to the suburbs where you can raise your family. How much is amount that you will need to pay off the balance of the loan including the last monthly payment of the 5th year?

After graduating from university last year with a degree in accounting and finance, Jim Hale took a job as a trainee analyst for an investment company in Melbourne. Jim’s first few weeks were filled with a series of rotations throughout the firm’s various operating units, but this week he was assigned to one of the firm’s traders as an analyst. On Jim’s first day, his boss called Jim in and told him he wanted to do some rudimentary analysis of the investment returns of the regional airline Regional Express Holdings Ltd (REX). Specifically, Jim was given the following month-end closing prices for the company spanning the months from September 2019 to August 2020:

Jim was then instructed by his boss to complete the following tasks using the REX price data (note that REX paid no dividend during 2008).

1. Compute the monthly realized rates of return earned by REX for the entire year.

2. Calculate the average monthly rate of return for REX, using both the arithmetic and geometric averages.

3. Calculate the year-end price for REX, computing the compound value of the beginning-of-year price of $ 1.11 per share for 12 months at the geometric average monthly rate of return calculated earlier: End-of-year stock price = Beginning-of-year stock price X (1+ Geometric average monthly rate of return)¹²

4. Compute the annual rate of return for REX using the beginning share price for the period and the ending price (i.e. $1.11 and $0.82).

5. Use the geometric average monthly rate of return and the following relationship to calculate the annual rate of return: Compound annual rate of return= (1+ Geometric average monthly rate of return)¹² -1

6. If you were given annual rate of return data for REX or any other company’s shares and you were asked to estimate the average annual rate of return an investor would have earned over the sample period by holding the shares, would you use an arithmetic or geometric average of the historical rates of return? Explain your response as if you were talking to a client who has had no formal training in finance or investments.

Lon Timur is an accounting major at a midwestern state university located approximately 60 miles from a major city. Many of the students attending the university are from the metropolitan area and visit their homes regularly on the weekends. Lon, an entrepreneur at heart, realizes that few good commuting alternatives are available for students doing weekend travel. He believes that a weekend commuting service could be organized and run profitably from several suburban and downtown shopping mall locations. Lon has gathered the following investment information.

Click here to view PV table.

(a)

Determine the annual (1) net income and (2) net annual cash flows for the commuter service. (Round answers to 0 decimal places, e.g. 125.)

(b)

Compute (1) the cash payback period and (2) the annual rate of return. (Round answers to 2 decimal places, e.g. 10.50.)

(c)

Compute the net present value of the commuter service. (Round answer to 0 decimal places, e.g. 125. If the net present value is negative, use either a negative sign preceding the number eg -45 or parentheses eg (45). For calculation purposes, use 5 decimal places as displayed in the factor table provided.)

Lon Timur is an accounting major at a midwestern state university located approximately 60 miles from a major city. Many of the students attending the university are from the metropolitan area and visit their homes regularly on the weekends. Lon, an entrepreneur at heart, realizes that few good commuting alternatives are available for students doing weekend travel. He believes that a weekend commuting service could be organized and run profitably from several suburban and downtown shopping mall locations. Lon has gathered the following investment information. 1. Five used vans would cost a total of $75,800 to purchase and would have a 3-year useful life with negligible salvage value. Lon plans to use straight-line depreciation. 2. Ten drivers would have to be employed at a total payroll expense of $47,992. 3. Other annual out-of-pocket expenses associated with running the commuter service would include Gasoline $16,007, Maintenance $3,298, Repairs $4,006, Insurance $4,198, Advertising $2,500. 4. Lon has visited several financial institutions to discuss funding. The best interest rate he has been able to negotiate is 15%. Use this rate for cost of capital. 5. Lon expects each van to make ten round trips weekly and carry an average of six students each trip. The service is expected to operate 30 weeks each year, and each student will be charged $12.03 for a round-trip ticket. Determine the annual (1) net income and (2) net annual cash flows for the commuter service. (Round answers to 0 decimal places, e.g. 125.) Compute (1) the cash payback period and (2) the annual rate of return. (Round answers to 2 decimal places, e.g. 10.50.) Compute the net present value of the commuter service. (Round answers to 0 decimal places, e.g. 125. If the net present value is negative, use either a negative sign preceding the number eg -45 or parentheses eg (45).)

After graduating from university last year with a degree in accounting and finance, Jim Hale took a job as a trainee analyst for an investment company in Melbourne. Jim’s first few weeks were filled with a series of rotations throughout the firm’s various operating units, but this week he was assigned to one of the firm’s traders as an analyst. On Jim’s first day, his boss called Jim in and told him he wanted to do some rudimentary analysis of the investment returns of the regional airline Regional Express Holdings Ltd (REX). Specifically, Jim was given the following month-end closing prices for the company spanning the months from September 2019 to August 2020:

Jim was then instructed by his boss to complete the following tasks using the REX price data (note that REX paid no dividend during 2008).

1. Compute the monthly realized rates of return earned by REX for the entire year.

2. Calculate the average monthly rate of return for REX, using both the arithmetic and geometric averages.

3. Calculate the year-end price for REX, computing the compound value of the beginning-of-year price of $ 1.11 per share for 12 months at the geometric average monthly rate of return calculated earlier: End-of-year stock price = Beginning-of-year stock price X (1+ Geometric average monthly rate of return)¹²

4. Compute the annual rate of return for REX using the beginning share price for the period and the ending price (i.e. $1.11 and $0.82).

5. Use the geometric average monthly rate of return and the following relationship to calculate the annual rate of return: Compound annual rate of return= (1+ Geometric average monthly rate of return)¹² -1

6. If you were given annual rate of return data for REX or any other company’s shares and you were asked to estimate the average annual rate of return an investor would have earned over the sample period by holding the shares, would you use an arithmetic or geometric average of the historical rates of return? Explain your response as if you were talking to a client who has had no formal training in finance or investments.

(NOTE:- THE SOLUTION IS NOT TO BE DONE ON MS EXCEL)