P.W. Is a 40-year old disabled man who recently lost his wife to metastatic breast cancer. His brother has taken him into his home. P.W. has a 22-year history of insulin-dependent diabetes mellitus (Type-1). Until recently, he has taken responsibility for the management of his disease and has been actively involved in the local chapter of the American Diabetic Association. PMH includes 2 amputated toes on his R foot, retinopathy and visual impairment in both eyes, and angina on exertion from coronary artery disease that severely restricts his activity. Since he began treatment with an Ace-inhibitor 2 years ago, his blood pressure has gone from 182/128 to 126/78 mm Hg. Currently, he is 71” tall and weighs 135 lb. P.W.’s sister-in-law, who is an LPN says P.W. has lost about 12 lbs in the past 3 weeks. Over the past few years, P.W. has been administering a multidose (3 injections) regimen of regular Humulin insulin to himself before meals and at night. Recently his BG levels have been increasingly inconsistent and labile, and he has been labeled “noncompliant.” It is Monday. You are the home care nurse assigned to visit P.W. 3 times per week for teaching and evaluation. P.W.’s brother and sister-in-law express concern that P.W. seems to be indifferent about his nutritional and pharmacologic regimens. As you start to review the above measures with P.W., you notice he already seems aware of what he should do to control his blood glucose. You are concerned that he seems too distracted and drifts off in the middle of a discussion; his affect also appears flat. You ask P.W if he has been taking all his medications. He says “yes” but adds that he discovers “extra” blood pressure pills left over at the end of each week. He seems to be confused about the reason for the “leftover” pills. You decide to do a glucose stick. He registers 348 mg/dl. P.W.’s provider says she wants to hospitalize him for evaluation and stabilization; this also would give the opportunity for a psychiatric consult. P.W. says he refuses to go to “that hospital where my wife died.” In discussion with P.W. and the physician, it is decided that you will check his progress daily; someone from the home care agency will call q8h for a progress report on his progress daily. P.W.’s sister-in-law agrees to monitor his BG and vital signs and see that he takes all his medications. If P.W.’s condition does not improve or becomes worse, he must enter the hospital for treatment. The provider is concerned that P.E. may be depressed and starts him on Sertraline 50 mg qd to be taken with his bedtime snack. The next day, during your midafternoon visit to P.W.’s home, he tells you he has a headache and is feeling “fidgety” His pulse is 124, his gait is unsteady, speech is slightly slurred, and blood glucose is 48 mg/dl.

PLEASE ANSWER THIS QUESTION:

1) If P.W. were to become unconscious during a hypoglycemic episode, how would you revise nursing management of his condition in this setting?

2) P.W.’s sister-in-law phones you on Sunday morning stating that P.W. is “very sick”. What questions would you ask her to help you decide the best course of action?

3) Under what circumstances is P.W. likely to experience diabetic ketoacidosis?

Please type the answer, thanks.

P.W. Is a 40-year old disabled man who recently lost his wife to metastatic breast cancer. His brother has taken him into his home. P.W. has a 22-year history of insulin-dependent diabetes mellitus (Type-1). Until recently, he has taken responsibility for the management of his disease and has been actively involved in the local chapter of the American Diabetic Association. PMH includes 2 amputated toes on his R foot, retinopathy and visual impairment in both eyes, and angina on exertion from coronary artery disease that severely restricts his activity. Since he began treatment with an Ace-inhibitor 2 years ago, his blood pressure has gone from 182/128 to 126/78 mm Hg. Currently, he is 71” tall and weighs 135 lb. P.W.’s sister-in-law, who is an LPN says P.W. has lost about 12 lbs in the past 3 weeks. Over the past few years, P.W. has been administering a multidose (3 injections) regimen of regular Humulin insulin to himself before meals and at night. Recently his BG levels have been increasingly inconsistent and labile, and he has been labeled “noncompliant.” It is Monday. You are the home care nurse assigned to visit P.W. 3 times per week for teaching and evaluation. P.W.’s brother and sister-in-law express concern that P.W. seems to be indifferent about his nutritional and pharmacologic regimens.

1. List the measures you normally would address in teaching for both hypoglycemia and hyperglycemia (6 each).

· Hyperglycemia

· Hypoglycemia

P.W. Is a 40-year old disabled man who recently lost his wife to metastatic breast cancer. His brother has taken him into his home. P.W. has a 22-year history of insulin-dependent diabetes mellitus (Type-1). Until recently, he has taken responsibility for the management of his disease and has been actively involved in the local chapter of the American Diabetic Association. PMH includes 2 amputated toes on his R foot, retinopathy and visual impairment in both eyes, and angina on exertion from coronary artery disease that severely restricts his activity. Since he began treatment with an Ace-inhibitor 2 years ago, his blood pressure has gone from 182/128 to 126/78 mm Hg. Currently, he is 71” tall and weighs 135 lb. P.W.’s sister-in-law, who is an LPN says P.W. has lost about 12 lbs in the past 3 weeks. Over the past few years, P.W. has been administering a multidose (3 injections) regimen of regular Humulin insulin to himself before meals and at night. Recently his BG levels have been increasingly inconsistent and labile, and he has been labeled “noncompliant.” It is Monday. You are the home care nurse assigned to visit P.W. 3 times per week for teaching and evaluation. P.W.’s brother and sister-in-law express concern that P.W. seems to be indifferent about his nutritional and pharmacologic regimens. As you start to review the above measures with P.W., you notice he already seems aware of what he should do to control his blood glucose. You are concerned that he seems too distracted and drifts off in the middle of a discussion; his affect also appears flat. You ask P.W if he has been taking all his medications. He says “yes” but adds that he discovers “extra” blood pressure pills left over at the end of each week. He seems to be confused about the reason for the “leftover” pills. You decide to do a glucose stick. He registers 348 mg/dl. P.W.’s provider says she wants to hospitalize him for evaluation and stabilization; this also would give the opportunity for a psychiatric consult. P.W. says he refuses to go to “that hospital where my wife died.” In discussion with P.W. and the physician, it is decided that you will check his progress daily; someone from the home care agency will call q8h for a progress report on his progress daily. P.W.’s sister-in-law agrees to monitor his BG and vital signs and see that he takes all his medications. If P.W.’s condition does not improve or becomes worse, he must enter the hospital for treatment. The provider is concerned that P.E. may be depressed and starts him on Sertraline 50 mg qd to be taken with his bedtime snack. The next day, during your midafternoon visit to P.W.’s home, he tells you he has a headache and is feeling “fidgety” His pulse is 124, his gait is unsteady, speech is slightly slurred, and blood glucose is 48 mg/dl.

P.W.’s sister-in-law informs you that his blood glucose is too high for the machine to read. You tell her to dial 911 immediately; advise her to tell them P.W. is diabetic and his blood glucose is over 400 mg/dl

PLEASE ANSWER THIS QUESTION:

1. Write 3 nursing diagnoses that depict the care priorities for this situation.

2.The physician prescribes an IV drip per infusion pump of regular Humulin insulin 100 units in 100ml NS at 6 U/h for blood glucose >300, hourly glucose check, repeat electrolytes, and serum glucose in 2 hours. What effect should the insulin infusion have on the client’s physical condition and how should the nurse revise the physical assessment plan?

Feather Friends, Inc., distributes a high-quality wooden birdhouse that sells for $40 per unit. Variable expenses are $20.00 per unit, and fixed expenses total $180,000 per year.

Required:

Answer the following independent questions:

1.What is the product's CM ratio?

2. Use the CM ratio to determine the break-even point in dollar sales.

3. Due to an increase in demand, the company estimates that sales will increase by $51,000 during the next year. By how much should net operating income increase (or net loss decrease) assuming that fixed expenses do not change?

4. Assume that the operating results for last year were:

a. Compute the degree of operating leverage at the current level of sales. (Round your answer to 2 decimal places.)

b. The president expects sales to increase by 18% next year. By what percentage should net operating income increase? (Round intermediate calculations and final answer to 2 decimal places.)

5. Refer to the original data. Assume that the company sold 37,500 units last year. The sales manager is convinced that a 12% reduction in the selling price, combined with a $71,000 increase in advertising, would increase annual unit sales by 50%.

a. Prepare two contribution format income statements, one showing the results of last year’s operations and one showing the results of operations if these changes are made. (Do not round intermediate calculations. Round your "Per unit" answers to 2 decimal places.)

b. Would you recommend that the company do as the sales manager suggests?

6. Refer to the original data. Assume again that the company sold 37,500 units last year. The president does not want to change the selling price. Instead, he wants to increase the sales commission by $1.50 per unit. He thinks that this move, combined with some increase in advertising, would double annual unit sales. By how much could advertising be increased with profits remaining unchanged? Do not prepare an income statement; use the incremental analysis approach.

(T/F) 1-8

1. The larger the P-value of a hypothesis test, the stronger the evidence against the null hypothesis.

2. In an ANOVA test comparing several population means, if the alternative hypothesis is true, the F statistic tends to be close to zero.

3. If the two variables in a two-way table are associated, the conditional distributions in the table are similar to each other.

4. In a multiple regression model, if the P-value associated with the F test is less than the significance level, we conclude that all explanatory variables in the model have a significant relationship with the response variable.

5. If multicollinearity is present, the standard errors of regression coefficient estimators tend to be large, i.e., the regression results are less precise.

6. The multiplication of two variables is used as a predictor if the two variables jointly affect the response. Group of answer choices

7. Even if the P-value of the F test in a multiple regression model is nearly zero, it is possible that the R² of the model is much less than one.

8. In selecting independent variables for a regression model, neither the forward selection method nor the backward elimination method guarantee the optimal combination of the independent variables.

9. For a given sample size, as the significance level increases, the probability of committing Type I error ____________ and the probability of committing the Type II error __________.

A. Increases, decreases

B. Increases, increases

C. Decreases, increases

D. Decreases, decreases

Calculate the benefit, based on the forward rate agreements, that an investor can derive if his / her expectations of future interest rate movements are verified:

a. 3% after two months

b. 2.8% after three months

c. 2.5% after one month

d. 1% after five months

e. 2.9% after six months

Implement the CPU scheduling algorithm SJF non-preemptive in python. Have the program answer the table.

Simulate and evaluate with the set of eight processes below.

Assumptions:

1. All processes are activated at time 0
2. Assume that no process waits on I/O devices.
3. After completing an I/O event, a process is transferred to the ready queue.
4. Waiting time is accumulated while a process waits in the ready queue.
5. Turnaround time is a total of (Waiting time) + (CPU burst time) + (I/O time)
6. Response time is the first measure of waiting time from arrival at time 0 until the first time on the CPU.

Process Data:

process goes {CPU burst, I/O time, CPU burst, I/O time, CPU burst, I/O time,…….., last CPU burst}

P1 {5, 27, 3, 31, 5, 43, 4, 18, 6, 22, 4, 26, 3, 24, 4}

P2 {4, 48, 5, 44, 7, 42, 12, 37, 9, 76, 4, 41, 9, 31, 7, 43, 8}

P3 {8, 33, 12, 41, 18, 65, 14, 21, 4, 61, 15, 18, 14, 26, 5, 31, 6}

P4 {3, 35, 4, 41, 5, 45, 3, 51, 4, 61, 5, 54, 6, 82, 5, 77, 3}

P5 {16, 24, 17, 21, 5, 36, 16, 26, 7, 31, 13, 28, 11, 21, 6, 13, 3, 11, 4}

P6 {11, 22, 4, 8, 5, 10, 6, 12, 7, 14, 9, 18, 12, 24, 15, 30, 8}

P7 {14, 46, 17, 41, 11, 42, 15, 21, 4, 32, 7, 19, 16, 33, 10}

P8 {4, 14, 5, 33, 6, 51, 14, 73, 16, 87, 6}

Implement the CPU scheduling algorithm FCFS non-preemptive in python. Have the program answer the table.

Simulate and evaluate with the set of eight processes below.

Assumptions:

1. All processes are activated at time 0
2. Assume that no process waits on I/O devices.
3. After completing an I/O event, a process is transferred to the ready queue.
4. Waiting time is accumulated while a process waits in the ready queue.
5. Turnaround time is a total of (Waiting time) + (CPU burst time) + (I/O time)
6. Response time is the first measure of waiting time from arrival at time 0 until the first time on the CPU.

Process Data:

process goes {CPU burst, I/O time, CPU burst, I/O time, CPU burst, I/O time,…….., last CPU burst}

P1 {5, 27, 3, 31, 5, 43, 4, 18, 6, 22, 4, 26, 3, 24, 4}

P2 {4, 48, 5, 44, 7, 42, 12, 37, 9, 76, 4, 41, 9, 31, 7, 43, 8}

P3 {8, 33, 12, 41, 18, 65, 14, 21, 4, 61, 15, 18, 14, 26, 5, 31, 6}

P4 {3, 35, 4, 41, 5, 45, 3, 51, 4, 61, 5, 54, 6, 82, 5, 77, 3}

P5 {16, 24, 17, 21, 5, 36, 16, 26, 7, 31, 13, 28, 11, 21, 6, 13, 3, 11, 4}

P6 {11, 22, 4, 8, 5, 10, 6, 12, 7, 14, 9, 18, 12, 24, 15, 30, 8}

P7 {14, 46, 17, 41, 11, 42, 15, 21, 4, 32, 7, 19, 16, 33, 10}

P8 {4, 14, 5, 33, 6, 51, 14, 73, 16, 87, 6}