A female patient diagnosed with active tuberculosis wants to be discharged from the hospital after receiving one week of the required multiple drug regimen. Her condition has been improving and she is considered medically stable. The patient, her husband, and children recently immigrated to the United States from Bangladesh. They have no family or friends to assist them. Her husband recently started a job and needs her to come home to care for their 4-year-old twin boys or he will be fired.   

Craft an initial post that addresses:

What ethical concerns should the nurse consider?
What interventions need to be in place prior to discharge to prevent transmission of tuberculosis to her family and the public?
Provide a detailed education plan for discharge.

Bob and Donna have been married for 35 years and have filed joint returns since their marriage. The couple has 3 children: Jack age 11, Bonnie age 16, and Margie age 22. All three children live with Bob and Donna. None of the children provide more than half their own support. Margie is a full time student at a local university. Margie is married. her and her husband report no tax liability on their joint return. If the couple had filed separately, Margie would have no tax tax liability on her return but her husband would have had a $550 tax liability on his separate return. Xan Bob and Donna claim Margie on their return? Why or why not?

J. G. is a 34-year old P1 G1 woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced 3 tonic-clonic (grand mal) seizures, diagnosed as having a basal ganglion hematoma with infarct, and was started on phenytoin. Postdelivery, J. G. demonstrated dyskinesia, resulting in frequent falls with ambulation. When the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation, and 2 weeks of intensive physical therapy. She is now home, where she is doing quite well but still has occasional falls and is receiving physical therapy 3 times a week in her home. She remains on phenytoin and has had no seizures since her release from the rehabilitation facility. As case manager for J. G.’s HMO, you visit her and her family at home for evaluation of long-term, follow-up care.

1. A seizure is not a disease in itself but a symptom of a disease. What is the term for chronically recurring seizures?
2. Does J. G. have epilepsy?
3. The 3 main phases of a seizure are the preictal, ictal, and postictal. Differentiiate between the 3 phases, and list clinical symptoms you may observe when a patient is having a seizure.
4. What is the pathophysiology of a seizure?
5. J. G. had grand mal, or tonic-clonic, seizures. Describe this type of seizure. List 5 other types of seizures.
6. Some patients know they are about to have a seizure. What is this preseizure warning called, and what form does it take?
7. Besides the brain injury, what are some other possible conditions that could be contributing to J. G.’s lowered seizure threshold?
8. List 5 classifications of antizeisure medications.
9. J. G’s husband comes to visit and asks you what he should do if she has a seizure at home. What would you tell him?
10. Her husband states that he is afraid for J. G. to take care of the baby. What would you say to him?
11. J. G.’s husband tells you that his wife is not good at remembering to take medication. What are some strategies that you should review with J. G. and her husband to increase the likelihood of compliance?
12. J. G. asks, “If I get my blood level under control will it stay at the same level as long as I take my medicine?” How would you answer her question?
13. J. G.’s husband asks if the drugs could harm his wife in any way. What general information would you give them about anticonvulsants?
14. J. G.’s husband says, “I was watching ‘Emergency’ last night and they showed this guy who just kept on having a seizure. That doctor had to give him lost of medicine before he came out of it. What is that called?” How would you explain status epilepticus, and why is it a medical emergency?

J. G. is a 34-year old P1 G1 woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced 3 tonic-clonic (grand mal) seizures, diagnosed as having a basal ganglion hematoma with infarct, and was started on phenytoin. Postdelivery, J. G. demonstrated dyskinesia, resulting in frequent falls with ambulation. When the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation, and 2 weeks of intensive physical therapy. She is now home, where she is doing quite well but still has occasional falls and is receiving physical therapy 3 times a week in her home. She remains on phenytoin and has had no seizures since her release from the rehabilitation facility. As case manager for J. G.’s HMO, you visit her and her family at home for evaluation of long-term, follow-up care.

1. A seizure is not a disease in itself but a symptom of a disease. What is the term for chronically recurring seizures?
2. Does J. G. have epilepsy?
3. The 3 main phases of a seizure are the preictal, ictal, and postictal. Differentiiate between the 3 phases, and list clinical symptoms you may observe when a patient is having a seizure.
4. What is the pathophysiology of a seizure?
5. J. G. had grand mal, or tonic-clonic, seizures. Describe this type of seizure. List 5 other types of seizures.
6. Some patients know they are about to have a seizure. What is this preseizure warning called, and what form does it take?
7. Besides the brain injury, what are some other possible conditions that could be contributing to J. G.’s lowered seizure threshold?
8. List 5 classifications of antizeisure medications.
9. J. G’s husband comes to visit and asks you what he should do if she has a seizure at home. What would you tell him?
10. Her husband states that he is afraid for J. G. to take care of the baby. What would you say to him?
11. J. G.’s husband tells you that his wife is not good at remembering to take medication. What are some strategies that you should review with J. G. and her husband to increase the likelihood of compliance?
12. J. G. asks, “If I get my blood level under control will it stay at the same level as long as I take my medicine?” How would you answer her question?
13. J. G.’s husband asks if the drugs could harm his wife in any way. What general information would you give them about anticonvulsants?
14. J. G.’s husband says, “I was watching ‘Emergency’ last night and they showed this guy who just kept on having a seizure. That doctor had to give him lost of medicine before he came out of it. What is that called?” How would you explain status epilepticus, and why is it a medical emergency?

President Clinton's crime bill from 1994 suggested a federal program that worked much like a price subsidy; the federal government would augment local government expenditures on police with additional funds from the federal treasury. (Assume police services is a normal good).

A. Draw an indifference curve diagram that depicts the changes in consumption of Police Services (x-axis please) and all other goods that occurs when the government first offers a police services subsidy to a state.

B. Congressional Republicans wanted to replace this price subsidy with block grants to the states that would involve just giving the states a set amount of money, which they could allocate as they chose. Suppose a state is receiving $100 million from the federal government under the price subsidy system in part A.. Now suppose the funding is changed so they receive a $100 million block grant. Analyze the impact on spending for "police services" and "all other goods" for this particular state using an indifference curve diagram. In particular, will "police services" increase, decrease, remain unchanged or is it impossible to tell? Why? What would happen to state “utility” under the block grant program versus the police services subsidy.

Assume that there is a two-period market with 100 identical customers who demand one unit of the good per period. Each is willing to pay up to a maximum price of $10. In the first time period there is one firm that acts as a monopolist and has a constant marginal cost equal to 5. In the second period the incumbent faces the possible entry of another firm. The potential entrant’s marginal cost is unknown to the incumbent firm. However, the incumbent assumes that the marginal cost is a random variable distributed uniformly between 0 and $10 with an expected value of $5. Assume that the incumbent offers its customers the following contract: pay a price of $10 in the first period and $7 in the second period. However, customers who switch to the entrant in time period 2 must pay a fee to the incumbent equal to $4.

Will customers accept such a contract if offered? Is the contract profitable to the incumbent? What effect does the contract have on the expected profit of the potential entrant and the probability of entry? Be sure to explain your reasoning for each answer.

Thermodynamic

In a piston-cylinder air at 100 kPa and 15°C undergoes the following cycle. First, it is compressed isentropically to a compression ratio of 20. Then 1800
kJ/kg of heat is transferred to the air at constant pressure. Afterwards the air expands isentropically. In the last step, heat is removed at constant volume until the air reaches its original state. Assuming air behaves as an ideal gas and with Cp and Cv independent of temperature, determine the:
(a) pressure and temperature at each point in the cycle,
(b) thermal efficiency of the cycle, and
(c) mean effective pressure.

Please work by step and orderly to easy work

1. ANSWER THE FOLLOWING IN FULL STEPS

A) Individuals in first-year science wrote a 100 point final where the grades were normally distributed. The mean was 60 and the standard deviation was 12. Students in first-year calculus also wrote a 100 point final where the grades were normally distributed. The mean was 68 and the standard deviation was 8. Brianna has a mark of 81 in science and a mark of 83 in calculus. The science professor has decided to bell curve the science class so that it has a mean of 65 and a standard deviation of 10. What would Brianna have in calculus now? Explain.

B) According to the label on a drink bottle, the bottle should contain 500 mL of product. Currently, the filling machine is set to a mean volume of 502 mL and a standard deviation of 1.5 mL. If too many cans are under-filled, they risk losing customers, but if the can surpasses 505 mL of fill, there will be spillover when the bottle is capped, wasting product. Does the company need to recalibrate the machine? Explain.

John had reimbursable health care expenses of $100 per week for the first 50 weeks of the year. John sent in claim forms for all of his reimbursable expenses in bulk at the end of the 50th week and received payment at the end of the 51st week, which he deposited in his account on the same day that he received it. Assume the annual effective rate of interest is 10.95%.

Determine the difference between the amount actually accumulated in his savings account at year-end and the amount that could have been accumulated if he had sent in his claim forms at the end of each week and received payment at the end of the following week.

A. < $230

B. >= $230 but < $240

C. >= $240 but < $250

D. >= $250 but < $260

E. >= $260