You are working in a clinic where a 24 year old female is being seen for suspected lithium (Eskalith) toxicity. She reports feeling nauseated, shaky, weak and has had episodes of diarrhea. She takes Lithium (Eskalith )600 mg po tid. She reports taking the medicine as prescribed.
Upon further discussion, she reports feeling “down” recently so she has been running extensively to try and lift her spirits. She asks you if her feelings of depression mean her bipolar disorder is out of control and she asks you “what exactly is bipolar disorder?”. Her serum lithium level is 1.9 mEq/L.
Explain how you will respond to her questions.
Develop a detailed teaching plan for this patient. Be sure to include details about bipolar disorder.
Provide all necessary information regarding Lithium (Eskalith)- including classification, action, side effects, nursing considerations/interventions.
What is a therapeutic serum level?

A 18 year loan is being repaid with level payments at the end of each month. The loan rate of interest is 15.6% compounded monthly. In which month is the interest portion approximately equal to 5 times principal the portion? Give an integer answer.

Suppose that 80% of widgets produced by a factory that generates thousands of widgets every year are of acceptable quality.

(a) If a quality control inspector selects 3 widgets independently and at random, what is the probability that at least one will not be of acceptable quality?

(b) Suppose that a quality control inspector selects a random sample of 60 widgets to determine the proportion that have an acceptable level of quality. If Pˆ is the proportion of acceptable widgets he will find in his sample, what is the sampling distribution for Pˆ.

(c) What is the probability that more than 47 of the selected 60 widgets are acceptable?

(d) If the inspector finds that exactly 47 of the widgets selected are acceptable and calculates a 95% confidence interval for the true proportion of widgets from the factory that are acceptable, what would the corresponding margin of error be?

K Company estimates that overhead costs for the next year will be $2,967,000 for indirect labor and $860,000 for factory utilities. The company uses direct labor hours as its overhead allocation base. If 86,000 direct labor hours are planned for this next year, how much overhead would be assigned to a product requiring 6 direct labor hours?

Multiple Choice

• $44.50

• $34.50

• $267.00

• $207.00

• None of the choices

  
  A company has two products: A1 and B2. It uses activity-based costing and has prepared the following analysis showing budgeted cost and activity for each of its three activity cost pools:

• 				Budgeted Activity
  Activity Cost Pool	Budgeted Cost			Product A1			Product B2
  Activity 1	$	64,000			2,800			6,400
  Activity 2	$	79,000			3,840			6,360
  Activity 3	$	112,000			8,800			2,400

  
  Annual production and sales level of Product A1 is 10,080 units, and the annual production and sales level of Product B2 is 23,910 units. What is the approximate overhead cost per unit of Product A1 under activity-based costing?

  Multiple Choice

• $6.96

• $7.75

• $10.00

• $13.61

• $4.93

Rolodex Inc. is in the process of determining its capital budget for the next fiscal year. The firm’s current capital structure, which it considers to be optimal, is contained in the following balance sheet:

Note: For this problem, use the book value of the items to get the capital structure. However, you normally want to use the market values. Long-term debt is the only debt capital structure account. Add common stock, capital in excess of par, and RE to get common equity.

Discussions between the firm’s financial officers and the firm’s investment and commercial bankers have yielded the following information:

• Rolodex can borrow $30 million from its bank at a pretax cost of 11 percent.
• Rolodex can borrow $25 million by issuing bonds at a net price of $875 per bond. The bonds would carry a 13 percent coupon rate and mature in 15 years.
• Additional debt can be issued at a 16 percent pretax cost
• Preferred stock can be issued at a pretax cost of 18 percent.
• Rolodex expects to generate $120 million in net income and pay $2.15 per share in dividends.

Hint: RE = Net income - total common dividends.There are 15m shares shown as outstanding in the balance sheet.

• The $2.15 per share dividend (D₁) represents a growth of 5.5 percent over the previous year’s dividend. This growth rate is expected to continue for the foreseeable future. The firm’s stock currently is trading at $16 per share.
• Rolodex can raise external equity by selling common stock at a net price of $14 per share.
• Rolodex’s marginal tax rate is 40 percent.

Round your answers to two decimal places. 10.12% would be entered as 10.12

• What is the weight on debt?   %
• What is the after-tax cost of debt for the second class of debt?  %
• What is the internal cost of equity?   %
• What is the external cost of equity?   %
• Does debt or equity have the lowest breakpoint? Enter debt or equity.

• Compute Rolodex’s marginal cost of capital schedule.

  	Weighted marginal cost of capital
  First increment:	%
  Second increment:	%
  Third increment:	%
  Additional funds:	%

Diesel: At an activity volume of 60,000 units per year, the unit cost of production of this part is calculated as follows:

An outside supplier offered to sell Carthage Inc. this electrical component at only $ 10 per unit. One-third of the specific fixed manufacturing overhead is made up of foremen's wages and other costs that can be eliminated if the part is purchased. The other two thirds of the specific fixed indirect manufacturing costs consist of the depreciation of the equipment used, which has no resale value. The decision to purchase the part in question from an outside supplier would have no effect on the company's common overhead, and the space currently used for this production could be rented at $ 80,000 per year.

1.a In addition to the quantitative analysis ($), the company must take into account what qualitative consideration.

a. The quality of the component in the event of purchase

b. the reliability of the supplier in terms of compliance with the specifics of the product and delivery.

c. the change in supplier prices during the next periods

d. All the foregoing

1.b Should Carthage Inc. Purchase the Part from the External Supplier? Yes or No.

1.c How much would increase or decrease the company's profits if it decided to buy the component rather than make it itself.
a. profits will decrease by $ 80,000.           b. profits will increase by $ 80,000.            c. profits will increase by $ 25,000. d. profits will decrease by $ 25,000.

1.d The relevant unit cost of production is :

a. 6,75 $            b. 10,25 $         c. 8,25 $            d. 7,25 $

The average life a manufacturer's blender is 5 years, with a standard deviation of 1 year. Assuming that the lives of these blenders follow approximately a normal distribution, find the probability that the mean life a random sample of 9 such blenders falls between 4.5 and 5.1 years.

The answer is 0.5511

Draw a graph showing the present value of a $1000 payment made 10 year in the future on the y-axis, and discount rate on the x-axis.

The owner of a bicycle repair shop forecasts revenues of $180,000 a year. Variable costs will be $55,000 and rental costs for the shop are $35000 a year. Depreciation on the repair tools will be $15000

a. Prepare an income statement for the shop based on these estimates. The tax rate is 20%

b. Calculate the Operating cash flow for the repair shop using three methods given below

dollars in minus dollars out

adjusted accounting profits

add back depreciation tax shield