CASE STUDY PARKINSON’S DISEASE Miss Rose is a 74 year old female, who is a retired widow and lives with her son for the past five years. Both enjoy planting seedlings and own a community agriculture store. She does not suffer with hypertension or diabetes and has an active lifestyle. She is also not known to have any psychiatric illnesses. Over the past six months Miss Rose’s son and herself noticed physical changes and decided to visit her General Practitioner. At her visit she mentioned to the doctor that she was having difficulty rising up from a sitting position after grooming her plants or turning from one table to another when she has customers. Documentation on her clinic file noted that she previously complained of difficulty walking and falling when coming out of bed. She was sent for an X-ray but there were no clinical findings. The physician asked her to describe what happened when she fell. Miss Rose verbalized that when she got up from bed and starting walking she started moving forward and backward then stooped forward with small fast steps and then she fell. Her son mentioned to the doctor that he has noticed that when she is pruning her plants she has abnormal rhythmic movement of the upper and lower limbs. She occasionally has a slight limp and her handwriting has become smaller over the past months. This has stopped her from doing her daily yoga exercises and she has been very disturbed about it. Miss Rose then further explained that the movement started on the distal part of both upper limbs at the same time. She also expressed that during rest she noticed the movement in her limbs and as she started her tasks the movements became more aggravated. Urinary incontinence is also a problem for Miss Rose and she is having difficulty in her swift movements to her bathroom. The patient was later diagnosed with Parkinson’s disease. After the assessment and interview of Miss Rose the Physician documented the following: Physical Assessment Vital Signs: BP- 130/74 mmHg Temperature - 36.7 C, Pulse- 78 bpm regular and bounding Respiration- 20 bpm Height- 5ft 7 in Weight- 70 kg Facial expression- Masklike Gait- Shuffling gait with tendency to fall forward and backward CNS Examination Alert and oriented to time, person and place Level of consciousness GCS- 15/15 Sleeping patterns- normal Swallowing gag reflex- normal Cogwheel rigidity present Tremor present Bradykinesia present Dysphonia present

Instructions:Answer the question below.

a) Discuss the nursing management of the patient using a care plan. Three actual and two (2) potential problems.

Sherrod, Inc., reported pretax accounting income of $74 million for 2021. The following information relates to differences between pretax accounting income and taxable income:

1. Income from installment sales of properties included in pretax accounting income in 2021 exceeded that reported for tax purposes by $7 million. The installment receivable account at year-end 2021 had a balance of $8 million (representing portions of 2020 and 2021 installment sales), expected to be collected equally in 2022 and 2023.
2. Sherrod was assessed a penalty of $3 million by the Environmental Protection Agency for violation of a federal law in 2021. The fine is to be paid in equal amounts in 2021 and 2022.
3. Sherrod rents its operating facilities but owns one asset acquired in 2020 at a cost of $68 million. Depreciation is reported by the straight-line method, assuming a four-year useful life. On the tax return, deductions for depreciation will be more than straight-line depreciation the first two years but less than straight-line depreciation the next two years ($ in millions):

4. For tax purposes, warranty expense is deducted when costs are incurred. The balance of the warranty liability was $1 million at the end of 2020. Warranty expense of $3 million is recognized in the income statement in 2021. $2 million of cost is incurred in 2021, and another $3 million of cost anticipated in 2022. At December 31, 2021, the warranty liability is $2 million (after adjusting entries).
5. In 2021, Sherrod accrued an expense and related liability for estimated paid future absences of $14 million relating to the company’s new paid vacation program. Future compensation will be deductible on the tax return when actually paid during the next two years ($8 million in 2022; $6 million in 2023).
6. During 2020, accounting income included an estimated loss of $2 million from having accrued a loss contingency. The loss is paid in 2021, at which time it is tax deductible.

Balances in the deferred tax asset and deferred tax liability accounts at January 1, 2021, were $0.8 million and $1.5 million, respectively. The enacted tax rate is 25% each year.

1. Determine the amounts necessary to record income taxes for 2021, and prepare the appropriate journal entry. (If no entry is required for a transaction/event, select "No journal entry required" in the first account field. Enter your answers in millions rounded to 2 decimal places (i.e., 5,500,000 should be entered as 5.50).)

Journal entry worksheet

2. What is the 2021 net income? (Enter your answer in millions rounded to 2 decimal places (i.e., 5,500,000 should be entered as 5.50)

3.Show how any deferred tax amounts should be classified and reported in the 2021 balance sheet. (Enter your answer in millions rounded to 2 decimal places (i.e., 5,500,000 should be entered as 5.50

74) The lymphatic system

A) collects fluid from around the brain and spinal cord.

B) has a pumping mechanism to move fluid.

C) is the site of B and T cell clonal deletion.

D) includes areas of high concentrations of APCs, T and B cells.

E) is very impermeable to extracellular fluid.

94) Viruses that naturally cause clumping of red blood cells can be diagnosed using a(n) ________ test.

A) both agglutination and complement fixation

B) viral neutralization

C) agglutination

D) complement fixation

E) viral hemagglutination

nursing care plan for Linda Pittmon, a 74 -year old female patient who is a noncompliant diabetic, and frequently stays at the local homeless shelter. She has been admitted to the floor with complaints of numbness in her right foot and ankle. Mrs. Pittmon states she has had numbness for years but “now I can’t feel it at all, and my toes don’t look the right color.”. The care plan must have 5 priority nursing diagnosis.

Federal housing choice vouchers​ ($19 billion in​ 2015) and food stamps​ ($74 billion in​ 2014) are two of the largest​ in-kind transfer programs for the poor. Many poor people are eligible for both​ programs: 30% of housing assistance recipients also used food​ stamps, and​ 38% of food stamp participants also received housing assistance​ (Harkness and​ Newman, 2003). Suppose​ Jill's income is​ $500 a​ month, which she spends on food and housing. The price of food and of housing is each​ $1 per unit. Draw her budget line. If she receives ​$150 in food stamps and ​$50 in a housing subsidy​ (which she can only spend on​ housing), how do her budget line and opportunity set​ change? ​1.) Use the line drawing tool to draw​ Jill's budget line without food stamps and federal housing support. Label this line ​'L1. ​

2.) Using the multipoint curved line drawing tool to draw​ Jill's budget line with ​$150 in food stamps and a ​$50 housing subsidy. Label this line ​'L2. Carefully follow the instructions​ above, and only draw the required objects. 

*Please answer question 1 and 2 as stated in this post. Thank You !!

According to the National Health Survey, systolic blood pressures of 18- to 74-year-old males in the United States are normally distributed with mean 129 millimeters of mercury (mm Hg) and standard deviation 19.8 mm Hg.

Determine the quantile q of the distribution of the systolic blood pressures such that 95% of the population has systolic blood pressure ≤ q.              

CASE STUDY PARKINSON’S DISEASE

Miss Rose is a 74 year old female, who is a retired widow and lives with her son for the past five years. Both enjoy planting seedlings and own a community agriculture store. She does not suffer with hypertension or diabetes and has an active lifestyle. She is also not known to have any psychiatric illnesses. Over the past six months Miss Rose’s son and herself noticed physical changes and decided to visit her General Practitioner. At her visit she mentioned to the doctor that she was having difficulty rising up from a sitting position after grooming her plants or turning from one table to another when she has customers. Documentation on her clinic file noted that she previously complained of difficulty walking and falling when coming out of bed. She was sent for an X-ray but there were no clinical findings. The physician asked her to describe what happened when she fell. Miss Rose verbalized that when she got up from bed and starting walking she started moving forward and backward then stooped forward with small fast steps and then she fell. Her son mentioned to the doctor that he has noticed that when she is pruning her plants she has abnormal rhythmic movement of the upper and lower limbs. She occasionally has a slight limp and her handwriting has become smaller over the past months. This has stopped her from doing her daily yoga exercises and she has been very disturbed about it. Miss Rose then further explained that the movement started on the distal part of both upper limbs at the same time. She also expressed that during rest she noticed the movement in her limbs and as she started her tasks the movements became more aggravated. Urinary incontinence is also a problem for Miss Rose and she is having difficulty in her swift movements to her bathroom. The patient was later diagnosed with Parkinson’s disease. After the assessment and interview of Miss Rose the Physician documented the following: Physical Assessment Vital Signs: BP- 130/74 mmHg Temperature - 36.7 C, Pulse- 78 bpm regular and bounding Respiration- 20 bpm Height- 5ft 7 in Weight- 70 kg Facial expression- Masklike Gait- Shuffling gait with tendency to fall forward and backward CNS Examination Alert and oriented to time, person and place Level of consciousness GCS- 15/15 Sleeping patterns- normal Swallowing gag reflex- normal Cogwheel rigidity present Tremor present Bradykinesia present Dysphonia present

Instructions:Answer the question below.

a) Discuss the nursing management of the patient using a care plan. Three actual and two (2) potential

1. Exercise 11.79

A gas mixture contains 74% nitrogen and 26% oxygen.

If the total pressure is 1.18 atm what are the partial pressures of each component?

Express your answers using two significant figures. Enter your answers numerically separated by a comma.

2. Chapter 11 Question 11 - Algorithmic

What is the molecular weight of a gas if a 21.0 g sample has a pressure of 836 mm Hg at 25.0°C in a 2.00 L flask? (R= 0.0821 L atm/ mol K)

What is the molecular weight of a gas if a 21.0 g sample has a pressure of 836 mm Hg at 25.0°C in a 2.00 L flask? (R= 0.0821 L atm/ mol K)

3. Exercise 11.91

CH3OH can be synthesized by the reaction:
CO(g)+2H2(g)→CH3OH(g)

Part A

How many liters of H2 gas, measured at 748 mmHg and 83 ∘C, are required to synthesize 0.53 molof CH3OH?

Part B

How many liters of CO gas, measured under the same conditions, are required?

Express your answer using two significant figures.

4. Exercise 11.97

How many grams of calcium are consumed when 160.4 mL of oxygen gas, measured at STP, reacts with calcium according to the following reaction?
2Ca(s)+O2(g)→2CaO(s)

An advertised investment product promises to pay $439 per month for 74 months commencing in 1 month from today.

If the investment earns 12.0% p.a compounding monthly, how much will the investment product cost today? (round to nearest cent; don’t use $ sign or commas) Select one:

a. $22877.57 b. $23106.35 c. $1839.59 d. $2060.34

Brenda, a 74-year-old woman with a history of rheumatic fever while in her twenties, presented to her physician with complaints of increasing shortness of breath ("dyspnea") upon exertion. She also noted that the typical swelling she's had in her ankles for years has started to get worse over the past two months, making it especially difficult to get her shoes on toward the end of the day. In the past week, she's had a decreased appetite, some nausea and vomiting, and tenderness in the right upper quadrant of the abdomen.On physical examination, Brenda's jugular veins were noticeably distended. Auscultation of the heart revealed a low-pitched, rumbling systolic murmur, heard best over the left upper sternal border. In addition, she had an extra, "S3" heart sound. A chest X-ray reveals a normal cardiac silhouette that is normal in diameter, but her physical examination reveals hepatomegaly and ascites, as well as pitting edema in her ankles. She is advised to wear support stockings and given a prescription for digoxin. Two weeks later she returns to the office for a follow-up visit; upon physical examination, she still has significant hepatomegaly and pitting edema, and is significantly hypertensive (i.e. she has high blood pressure). Her physician prescribes a diuretic called furosemide (or "Lasix").

1. What is the general diagnosis for Brenda’s condition? What would the diagnosis be if there were pulmonary edema instead of systemic edema?

2. Why is Brenda started on digoxin? How does it work? State your answers in terms of chronotropism and inotropism, the Na+/K+ ATPase, cytoplasmic Ca++ concentrations, and the proteins in a cardiomyocyte’s sarcomere.

3. What happened to Brenda in the two weeks before her follow-up visit? In other words, how did her body begin to compensate for decreased stroke volume? Utilize cardiac output, sympathetic nervous system, vasoconstriction to “less vital” organs (including the kidney) the renin-angiotensin-aldosterone (R-A-A) axis, Angiotensin II, ADH, pre-load and after-load, the Frank-Starling law, and the actions of digoxin.

4. Why was she given Lasix medication, and how does it work?