Questions
Agnes is a 63-year old female with a history of a variety of medical problems over...

Agnes is a 63-year old female with a history of a variety of medical problems over the last 3 years. Her history is noted for two myocardial infarctions, hypertension, NIDDM and stasis dermatitis of the left leg. Her surgical history is significant for a coronary bypass approximately one year ago.
Today, Agnes presents with SOB which has progressively gotten worse over the last five days. She has, also been experiencing episodes of SOB during the past four months, especially when she is exerting herself. She fatigues easily and has lost "all my energy to do anything." She also complains of anorexia. Last night she suddenly woke up from her sleep and said "I couldn’t catch my breath" and had a dry cough. She reported that she has been sleeping with two to three pillows at night.
Agnes’ physical examination revealed woman who appeared to be depressed and appeared older than his actual age. Her appearance was disheveled. Her respirations seemed labored and her lips have a “blueish tinge”.
Vitals: BP- 91/84mmHg in the rt. arm; HR- 110/bpm; RR- 26/rpm; Temperature- 98F. On PE: there was a dullness to percussion in the bilateral bases with decreased excursion of the diaphragms, course rhonchi were present and inspiratory crackles are heard in the lower lung fields. Cardiac: there were prominent jugular veins that distended to the mandible. The apical pulse is palpated in the 5ICS, left of the MCL. There was an S3 that was palpable at the apex. S1 and S2 were diminished. A grade 3/6 holosytolic murmur was also present at the apex with radiation to the left axilla. The abdominal wall: the anterior wall is round and soft. The liver edge is palpable and tender. The spleen is not palpable. Peripheral exam of the extremities revealed diminished peripheral pulses in the lower limbs. There was an irregular pulse present. Pitting edema was also present in both lower extremities.
The patient was admitted to the hospital that day.
  
Laboratory results:
CBC:
WBC count = 8,4000/mm3 with normal differential count
Hb - 14.6g/dL, Hematocrit 40%
Platelet count 290,000/mm3
Chemistries:
Glucose 112mg/dL (non-fasting); ​​BUN 33mg/dL; Creatinine 1.6mg/dL; ​
Total Bilirubin 1.9gm/dL, ​​​Direct Bilirubin 0.3mg/dL;
Total Protein 5.8g/dL, ​​​Albumin 3.1g/dL;
Electrolytes:
Sodium 132mEq/L, ​​Chloride 93mEq/L, ​​Potassium 4.0mEq/L, ​​ Bicarbonate 23mEq/L; ​Urine: Specific Gravity 1.032, 1 plus protein, hyaline casts.
Chest X-ray reading:
Marked prominence of the pulmonary vascular shadows (bilateral), bilateral pleural effusions, increased haziness and decreased radiolucency of the lung parachyma (bilateral), increased transverse diameter of the heart.
1. What is Agnes’ diagnosis?
2. What is the cause of Agnes’ diagnosis?
3. What other diagnostic testing does the Agnes need to have ordered? Why?
4. What is the standard treatment for Agnes’ diagnosis?
5. What is the long-term management that Agnes will need to do?

In: Nursing

On January 8, the end of the first weekly pay period of the year, Regis Company's...

On January 8, the end of the first weekly pay period of the year, Regis Company's employees earned $22,760 of office salaries and $70,840 of sales salaries. Withholdings from the employees' salaries include FICA Social Security taxes at the rate of 6.2%, FICA Medicare taxes at the rate of 1.45%, $12,860 of federal income taxes, $1,440 of medical insurance deductions, and $880 of union dues. No employee earned more than $7,000 in this first period. Required: 1.1 Calculate below the amounts for each of these four taxes of Regis Company. Regis’s state unemployment tax rate is 5.4% of the first $7,000 paid to each employee. The federal unemployment tax rate is 0.6%. 1.2 Prepare the journal entry to record Regis Company's January 8 employee payroll expenses and liabilities. 2. Prepare the journal entry to record Regis’s employer payroll taxes resulting from the January 8 payroll. Regis’s state unemployment tax rate is 5.4% of the first $7,000 paid to each employee. The federal unemployment tax rate is 0.6%.

Calculate below the amounts for each of these four taxes of Regis Company. Regis’s state unemployment tax rate is 5.4% of the first $7,000 paid to each employee. The federal unemployment tax rate is 0.6%. (Round your answers to 2 decimal places.)

Prepare the journal entry to record Regis Company's January 8 employee payroll expenses and liabilities. (Round your answers to 2 decimal places.) Record the employee payroll expenses and liabilities for the first weekly pay period of the year.

Prepare the journal entry to record Regis’s employer payroll taxes resulting from the January 8 payroll. Regis’s state unemployment tax rate is 5.4% of the first $7,000 paid to each employee. The federal unemployment tax rate is 0.6%. (Round your answers to 2 decimal places.) Record the employer’s payroll expenses and liabilities for the first weekly pay period of the year.

In: Accounting

Carl's Automotive operating income for the year was $900,000. Their net profit margin was 2.25% and...

Carl's Automotive operating income for the year was $900,000. Their net profit margin was 2.25% and their operating profit margin was 4.25%. Their total taxes amount to 40%. Depreciation was 10% of net fixed assets which totaled $1,250,000. Create their Income statement. Be sure to include all items of an income statement (operating costs, DA, Int, Taxes, etc.).

In: Accounting

The following information was taken from the records of Bridgeport Inc. for the year 2017: Income...

The following information was taken from the records of Bridgeport Inc. for the year 2017: Income tax applicable to income from continuing operations $206,448; income tax applicable to loss on discontinued operations $27,336, and unrealized holding gain on available-for-sale securities (net of tax) $23,700.

Gain on sale of equipment

$97,700

Cash dividends declared

$139,500

Loss on discontinued operations

80,400

Retained earnings January 1, 2017

611,500

Administrative expenses

244,100

Cost of goods sold

933,800

Rent revenue

44,200

Selling expenses

277,800

Loss on write-down of inventory

60,600

Sales Revenue

1,981,600


Shares outstanding during 2017 were 109,300.

(a) Prepare a multiple-step income statement. (Round earnings per share to 2 decimal places, e.g. 1.48.)

In: Accounting

The following information pertains to the City of Williamson for 2017, its first year of legal...

The following information pertains to the City of Williamson for 2017, its first year of legal existence. For convenience, assume that all transactions are for the general fund, which has three separate functions: general government, public safety, and health and sanitation.

Receipts:

Property taxes

$440,000

Franchise taxes

50,100

Charges for general government services

7,300

Charges for public safety services

5,600

Charges for health and sanitation services

45,900

Issued long-term note payable

299,500

Receivables at end of year:

Property taxes (90% estimated to be collectible)

99,800

Payments:

Salary:

General government

66,750

Public safety

44,500

Health and sanitation

29,400

Rent:

General government

12,300

Public safety

21,900

Health and sanitation

4,800

Maintenance:

General government

40,000

Public safety

6,300

Health and sanitation

10,100

Insurance:

General government

8,700

Public safety ($3,400 still prepaid at end of year)

12,700

Health and sanitation

13,500

Interest on debt

23,960

Principal payment on debt

5,990

Storage shed

203,000

Equipment

96,500

Supplies (20% still held) (public safety)

24,100

Investments

110,000

Ordered but not received:

Equipment

16,000

Due in one month at end of year:

Salaries:

General government

4,500

Public safety

9,600

Health and sanitation

9,900

Compensated absences (such as vacations and sick days) are legally owed to general government workers at year-end total $20,300. These amounts will not be taken by the employees until so late in 2018 that the payment is not viewed as requiring 2017 current financial resources.

The city received a piece of art this year as a donation. It is valued at $14,500. It will be used for general government purposes. There are no eligibility requirements. The city chose not to capitalize this property.

The general government uses the storage shed that was acquired this year. It is being depreciated over 10 years using the straight-line method with no salvage value. The city uses the equipment for health and sanitation and depreciates it using the straight-line method over five years with no salvage value.

The investments are valued at $132,100 at the end of the year.

For the equipment that has been ordered but not yet received, the City Council (the highest decision-making body in the government) has voted to honor the commitment when the equipment is received.

  1. a-1. Prepare a statement of activities for governmental activities for December 31, 2017.
  2. a-2. Prepare a statement of net position for governmental activities for December 31, 2017.

In: Accounting

The following information pertains to the City of Williamson for 2017, its first year of legal...

The following information pertains to the City of Williamson for 2017, its first year of legal existence. For convenience, assume that all transactions are for the general fund, which has three separate functions: general government, public safety, and health and sanitation.

Receipts:

Property taxes

$440,000

Franchise taxes

50,100

Charges for general government services

7,300

Charges for public safety services

5,600

Charges for health and sanitation services

45,900

Issued long-term note payable

299,500

Receivables at end of year:

Property taxes (90% estimated to be collectible)

99,800

Payments:

Salary:

General government

66,750

Public safety

44,500

Health and sanitation

29,400

Rent:

General government

12,300

Public safety

21,900

Health and sanitation

4,800

Maintenance:

General government

40,000

Public safety

6,300

Health and sanitation

10,100

Insurance:

General government

8,700

Public safety ($3,400 still prepaid at end of year)

12,700

Health and sanitation

13,500

Interest on debt

23,960

Principal payment on debt

5,990

Storage shed

203,000

Equipment

96,500

Supplies (20% still held) (public safety)

24,100

Investments

110,000

Ordered but not received:

Equipment

16,000

Due in one month at end of year:

Salaries:

General government

4,500

Public safety

9,600

Health and sanitation

9,900

Compensated absences (such as vacations and sick days) are legally owed to general government workers at year-end total $20,300. These amounts will not be taken by the employees until so late in 2018 that the payment is not viewed as requiring 2017 current financial resources.

The city received a piece of art this year as a donation. It is valued at $14,500. It will be used for general government purposes. There are no eligibility requirements. The city chose not to capitalize this property.

The general government uses the storage shed that was acquired this year. It is being depreciated over 10 years using the straight-line method with no salvage value. The city uses the equipment for health and sanitation and depreciates it using the straight-line method over five years with no salvage value.

The investments are valued at $132,100 at the end of the year.

For the equipment that has been ordered but not yet received, the City Council (the highest decision-making body in the government) has voted to honor the commitment when the equipment is received.

  1. b-1. Prepare a statement of revenues, expenditures, and other changes in fund balances for the general fund as of December 31, 2017. Assume that the city applies the consumption method.
  2. b-2. Prepare a balance sheet for the general fund as of December 31, 2017. Assume that the city applies the consumption method.

In: Accounting

In May of the current year, your employer received a PIER report from the CRA that...

In May of the current year, your employer received a PIER report from the CRA that identified Canada Pension Plan (CPP) contribution deficiencies for employees in the organization who:

turned 18 during the year

turned 70 during the year

had chosen to opt out of paying CPP by submitting a completed CPT30 form

To avoid a recurrence, the Payroll Manager, Melissa Chan, has asked you to prepare a summary of the CPP reporting requirements on T4 information slips. The summary will be used to validate the current payroll setup to ensure that the T4s will be completed properly in future. Provide information on the CPP related boxes that must be completed, including how any amounts are calculated, for employees who:

are under 18 for the entire year

turn 18 during the year

are over 70 for the entire year

turn 70 during the year

submit a completed CPT30 form during the year, electing to stop contributing to the Canada Pension Plan

submit a completed CPT30 form during the year, revoking their previous election to stop contributing to the Canada Pension Plan

In: Accounting

South Hampton University is preparing its budget for the upcoming academic year. This is a specialised...

South Hampton University is preparing its budget for the upcoming academic year. This is a specialised private university that charges fees for all degree courses. Currently, 30,000 students are enrolled on campus. However, the university is forecasting a 5 per cent growth in student numbers in the coming year, despite an increase in fees to $3,000 per subject. The following additional information has been gathered from an examination of university records and conversations with university managers:

 South Hampton is planning to award scholarships to 200 students, which will cover their fees.

 The average class has 80 students, and the typical student takes 4 subjects per semester. South Hampton operates 2 semesters per year.

 The average academic staff salary is $120,000 per annum including on-costs.

 South Hampton’s academic staff are evaluated on the basis of teaching, research, administration and professional/community service. Each of the academic staff teaches the equivalent of three subjects during the academic year.

Required:

a) Prepare a revenue budget for the upcoming academic year.

b) Determine the number of staff needed to cover classes.

c) Assume there is a shortage of full-time academic staff. List and explain at least five actions that South Hampton might take to accommodate the growing student numbers. (200 words)

In: Accounting

In a person without Type 2 diabetes and with a 10-year ASCVD risk determined to be...

  1. In a person without Type 2 diabetes and with a 10-year ASCVD risk determined to be 15% with two other risk factors, what do the 2018 cholesterol guidelines suggest?
    1. The person may be withheld statin therapy because his 10-year risk is <20%
    2. The person should be considered for moderate intensity statin therapy
    3. The person is recommended for high intensity statin therapy
    4. None of the above
  2. What is an example of secondary prevention?
    1. Reducing cholesterol levels in persons with a prior stroke
    2. Jump rope for heart health in school children
    3. Blood pressure control in persons with coronary calcium but no evidence of clinical events
    4. a and c
    5. All of the above

In: Nursing

A 65-year-old male was admitted for evaluation of pain on swallowing and a sore throat that...

A 65-year-old male was admitted for evaluation of pain on swallowing and a sore throat that has persisted for the past year. The discomfort has not changed with the use of various over the counter cold remedies. The client has lost weight due to a decrease in appetite and difficulty swallowing. He has smoked 3 packs of cigarettes a day for 40 years.

A laryngoscopy showed a subglottic mass. The client had a total laryngectomy with tracheostomy to manage laryngeal cancer. He also has a nasogastric tube in place.

You will be providing care for this client during his first 72 hours after surgery.

Initial Discussion Post:

There are multiple nursing diagnoses that are applicable to this client during the time when you will be providing care.

Select one NANDA-I nursing diagnosis and describe why it is a priority for this client.

What is the cause or related factor for this NANDA-I nursing diagnosis?

Identify an outcome for this NANDA-I nursing diagnosis. The outcome must be patient centered and measurable.

Identify two (2) nursing interventions that will help this client achieve the outcome.

Describe how each intervention will help the patient achieve the outcome..

In: Nursing