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Discussion: Leadership & Prioritization 22 unread replies.22 replies. You are the RN working on a surgical unit, and you are assigned the following four clients: A 62-year old male with a history of COPD and CHF, who had a cholecystectomy A 28-year old female with a head injury from a motorcycle accident who had burr hole surgery A 43-year old female with controlled AFib who has a broken right leg from falling off a horse A 62-year old college professor who had a stroke while playing tennis Their surgeries were all unremarkable, and they are all 1-day postoperative. You heard the following updates in change-of-shift report this morning: 02 sat 92% on 2L, lung sounds diminished bilaterally, non-productive cough Persistent confusion and slight restlessness, moves all extremities Pain level is 8/10, up from 5/10 last night. Right pedal pulses weak, right foot swollen. Complaining of headache at 10/10, unrelieved by pain medication. Questions:

1.Which of these clients should the nurse see first? Explain your answer.

2 What other information is needed (if any) to make your decision.

3 Use the Nightingale library and the CINAHL search system to find an article from a peer-reviewed journal published in the last 5 that supports the priorities of nursing care you identified.

Chapter 17( Immunohematology and Transfusion Medicine)

A 17-year-old man is admitted with multiple injuries after his motorcycle crashes. The emergency department physician draws a blood sample for a STAT type and crossmatch. The motorcyclist's passenger also has blood drawn for a STAT type and screen. An immediate-spin crossmatch is compatible between the group A patient and group A donor. The unit of blood is issued from the blood bank as an emergency release. After receiving 50 mL of the first unit of RBCs, the man develops shaking chills and becomes hypotensive with a falling blood pressure. The unit of cells is immediately discontinued, and the transfusion service is notified of the situation. A recheck of testing is requested immediately.

Laboratory Testing Clerical check:

No evidence of clerical errors

Hemoglobinemia: Slight hemolysis observed

Direct antiglobulin test

Patient pretransfusion: Negative

Patient posttransfusion: Weakly positive

Recheck of blood grouping

pretransfusion: A positive Patient

posttransfusion: O positive

Donor: A positive

Repeat crossmatches

Patient pretransfusion + Donor red blood cells = Compatible

posttransfusion + Donor red blood cells = Incompatible

Critical Thinking Group Discussion

1. Why did this patient experience shaking chills and other adverse effects after receiving only 50 mL of red blood cells?

2. If the patient's adverse reaction to the blood transfusion had not been noted soon after the beginning of the transfusion, what physiologic changes would have occurred to the patient?

PneumoTech, Inc. is studying the addition of a new valve to its product line. The valve would be used by manufacturers of pneumatic equipment. The company anticipates starting with a relatively low sales volume and then boosting demand over the next several years. A new salesperson must be hired because PneumoTech's current sales force is working at capacity. Two compensation plans are under consideration:

           Plan A:    An annual salary of $33,000 plus a 10% commission based on gross dollar sales.

           Plan B:    An annual salary of $99,000 and no commission.

PneumoTech, Inc. will purchase the valve for $75 and sell it for $120. Anticipated demand during the first year is 6,000 units. (In the following requirements, ignore income taxes.)

Required:

1. Compute PneumoTech's break-even point for Plan A and Plan B.

2. What is meant by the term operating leverage?

3. Analyze the cost structures of both plans at the anticipated demand of 6,000 units. Which of the two plans is more highly leveraged? Why?

4. Assume that a general economic downturn occurred during year 2, with product demand falling from 6,000 to 5,000 units. Determine the percentage decrease in company net income if PneumTech had adopted Plan A.

5. Repeat requirement (4) for Plan B. Compare Plan A and Plan B, and explain a major factor that underlies any resulting differences.

6. Briefly discuss the likely profitability impact of an economic recession for highly automated manufacturers. What can you say about the risk associated with these firms?

This question has its origin to the reference on the Aegis experiment at CERN where they aim to produce super cooled antihydrogen and detect whether its reaction to gravity is negative.

It set me thinking that the beams in the Tevatron circulate for more than a second and everything falls about 4.9 meters in a second, so the bunches must be falling too. This of course will be compensated by the fields that keep the bunches in track among all the other corrections necessary. If though the antiprotons have a different behavior under gravity, this difference would appear in the orbits of protons and antiprotons.

The question has two points: a) since the beams are travelling equal and opposite paths through the magnetic circuit, a negative gravity effect on antiprotons would disperse the antiproton beam up with respect to the path of the proton one. Could one get a limit on the magnitude of the gravitational effect difference between protons and antiprotons from this?

I found one reference where the antiproton beam has a different behavior in chromaticity than the proton one, and it is explained away.

Now I am completely vague about beam dynamics which I have filed under "art" rather than "physics" but b) am wondering whether this observed difference could be interpreted as a gravitational field difference in a dedicated experiment.

Maybe there are beam engineers reading this list. My feeling is that if antiparticles had negative gravity interactions , beam engineers would have detected it since the first e+e- machine, but feelings can be wrong.

PortaCom manufactures notebook computers and related equipment. PortaCom's product design group developed a prototype for a new high-quality portable printer. The new printer features an innovative design and has the potential to capture a significant share of the portable printer market. Preliminary marketing and financial analyses provided the following selling price, first-year administrative cost, and first-year advertising cost:

In the simulation model for the PortaCom problem, the preceding values are constants and are referred to as parameters of the model.

1. An engineer on the product development team believes that first-year sales for the new printer will be 18,000 units. Using estimates of $44 per unit for the direct labor cost and $93 per unit for the parts cost, what is the first-year profit using the engineer's sales estimate?
   
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2. The financial analyst on the product development team is more conservative, indicating that parts cost may well be $101 per unit. In addition, the analyst suggests that a sales volume of 9,500 units is more realistic. Using the most likely value of $44 per unit for the direct labor cost, what is the first-year profit using the financial analyst's estimates?
   
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Many individuals who receive a stimulus check as a result of COVID- 19 will receive a $1200 direct deposit. Individuals earning between 75k and 99k will only receive a fraction of the $1200 deposit. Suppose Debra earned above 75k in 2018 and 2019 and only receives a $1000 direct deposit stimulus. Using the bank ledger, we have seen in class, and assuming the required reserve ratio is .7, show three bank deposits from the initial round of spending. What is the ultimate impact on money supply? In one or more paragraph describe what happens in each round of spending and the overall impact on money supply. Also include in your explanation, alongside a clearly labeled graph, the impact on the money market.

PLEASE HELP WITH THE GRAPH(S) SPECIFICALLY.

Is there a relationship between the dollars spent each week on recreation and the number of members of the family? Do larger families spend more on recreation? Ten Chicago families shared the following information:

Family Size               3         6        5        6        6        3        4         4         5        3

Amount Spent          99        104     151     129     142     111     74        91        119     91

h. Predict the recreational spending for a family of size 5.

i. If there are families of that size in the data set, what are the residuals for those observations?

j. Test the explanatory power of the model at a 5% level of significance.

k. Test if there is a positive relationship between family size and recreational spending. Use alpha = 0.01.

l. What is the excel command used to produce the p-value associated with the test in part k?