Eric Smith is a 17 year old male who was involved in a fight with another teenager. During the fight, the alleged teenager picked up Eric and threw him to the ground. Eric landed on his neck, attempted to get up, but was unable to move. Eric stated that he was unable to move and witnesses called 911. The paramedics responded immediately, applied a cervical collar, placed him on a transfer board, and transported him to the Harper Medical Center emergency department.

Subjective Data:

·       “I can’t move my legs”.

·       “I landed on my neck”.

Objective data:

              Physical Examination

·       Cardiovascular: B/P - 80/60        AP – 42/regular               RR – 24/min O2 sat – 95% Carotid pulse felt but weak radial and femoral pulse palpated - 1+/1+

·       Temperature:    94.2

·       No anal sphincter tone present.

·       Ecchymosis noted on right upper arm and scapular area

·       Abrasions noted on face, right arm and back

·       No movement, sensation or pain noted in right or left leg

·       No movement, sensation or response to painful stimuli bilaterally in upper extremities.

Diagnostic Studies:

              CT scan reveals fracture in C5

Laboratory values:

              All labs within normal limits

Type and crossmatch:    B negative          Antibody screen – negative

1.           Upon arrival to the emergency room, the triage nurse assesses the situation and deems that this is ______________________________________________. What should the triage nurse do next?

2.           What is the data obtained from the primary assessment?

3.           What is the data that is obtained from the secondary assessment?

4.           What is the diagnosis that the nurse suspects and why does it occur? Interpret and explain all the data presented and its significance.

5.           What are some other causes of this diagnosis and what is your role in preventing it in other patients?

6.           What are the initial nursing responsibilities?

7.           What nursing assessments are essential and at what frequency should they be performed?

8.           List and prioritize three nursing diagnoses for this patient.

9.           What are some other collaborative problems that may occur?

10.         Document your findings on the flow sheet and also document your findings using narrative format.

1) In a given year the nominal growth rate is 7% with inflation and population growth rates of 2% and 1.2% respectively, then real growth rate of GDP per capita is:

A. 3.8%.

B. 5.0 %.

C. 5.8%.

D. 7.0 %.

2) You purchase a bag of chocolate chips for $3, a bag of flour for $1, a bag of sugar for $.50, a half dozen eggs for $.50, and a half pound of butter for $2. You use all these ingredients to make three dozen cookies. Your roommate offers you $15 for them, and you happily accept. How much does this process contribute to GDP?

A. $7

B. $15

C. $22

D. $8

Please show how to calculate.

D. Fred presents with a 3-year history of pain and itching of the toes of both feet and of his left palm and fingers. Small red lesions are visible on the left fingers. He is in good health and training for college athletic teams in baseball, volleyball and swimming. During the 3 years, Fred has been using his medication sporadically and has now returned to the clinic since the condition is no longer responding to the current medication. Direct examination of palm skin scrapings with calcofluor reveals septate, nonpigmented hyphae, some coiled. A PDA culture of scrapings from Fred's feet grew a white fungus with thin-walled macroconidia and numerous microconidia.

9. What is wrong with Fred and how did he likely get it?

10. Describe the usual treatment for this condition? Why was it not working for Fred?

What are the advantages and disadvantages of a firm using the same external auditors year after year? What are the advantages and disadvantages of firms changing external auditors every few years?

a) What is the price of a 10-year bond paying semi-annual coupons at the rate of 5% compounded semi- annually, if it is priced to yield 4.8% compounded semi-annually?

b) Is the bond trading at a premium or at a discount?

c) What would be the price quote for this bond?

d) What is the Macaulay duration of this bond in years, rounded to 2 decimal places? (Hint: create a table in excel)

e) What is the price of a 10-year zero coupon bond priced to yield 4.8% compounded semi-annually?

Mayfawny owns an 8 year bond with a par value of 1,000. The bond matures for par and pays semi-annual coupons at a rate of 6% convertible semi-annually.

Calculate the Modified duration of this bond at an annual effective interest rate of 9.2025%.

Consider a 10-year bond with a face value of $100 that pays an annual coupon of 8%. Assume spot rates are flat at 5%.

a.Find the bond’s price and modified duration.

b.Suppose that its yields increase by 10bps. Calculate the change in the bond’s price using your bond pricing formula and then using the duration approximation. How big is the difference?

c.Suppose now that its yields increase by 200bps. Repeat your calculations for part b.

What is the YTM of a 10 year, 8% semi-annual coupon bond with a price of $1220?

Question 3 The stockholders’ equity section of Wildhorse Inc. at the beginning of the current year appears below.

Common stock, $10 par value, authorized 1,095,000 shares, 293,000 shares issued and outstanding $2,930,000

Paid-in capital in excess of par—common stock 604,000

Retained earnings 537,000 During the current year, the following transactions occurred.

1. The company issued to the stockholders 103,000 rights. Ten rights are needed to buy one share of stock at $33. The rights were void after 30 days. The market price of the stock at this time was $35 per share.

2. The company sold to the public a $213,000, 10% bond issue at 103. The company also issued with each $100 bond one detachable stock purchase warrant, which provided for the purchase of common stock at $31 per share. Shortly after issuance, similar bonds without warrants were selling at 96 and the warrants at $7.

3. All but 5,150 of the rights issued in (1) were exercised in 30 days.

4. At the end of the year, 80% of the warrants in (2) had been exercised, and the remaining were outstanding and in good standing.

5. During the current year, the company granted stock options for 9,000 shares of common stock to company executives. The company, using a fair value option-pricing model, determines that each option is worth $10. The option price is $31. The options were to expire at year-end and were considered compensation for the current year.

6. All but 900 shares related to the stock-option plan were exercised by year-end. The expiration resulted because one of the executives failed to fulfill an obligation related to the employment contract.

Prepare general journal entries for the current year to record the transactions listed above. (Credit account titles are automatically indented when amount is entered. Do not indent manually. If no entry is required, select "No Entry" for the account titles and enter 0 for the amounts. Round intermediate calculations to 5 decimal places, e.g. 1.24687 and final answers to 0 decimal places, e.g. 5,125.)

Prepare the stockholders’ equity section of the balance sheet at the end of the current year. Assume that retained earnings at the end of the current year is $790,000.

Jeremy received a 25 year loan of $370,000 to purchase a house. The interest rate on the loan was 4.00% compounded monthly.

a. What is the size of the monthly loan payment?

b. What is the principal balance of the loan at the end of 4 years?

c. By how much will the amortization period shorten if Jeremy made an extra payment of $54,000 at the end of the year 4? in years and moths