On Sunday at 1000hrs, you are assigned to admit a new client to your ward.
Fei Hong is a 70-year-old female who was admitted to your ward this morning following a fall at home. On admission, her daughter Yu Yan is in attendance. Fei Hong has sustained significant bruising and swelling to her right hip and shoulder with a large skin tear to her right forearm. She did not sustain any fractures. She is admitted for pain relief, dressings to her forearm and a physiotherapy review.
On assessment of Fei Hong, you note that she has bony prominences on her hips and pelvis, and is at risk of developing pressure areas.
Yu Yan has requested an interview with the doctor to determine if her mother needs any extra care at home, as Fei Hong is beginning to show signs of dementia according to her daughter. Fei Hong generally eats a small, but nutritious diet at home that includes all food groups, and is predominantly Asian cuisine.
Fei Hong has reported no urinary issues and takes Metamucil daily to prevent chronic constipation. She can shower and dress independently but requires supervision and prompting at times due to early signs of dementia. She had been mobilising independently prior to this fall.
She will need to be assessed by a physiotherapist for a walking aid. Medically, Fei Hong has some hearing and sight impairment, and wears glasses and bilateral hearing aids, but is on no regular medications.
Socially, she lives with her daughter Yu Yan, son-in-law George and their children – three-year old twins – and Yu Yan’s 17-year-old son Jason from a previous relationship.
Yu Yan cares for her mother and her three (3) children and has no community support for her mother. Fei Hong has no other extended family as she immigrated to Australia 16 years ago to help her daughter raise her son. She speaks little English and is Buddhist. She states that her strong faith and her daughter help her cope with her ageing process.
Fei Hong’s observations on admission are:
• Temp 36.1
• BP 105/68
• Respirations 18
• HR 64
• Height: 156cm
• Weight: 46kg.
• BMI of 19
Question1
Another nurse has drafted a plan of care for Fei Hong. Respond to the questions below based on your scope of practice as an enrolled nurse. Use 20 words for each to explain:
a) How you would confirm that this plan reflects the needs of Fei Hong and her family
b) If the care plan seems to conflict with the client’s needs and requirements, who you would speak with and how you would justify your assumption
c) If Fei Hong’s situation deteriorated after admission, who you would communicate this to, and when and how that should be done
Nursing diagnosis Planning (Nursing intervention) Expected Outcome
• Pain to hip and shoulder due to bruising and swelling following fall • Monitor pain levels with regular pain assessments, may need to use Abbey pain scale due to limited English.
• Minimise pain by administering regular analgesia as prescribed.
• Apply ice pack to reduce swelling as required. • Pain assessment scales reflect reduced pain levels after interventions.
• Reduced mobility following fall • Provide a safe environment for Fei Hong to mobilise
• Follow physiotherapy recommendations. • Fei Hong is able to mobilise with a frame and supervision.
• Potential pressure area formation; related to limited ability to move. • Provide regular pressure area care and assist with 2-4 hourly repositioning.
• Use air mattress to reduce pressure areas. • Skin integrity remains intact.
• Potential infection due to laceration/skin tear to arm • Keep wound clean, change dressings as prescribed.
• Review site for signs of infection such as redness, swelling, discharge.
• Monitor temperature 4th hourly
• Report any concerns to RN. • Optimal wound healing without infection.
• Potential decline in emotional state, related to lack of support in practising her religious faith and limited communication due to speaking little English • Allow time/support for Fei Hong to practice her faith as a coping mechanism.
• Use pictograms to assist with communication, and daughter/ interpreter to interpret on admission and throughout the hospital stay. • Optimal emotional state and Fei Hong able to maintain basic communication strategies.
• Hearing and sight impairment related to ageing. • Assist Fei Hong to apply her glasses and hearing aids.
• Ensure limited background noise when speaking to client.
• Do not shout at client, speak in a clear voice in good light facing her. • Fei Hong is able to see clearly and hear while in hospital.
Response: ??
Question2
Yu Yan and Fei Hong have a complex family. Fei Hong lives with her daughter and her family and Yu Yan is very involved in the care of her mother. In 50 words, explain why it is important to include Yu Yan in the planning of her mother’s care and describe two (2) techniques nurses can use to increase a family’s involvement in the care of their loved one during hospitalisation.
Response
In: Nursing
***JAVA PROGRAM
Write a method called shrink that accepts an array of integers (that the user inputs) as a parameter and returns a new array containing the result of replacing each pair of integers with the sum of that pair. For example, if an array called list stores the values {7, 2, 8, 9, 4, 15, 7, 1, 9, 10}, then the call of shrink(list) should return a new array containing {9, 17, 19, 8, 19}.
The first pair from the original list is shrunken into 9 (7 + 2),
the second pair is shrunken into 17 (8 + 9), and so on.
If the list stores an odd number of elements, the final element is not collapsed. For example, if the list had been {1, 2, 3, 4, 5}, then the call would return {3, 7, 5}. Your method should not change the array that is passed as a parameter.
Be sure to have a shrink() method
*All variable names are completely up to you, as long as they’re descriptive
*Use the correct data types
*Use comments to explain what you’re coding
*Put your name in a comment
In: Computer Science
The A&M Hobby Shop carries a line of radio-controlled model racing cars. Demand for the cars is assumed to be constant at a rate of 40 cars per month. The cars cost $60 each, and ordering costs are approximately $15 per order, regardless of the order size. The annual holding cost rate is 20%.
In: Math
1) How do you extract a part of a string? Give the command and examples (in arduino)
2) Explain how negation and comparison operators combine together. (in Arduino)
3) What are the qualifiers? (in Arduino)
4) List the increment and decrement operators. (in Arduino)
In: Computer Science
Twelve samples, each containing five parts, were taken from a process that produces steel rods at Emmanuel Kodzi’s factory. The length of each rod in the samples was determined. The results were tabulated and sample means and ranges were computed. The results were:
| SAMPLE | SAMPLE MEAN (IN.) | RANGE (IN.) |
| 1 | 10.02 | 0.011 |
| 2 | 10.02 | 0.014 |
| 3 | 9.991 | 0.007 |
| 4 | 10.006 | 0.022 |
| 5 | 9.997 | 0.013 |
| 6 | 9.999 | 0.012 |
| 7 | 10.001 | 0.008 |
| 8 | 10.005 | 0.013 |
| 9 | 9.995 | 0.004 |
| 10 | 10.001 | 0.011 |
| 11 | 10.001 | 0.014 |
| 12 | 10.006 | 0.009 |
a) Determine the upper and lower control limits and the overall means for x -charts and R -charts.
b) Draw the charts and plot the values of the sample means and ranges.
c) Do the data indicate a process that is in control? d) Why or why not?
i AM HAVING ISSUES WITH THE FORMULAS TO MAKE SENSE FOR Standard Deviation, SO IF YOU CAN EXPLAIN THE FORMULAS IN EACH CELL ON HOW YOU GOT THE ANSWER THAT WOULD BE HELPFUL. THANK YOU
In: Operations Management
GENERAL BUSINESS COURSE QUESTION:
Joe and Jill were talking about the role played by the Federal Reserve System in the United States. Joe seemed to be quite well informed about the functions and activities of our central bank. "You see, Jill, the Fed is the main guardian of our nation's economic stability," Joe declared. "In America, we don't want inflation and we don't want recession. To stretch the situation just a bit, we are frightened, absolutely terrified, by thoughts of hyperinflation and depression. So, the Fed maintains the right to alter the situation and protect us from these two monsters. And you ask, how they do that? The answer is the discount rate. That is the device that the Federal Reserve System uses to keep us safe."
Jill was enjoying listening to her friend explain it all. Joe continued, "Now the discount rate is the interest rate that the twelve Federal Reserve Banks around the country charge their member banks on a loan. So, when the discount rate goes up, all interest rates tend to go up. And, happy to say, when interest rates go up all over America, this tends to slow down any inflationary tendencies." Jill asked, "Does the Fed have other tools for stopping inflation?" "No," said Joe.
7) Has the economy recovered from the last recession? What factors led you to your answer? You should be able to back up your opinion. Don't use blog opinions. Make sure your source(s) is/are based upon facts.
In: Operations Management
Wilson Publishing Company produces books for the retail market. Demand for a current book is expected to occur at a constant annual rate of 7,400 copies. The cost of one copy of the book is $12.5. The holding cost is based on an 14% annual rate, and production setup costs are $140 per setup. The equipment on which the book is produced has an annual production volume of 22,500 copies. Wilson has 250 working days per year, and the lead time for a production run is 16 days. Use the production lot size model to compute the following values:
In: Math
The following transactions apply to Jova Company for Year 1, the first year of operation:
Issued $15,500 of common stock for cash.
Recognized $64,500 of service revenue earned on account.
Collected $57,600 from accounts receivable.
Paid operating expenses of $36,000.
Adjusted accounts to recognize uncollectible accounts expense. Jova uses the allowance method of accounting for uncollectible accounts and estimates that uncollectible accounts expense will be 2 percent of sales on account.
The following transactions apply to Jova for Year 2:
Recognized $72,000 of service revenue on account.
Collected $65,600 from accounts receivable.
Determined that $890 of the accounts receivable were uncollectible and wrote them off.
Collected $300 of an account that had previously been written off.
Paid $48,400 cash for operating expenses.
Adjusted the accounts to recognize uncollectible accounts expense for Year 2. Jova estimates uncollectible accounts expense will be 1 percent of sales on account.
Required Complete the following requirements for Year 1 and Year 2. Complete all requirements for Year 1 prior to beginning the requirements for Year 2. d-1.
Prepare the income statement, statement of changes in stockholders’ equity, balance sheet, and statement of cash flows for Year 1.
In: Accounting
As part of a study of wheat maturation, an agronomist selected a
sample of wheat plants at random from a field plot. For each plant,
the agronomist measured the moisture content from two locations:
one from the central portion and one from the top portion of the
wheat head. The agronomist hypothesizes that the central portion of
the wheat head has more moisture than the top portion. What can the
agronomist conclude with α = 0.01? The moisture content data are
below.
| central | top |
|---|---|
| 62.7 63.6 60.9 63.1 62.7 63.7 62.5 |
61.7 63.6 60.2 62.9 61.6 62.8 62.3 |
Condition 1:
top portion
moisture content
wheat head
central portion
Condition 2:
wheat maturation
top portion
wheat head
central portion
c) Compute the appropriate test statistic(s) to
make a decision about H0.
(Hint: Make sure to write down the null and alternative hypotheses
to help solve the problem.)
test statistic =
d) If appropriate, compute the CI. If not
appropriate, input "na" for both spaces below.
[ , ]
In: Math
what are the things you need to make a basic
presentation?
what are the ways of searching pictures on a website?
In: Operations Management
Managers and employees have long expressed dislike and skepticism about performance appraisal, as it is typically practiced in organizations. Some HR practitioners and consultants, such as Samuel Culbert, have advocated getting rid of the standard performance appraisal programs. Culbert has suggested that the arguments typically given for performance appraisal are invalid and, in a word, “bogus.”
a. Describe two arguments or reasons that are typically given in support of formal performance appraisals.
b. Then explain why Culbert and others who are skeptical of performance appraisal believe these arguments are weak or bogus.
c. Explain your perspective on whether performance appraisals are necessary, and why or why not. If you believe they are not necessary, explain what procedures, if any, you would recommend to fulfill the functions that performance appraisals are said to fulfill.
In: Operations Management
What might a given interpretation of a literary work suggest about the psychological motives of the reader?
In: Psychology
Is a universal list of human rights that will be acceptable to all people in all societies possible? Can people in different countries agree on a common set of fundamental protections and guarantees for individuals? Consider parts of the Universal Declaration of Human Rights. What elements seem universal? Which, if any, do not? If a common set is not feasible, how can international organizations identify and sanction rights violators?
In: Operations Management
What is sublimation?
Select one:
a. A liquid substance changes directly to a gas
b. A solid substance changes directly to a gas
c. A liquid substance changes directly to a solid
d. All answers
What is the job of an inspector?
Select one:
a. To check the balance sheet
b. All answers
c. To check the quality and the condition of equipment
d. To check the design of used equipment
What is the key difference between hot rolling and cold rolling?
Select one:
a. The piece is above or below the boiling point
b. The piece is above or below the working surface
c. The piece is above or below the recrystallisation temperature
d. The piece is above or below the triple-point temperature
What is the most common Hazard in any workplace?
Select one:
a. Slips, trips and falls
b. Suffocation
c. Arc eye
d. Electrocution
Clear my choice
What is the process called which uses a wax pattern coated with a ceramic material to form the shape of the desired casting?
Select one:
a. Investment casting
b. Forcing
c. Die casting
d. Extrusion
What is the process of deposition?
Select one:
a. All answers
b. A gas changes to a solid
c. A liquid changes to a solid
d. A solid changes to a gas
What is the unit for forces?
Select one:
a. Newton
b. Kilo
c. Volt
d. Ampere
Clear my choice
What is the upper yield force?
Select one:
a. The force required to begin to stretch the specimen
b. The force required to fracture a material
c. The force beyond which the material exceeds the elastic limit
d. The maximum capacity of a tensile testing machine
What property of a material’s ability is conductivity?
Select one:
a. Conduct heat and electricity
b. Conduct electricity only
What sampling techniques are used in industry?
Select one:
a. Random sampling
b. Specified sampling
c. All answers
d. 100 % sampling
What should be the allowance made for when bending material to a specified angle?
Select one:
a. Springback
b. Breaking
c. Bend allowance
d. Springboard
c. Conduct matter only
d. Conduct heat only
PLEASE ONLY FINAL ANSWER NO NEED FOR DETAILS
In: Mechanical Engineering
GENERAL BUSINESS COURSE QUESTION:
Joe and Jill were talking about the role played by the Federal Reserve System in the United States. Joe seemed to be quite well informed about the functions and activities of our central bank. "You see, Jill, the Fed is the main guardian of our nation's economic stability," Joe declared. "In America, we don't want inflation and we don't want recession. To stretch the situation just a bit, we are frightened, absolutely terrified, by thoughts of hyperinflation and depression. So, the Fed maintains the right to alter the situation and protect us from these two monsters. And you ask, how they do that? The answer is the discount rate. That is the device that the Federal Reserve System uses to keep us safe."
Jill was enjoying listening to her friend explain it all. Joe continued, "Now the discount rate is the interest rate that the twelve Federal Reserve Banks around the country charge their member banks on a loan. So, when the discount rate goes up, all interest rates tend to go up. And, happy to say, when interest rates go up all over America, this tends to slow down any inflationary tendencies." Jill asked, "Does the Fed have other tools for stopping inflation?" "No," said Joe.
2) Joe probably can't answer this question, but you can. What happens in the Fed's open market operations?
In: Operations Management