Mary has an IV solution of normal saline infusing in her left arm and.pdf
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Mary has an IV solution of normal saline infusing in her left arm and oxygen by mask at 2 L/min. Last week she heard that her older cousin had passed away, and since then she has become extremely depressed. She refuses to eat or drink but continues to take her medications on a regular basis. This 80-year-old woman is dehydrated and somewhat confused. Her neighbor provides the history. The nurse finds that Mary has been taking a diuretic (hydrochlorothiazide), an antihypertensive (atenolol), and multivitamins daily. Vital signs are as follows: temperature = 38.6 C (101.4 F); apical pulse = 100 beats/min; respiratory rate = 32 breaths/min; and blood pressure 92/62 mmHg. Her skin is dry and warm to the touch, and her lips are pale, dry and chapped. She weighs 51.3 Kg (113 lbs) and her height is 1.7 m (5'7"). Her speech is quiet and slurred. Mary has not eaten anything during the past 24 hours and has only taken sips of water during the past 12 hours. She has voided once in 12 hours. The following laboratory tests are completed: urinalysis, blood urea nitrogen (BUN) and creatinine, complete blood count (CBC), and basal metabolic panel (BMP). Mary is prescribed IV rehydration fluid and is stabilized in the emergency department before being admitted to the hospital unit. This activity contains 5 questions:.
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Assignment Adaptive ResponseAs an advanced practice nurse, you wi.docx
Assignment: Adaptive Response
As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and
weight
appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but
lately
they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning
fluids,
but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assista.
1. CC I have been having terrible chest and arm pain for the p.docx
1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?
QUESTION 2
. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
QUESTION 4.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu.
Comprehensive SOAP ExemplarPurpose To demonstrate what each sec.docx
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______
Age: _______
Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. She has medical insurance but often asks for drug samples for cost savings. She has a healthy diet and eating pattern. There are resources and community groups in her area at the senior center that she attends regularly. She enjoys bingo. She has a good support system composed of family and friends.
Review of Systems:
General: + fatigue .
Comprehensive SOAP ExemplarPurpose To demonstrate what each s.docx
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______ Age: _______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. She has medical insurance but often asks for drug samples for cost savings. She has a healthy diet and eating pattern. There are resources and community groups in her area at the senior center that she attends regularly. She enjoys bingo. She has a good support system composed of family and friends.
Review of Systems:
General: + fatigue sinc.
Comprehensive SOAP ExemplarPurpose To demonstrate what each s.docx
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______ Age: _______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. She has medical insurance but often asks for drug samples for cost savings. She has a healthy diet and eating pattern. There are resources and community groups in her area at the senior center that she attends regularly. She enjoys bingo. She has a good support system composed of family and friends.
Review of Systems:
General: + fatigue sinc.
Henry is a 70yearold African American male with endstage .pdf
Henry is a 70-year-old African American male with end-stage renal disease (ESRD) started
recently on hemodialysis 3 times per week and is having trouble with the diet changes. He dislikes
the taste of his binders (Tums 8/ /calcium carbonate) and reports often forgetting to take them with
meals. His nephrologist referred him for help implementing a renal diet. He went through a class
but is having trouble remembering what he leamed. He is present at the appointment with his adult
daughter. Henry was diagnosed with type 2 diabetes 10 years ago. The doctor said it was likely
that he had DM for several years prior to diagnosis. Henry lives alone but his daughter lives a few
miles away and takes him to his dialysis appointments or else he takes medical transportation.
Henry is mostly homebound, and his daughter brings groceries. She describes him as "set in his
ways." He often eats canned and frozen meals because they are easy to prepare, and he likes
them. He feels fatigued and doesn't have energy to cook but will heat things up and his daughter
will sometimes make food for him and bring it over. His ankles appear swollen. "I sleep a lot at
dialysis so I can't sleep at night very well - plus I get a lot of muscle cramps which keeps me
awake." His urine output is 240mL/ day and he has chronic constipation with a BM every 2 to 3
days. Anthropometrics: Height: 70 inches /178cm Weight: 153lbs/69.5kg BMI: Weight 1 year ago:
170lbs, Weight 3 months ago: 159lbs, Weight before last dialysis session: 165 lbs, Weight after
last dialysis session: 160 tbs Here Is Henry's 24 Hour Recall: B: Often skips as he sleeps late and
doesn't have much of an appetite lately. Drinks 1 cup coffee with 2 tbs half and half when he
wakes up. 5: (11 am) 12 oz orange juice and 1 slice white toast with butter, small handful of
M&M's L (1:00 pm): 2 cups canned tomato soup (tomato is his favorite) 12 saltine crackers and 8
oz 2% milk. 5: 1 large banana D (8 pm): Salisbury steak with mashed potatoes frozen dinner and
12 oz sweetened iced tea. S: (10 pm) 1 cup chocolate ice cream Medications and Supplements:
atenolol, erythropoietin (EPO), ferrlecit, insulin (lantus basil insulin), zemplar, sertraline, miralax,
calcium carbonate tablets Nutrition Physical Exam: Evidence of moderate wasting in the orbital,
buccal, temporal and clavicular regions. Patient moves slowly and dentures appear to fit loosely.
He falls asleep briefly during the nutrition intake. Ankles have evidence of edema.Nutrition
Physical Exam: Evidence of moderate wasting in the orbital, buccal, temporal and clavicular
regions. Patient moves slowly and dentures appear to fit loosely. He falls asleep briefly during the
nutrition intake. Ankles have evidence of edema. Recent Labs and Blood Pressure: Blood
Pressure (BP): 143/92 Question 1 Assess Henry's anthropometrics. Has he lost weight? Gained
weight? Has he gained more than the recommended amount between dialysis sessions?
Calculate his calorie, protein, and fluid ne.
Recommended
Assignment Adaptive ResponseAs an advanced practice nurse, you wi.docx
Assignment: Adaptive Response
As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.
Consider the following scenarios:
Scenario 1:
Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and
weight
appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.
Scenario 2:
Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but
lately
they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning
fluids,
but says that it never hurt and he always washed his hands when he was finished.
Scenario 3:
Martha is a 65-year-old woman who recently retired from her job as an administrative assista.
1. CC I have been having terrible chest and arm pain for the p.docx
1. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.1 of 2 Questions:Why is HDL considered the “good” cholesterol?
QUESTION 2
. CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dlHis diagnosis is an acute inferior wall myocardial infarction.2 of 2 Questions:Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
. A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
QUESTION 4.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sent home. He says the Tamiflu.
Comprehensive SOAP ExemplarPurpose To demonstrate what each sec.docx
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______
Age: _______
Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. She has medical insurance but often asks for drug samples for cost savings. She has a healthy diet and eating pattern. There are resources and community groups in her area at the senior center that she attends regularly. She enjoys bingo. She has a good support system composed of family and friends.
Review of Systems:
General: + fatigue .
Comprehensive SOAP ExemplarPurpose To demonstrate what each s.docx
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______ Age: _______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. She has medical insurance but often asks for drug samples for cost savings. She has a healthy diet and eating pattern. There are resources and community groups in her area at the senior center that she attends regularly. She enjoys bingo. She has a good support system composed of family and friends.
Review of Systems:
General: + fatigue sinc.
Comprehensive SOAP ExemplarPurpose To demonstrate what each s.docx
Comprehensive SOAP Exemplar
Purpose: To demonstrate what each section of the SOAP Note should include. Remember that nurse practitioners treat patients in a holistic manner, and your SOAP Note should reflect that premise.
Patient Initials: _______ Age: _______ Gender: _______
SUBJECTIVE DATA:
Chief Complaint (CC): Coughing up phlegm and fever
History of Present Illness (HPI): Sara Jones is a 65-year-old Caucasian female who presents today with a productive cough x 3 weeks and fever for the last 3 days. She reported that the “cold feels like it is descending into her chest.” The cough is nagging and productive. She brought in a few paper towels with expectorated phlegm – yellow/brown in color. She has associated symptoms of dyspnea of exertion and fever. Her Tmax was reported to be 102.4 last night. She has been taking Ibuprofen 400mg about every 6 hours and the fever breaks, but it returns after the medication wears off. She rated the severity of her symptom discomfort at 4/10.
Medications:
1.) Lisinopril 10mg daily
2.) Combivent 2 puffs every 6 hours as needed
3.) Serovent daily
4.) Salmeterol daily
5.) Over-the-counter Ibuprofen 200mg -2 PO as needed
6.) Over-the-counter Benefiber
7.) Flonase 1 spray each night as needed for allergic rhinitis symptoms
Allergies:
Sulfa drugs - rash
Past Medical History (PMH):
1.) Emphysema with recent exacerbation 1 month ago – deferred admission – RX’d with outpatient antibiotics and hand held nebulizer treatments.
2.) Hypertension – well controlled
3.) Gastroesophageal reflux (GERD) – quiet, on no medication
4.) Osteopenia
5.) Allergic rhinitis
Past Surgical History (PSH):
1.) Cholecystectomy 1994
2.) Total abdominal hysterectomy (TAH) 1998
Sexual/Reproductive History:
Heterosexual
G1P1A0
Non-menstruating – TAH 1998
Personal/Social History:
She has smoked 2 packs of cigarettes daily x 30 years; denied ETOH or illicit drug use.
Immunization History:
Her immunizations are up to date. She received the influenza vaccine last November and the Pneumococcal vaccine at the same time.
Significant Family History:
Two brothers – one with diabetes, dx at age 65, and the other with prostate CA, dx at age 62. She has one daughter in her 30s, healthy, living in nearby neighborhood.
Lifestyle:
She is retired, has been widowed x 8 years, and lives in the city in a moderate crime area with good public transportation. She is a college graduate, owns her home, and receives a pension of $50,000 annually – financially stable.
She has a primary care nurse practitioner provider and goes for annual and routine care twice annually and as needed for episodic care. She has medical insurance but often asks for drug samples for cost savings. She has a healthy diet and eating pattern. There are resources and community groups in her area at the senior center that she attends regularly. She enjoys bingo. She has a good support system composed of family and friends.
Review of Systems:
General: + fatigue sinc.
Henry is a 70yearold African American male with endstage .pdf
Henry is a 70-year-old African American male with end-stage renal disease (ESRD) started
recently on hemodialysis 3 times per week and is having trouble with the diet changes. He dislikes
the taste of his binders (Tums 8/ /calcium carbonate) and reports often forgetting to take them with
meals. His nephrologist referred him for help implementing a renal diet. He went through a class
but is having trouble remembering what he leamed. He is present at the appointment with his adult
daughter. Henry was diagnosed with type 2 diabetes 10 years ago. The doctor said it was likely
that he had DM for several years prior to diagnosis. Henry lives alone but his daughter lives a few
miles away and takes him to his dialysis appointments or else he takes medical transportation.
Henry is mostly homebound, and his daughter brings groceries. She describes him as "set in his
ways." He often eats canned and frozen meals because they are easy to prepare, and he likes
them. He feels fatigued and doesn't have energy to cook but will heat things up and his daughter
will sometimes make food for him and bring it over. His ankles appear swollen. "I sleep a lot at
dialysis so I can't sleep at night very well - plus I get a lot of muscle cramps which keeps me
awake." His urine output is 240mL/ day and he has chronic constipation with a BM every 2 to 3
days. Anthropometrics: Height: 70 inches /178cm Weight: 153lbs/69.5kg BMI: Weight 1 year ago:
170lbs, Weight 3 months ago: 159lbs, Weight before last dialysis session: 165 lbs, Weight after
last dialysis session: 160 tbs Here Is Henry's 24 Hour Recall: B: Often skips as he sleeps late and
doesn't have much of an appetite lately. Drinks 1 cup coffee with 2 tbs half and half when he
wakes up. 5: (11 am) 12 oz orange juice and 1 slice white toast with butter, small handful of
M&M's L (1:00 pm): 2 cups canned tomato soup (tomato is his favorite) 12 saltine crackers and 8
oz 2% milk. 5: 1 large banana D (8 pm): Salisbury steak with mashed potatoes frozen dinner and
12 oz sweetened iced tea. S: (10 pm) 1 cup chocolate ice cream Medications and Supplements:
atenolol, erythropoietin (EPO), ferrlecit, insulin (lantus basil insulin), zemplar, sertraline, miralax,
calcium carbonate tablets Nutrition Physical Exam: Evidence of moderate wasting in the orbital,
buccal, temporal and clavicular regions. Patient moves slowly and dentures appear to fit loosely.
He falls asleep briefly during the nutrition intake. Ankles have evidence of edema.Nutrition
Physical Exam: Evidence of moderate wasting in the orbital, buccal, temporal and clavicular
regions. Patient moves slowly and dentures appear to fit loosely. He falls asleep briefly during the
nutrition intake. Ankles have evidence of edema. Recent Labs and Blood Pressure: Blood
Pressure (BP): 143/92 Question 1 Assess Henry's anthropometrics. Has he lost weight? Gained
weight? Has he gained more than the recommended amount between dialysis sessions?
Calculate his calorie, protein, and fluid ne.
CC I have been having terrible chest and arm pain for the .docx
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
2 points
QUESTION 2
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
3 points
QUESTION 3
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought.
1.CC I have been having terrible chest and arm pain for the pa.docx
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
QUESTION 2
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
1.
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
1.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sen.
Match chemical structures of the following nucleotides (designated A-E.pdf
Match chemical structures of the following nucleotides (designated A-E) with their short names:
A D n OH OH QUESTON 2.
Match each bulleted item on the left with ALL of the items on the righ.pdf
Match each bulleted item on the left with ALL of the items on the right that are characteristic of
it. Each letter corresponds to the following list of characteristics:
A. spinal nerves
B. cranial nerves
C. fibrous appearance
D. somatic
E. pre-myotomal
Mandibular arch muscles? Branchiomeric muscles? appendicular muscles? epaxial body walll
muscles? hypobranchial muscles?
CHOICES: E, C, CDE, A, ABCE, ABCDE, ABC, D, ACE, B, ACD.
Masego Hadebe- a South African resident- passed away on 14 February 20.pdf
Masego Hadebe, a South African resident, passed away on 14 February 2023 at the age of 63. He was survived by
Thaisa Hadebe, his wife, and their two daughters, Mary Hadebe and Zuki Hadebe, who are all South African
residents.
The following donations were made by Masego during the 2023 year of assessment:
Date of donation:
Donation details:
22 March 2022:
R12 000 to Tsepiso Dlamini, Masego's loyal housekeeper on the
date of her retirement.
26 March 2022:
R45 000 in cash to Thabisa Hadebe.
R340 000 to Safe Animals, a public benefit organisation.
R110 000 cash to Mary Hadebe, then aged 36 years, to enable her to start her own business.
3 September 2022:
R19 000 in cash to a political party.
28 December 2022: Masego sold an asset worth R14 000 000 to his mother for
R2 000 000.
19 January 2023:
An insurance policy on Masego's life to the value of R1 200 000, under a duly registered post-nuptial contract, was
transferred to his wife.
28 January 2023:
R21 000 000 to his brother.
REQUIRED:
Separately for each transaction, discuss with references to the Income Tax Act:
Whether the above donations made by Masego Hadebe are exempt from donations tax or not.
Structure your answer per the date of the donation made.
Marks are awarded per donation as follows:
.
Mary Beth Maris- the manager of an apartment complex- feots overwheime.pdf
Mary Beth Maris, the manager of an apartment complex, feots overwheimed by the number of
complaints she is receiving Cick the icon to view the check sheet she has kept for the past 12
weeks Using this insormation, choose the correct Pareto chart below The Pareto chart indeates
that most of the complants; K, were coused by (round your response to one decimal place) Check
sheet.
Martin Corporation has the following amounts as of December 31-2018- (.pdf
Martin Corporation has the following amounts as of December 31 , 2018 . (Click the icon to
view the amounts.) Compute the debt to equity ratio at December 31,2018 . (Round the debt to
equity ratio to two decimal places, X . XX .) iquity ratio Data table.
Marina Andros works in the Financials Department of Eastern Mobile- a.pdf
Marina Andros works in the Financials Department of Eastern Mobile, a communications
company in Alexandria, Virginia. She is using an Excel workbook to analyze the company's
recent financial performance, and asks for your help in creating advanced types of charts and
PivotTables to provide an overview of mobile phone plans, customers, and orders. Go to the
Plans worksheet, which contains a column chart in the range F18:K31 showing sales of each plan
type in Quarter 2. Marina wants to create a similar chart showing the Quarter 1 data.
Provide a chart showing Quarter 1 data as follows:
Copy the Q2 Sales chart.
Paste the chart in cell A18.
Select the copied chart and drag the blue outline from the range G4:G16 to the range F4:F16 to
change the data shown in the chart.
The Ads table in the range I4:K16 compares the amount of advertising purchased in the previous
year and the number of mobile phone plans sold. Marina asks you to create a chart that shows the
relationship between the advertising spent and the plans sold.
Insert a Scatter chart that shows the relationship between the advertising amount (range J4:J16)
and the number of plans sold (range K4:K16).
Resize and position the Scatter chart so that it covers the range L3:R16.
Use Ad Amount and Plans Sold as the chart title.
Marina wants to analyze the relationship between advertising spent and the plans sold.
Add a Linear trendline to the scatter chart.
Go to the Customers worksheet, which contains customer details in a table named Customers.
Marina wants to display the payments customers made in each of five states where Eastern
Mobile does business.
Insert a recommended PivotTable based on the Customers table as follows:
Insert the Sum of Payment by State recommended PivotTable. [Mac Hint: Use the State field in
the Rows area, the Payments field in the Values area, and show grand totals for rows and
columns.]
Use Payments by State Pivot as the name of the new worksheet.
Apply the Light Orange, Pivot Style Medium 12 style to the PivotTable.
Add a second copy of the Payment field to the Values area of the Field List, and then change its
summary function to Average so that Marina can compare the average payments to the totals.
Change the Number format of the two value fields to Currency with 0 decimal places and the $
symbol.
Use Total Payments as the column heading in cell B3, and use Average Payment as the column
heading in cell C3.
Insert a PivotChart based on the new PivotTable as follows to help Marina visualize the data:
Insert a Combo PivotChart based on the Payments by State PivotTable.
Display the Total Payments as a Clustered Column chart and the Average Payment as a Line
chart.
Include a secondary axis for the Average Payment data.
Hide the Field List so that you can format the value axis of the chart.
Change the maximum bounds for the value axis on the left to 1,400.
Change the PivotChart colors to Monochromatic Palette 4.
Resize and position the chart so that it covers the range .
Mark (50) and Phoebe (30)- Cristina (45) and Michael (49)- and Jason (.pdf
Mark (50) and Phoebe (30), Cristina (45) and Michael (49), and Jason (52) and David (55) are all
friends. Cristina and Michael recently threw a party to celebrate the anniversary of Jason and
David. While at the party, Phoebe shared with Cristina and Jason that her and Mark have been
arguing continuously and she feels like they just cannot move from the "past". Cristina thinks
about how her and Michael never really argued, but as they have aged in their marriage - they no
longer have the "zest" they used to. Jason thinks that he can't relate as much, given that him and
Mark tend to resolve their conflicts, but have also been able to function by keeping their
identities separate (while enjoying spending time together and sharing in activities). Match the
type of marriage to each couple. Jason and David Mark and Phoebe Cristina and Michael.
Marin Company's income statement for the year ended December 31- 2025-.pdf
Marin Company's income statement for the year ended December 31. 2025, contained the
following condensed information. Marin's balance sheet contained the following comparative
data at December 31 . (Accounts payable pertains to operating expenses.) Prepare the operating
activities section of the statement of cash flows using the direct method. (Accountspayable
pertains to operating expenses) Prepare the operating activities section of the statement of cash
flows using the direct method..
Many people think the most widely used tool in a construction project.pdf
Many people think the most widely used tool in a construction project is a hammer, but it is more
likely a filing cabinet or fax machine. The construction industry has traditionally been paper-
intensive and manual. A complex project such as a large building requires hundreds of
architectural drawings and design documents, which can change daily. Costly delays because of
difficulty locating and accessing documents and other project information could make or break a
project. Now that's changing, and PCL Construction is at the forefront. Information technology
has transformed the way this business works, and it is a prime example of the new digital firm.
PCL is a group of independent general contracting construction companies, with over 4,400
employees in the United States, Canada, and Australia. The organization is active in the
commercial, institutional, multifamily residential, renewable energy, heavy industrial, historical
restoration, and civil-construction sectors. PCL has corporate headquarters in Edmonton,
Alberta, Canada and a United States head office in Denver, Colorado. At a PCL job site, you'll
now see employees using mobile devices, including smartphones, tablets, and laptops, to access
important information from PCL systems or input data. Digital touch-screen kiosks throughout
the job site and electronic plan rooms provide access to digitized, updated blueprints so team
members don't have to waste time tracking down paper versions. In the past, on-site trailers used
to house large paper blueprints for a project. Each time a project team member wanted to view
plans, that person had to visit a trailer. With up to 800 active construction projects running
simultaneously, PCL had trouble keeping project documentation up to date. Information on paper
forms to track small changes to project specifications or work requirements might not reach
project decision makers until 30 40 days from the time it was recorded. By then, it was too late -
decisions were made "from the location. Construction contractors, subcontractors, consultants,
suppliers, and clients can work from the same documents wherever they are. PCL uses its own
proprietary project management system for budgeting, costing, forecasting, subcontractor
tracking, production, and reporting. The project management system is linked to other PCL
systems, including the People and Projects database, client management and accounting systems,
and the BEST Estimatingsystem. BEST Estimating is PCL's in-house estimating program for
creating lump sum and unit price estimates and providing accurate resource and cost information.
PCL started moving its computing work to Microsoft Azure Cloud, which hosts the hardware
and software for running some of PCL's applications in remote computing centers managed by
Microsoft. Staff working on PCL projects can access information from cloud-based systems at
any time and location using mobile devices as well as conventional desktop machines and an
Internet.
Many aspects of aquaculture are regulated by federal legislation- Some.pdf
Many aspects of aquaculture are regulated by federal legislation. Sometimes natural predators
find that fish raised in outdoor ponds, raceways, and/or fenced-in portions of natural waterways
are an easy source of food. What piece of federal legislation protects these predators from harm
by owners of the aquaculture facility?.
Map this ERR model into a relational model visually- The investment co.pdf
Map this ERR model into a relational model visually.
The investment company has several branches. Each branch has a BranchId (which is unique),
address, phone and a manager. isfe?]? Each branch has a number of customer accounts, each of
which has a unique account number, owner and an employee who acts as portfolio advisor. An
account has only one owner. An employee may be the advisor for many accounts. [IS?P? Each
person (customer or employee) has SSN, name, address, and phone. Every customer has exactly
one account. Each person has a unique SSN. Due to conflict of interest, employees are prohibited
from having an account with the investment company. [L] [se? o Each account has within it a
number of stock holdings: stock symbol, name, and quantity. The quantity is further broken into
lots that were purchased together. Each lot has quantity, purchase price per unit share, and date
of purchase. For example, an account may have 500 shares of MSFT (Microsoft Corp), which
were purchased in 2 lots: 200 shares at $25.75/ share on 9/9/11 , and 300 shares at $26.20 /share
on 10/4/11 . is $ [ 1.
Many COVID-19 patients who die despite being intubated and put on a ve.pdf
Many COVID-19 patients who die despite being intubated and put on a ventilator die of acute
respiratory distress syndrome (ARDS). In these patients, the fluid that enters the alveoll a. is
transudatt b. does not contain cells and proteins c. lowers pulmonary diffusion capacity d. all of
the above statements are correct.
Many of the regulations you have read about this week were developed f.pdf
Many of the regulations you have read about this week were developed from prior actions within
the medical community that warranted changes to be made to protect patients, individuals,
investors, and other stakeholders. The Sarbanes-Oxley (SOX) Act of 2002 was born out of
several accounting scandals at the time. One of these accounting scandals was HealthSouth
Corp., the nation's largest provider of outpatient surgery, diagnostic and rehabilitative healthcare
services at the time (Sec.gov, 2003). Explain the importance of fair and accurate financial
reporting in the healthcare industry.
Managers may engage in classification shifting by- Multiple Choice rep.pdf
Managers may engage in classification shifting by: Multiple Choice reporting operating expenses
as nonoperating expenses to inflate reported operating income. reducing estimates of accrued
expenses to inflate reported net income. reporting sales to fictitious customers to inflate reported
revenues. increasing estimates of accrued expenses to inflate reported net income..
Make a Gantt Chart from the activities and tasks - Case Descriptio.pdf
Make a Gantt Chart from the activities and tasks :
Case Description
The City of Toronto has progressed on so many fronts since the October 2019 municipal election
saw a liberal-minded mayor elected to office. The dark, backward days of former Mayor Bobby
Bored and his conservative, hawkish brother are a distant memory.
In addition to new public transit plans, the city moved quickly to initiate a project to replace its
professional baseball stadium. The current stadium, built in the late 1980s is outdated and
generally recognized as the worst professional stadium in North America.
The G&E Company is preparing a bid to build the new 74,000 seat Avignon Stadium (named
after a beautiful town in southern France). The construction must start June 1 2020, and be
completed in time for the start of the 2024 season. A penalty clause of $100,000 per day of delay
beyond April 20, 2024, is written into the contract.
Ben Keith, the president of the company, expressed optimism at obtaining the contract and
revealed that the company could net as much as $5 million on the project. He also said if they are
successful, the prospects for future projects are quite good since there is a projected renaissance
in building classic baseball parks with modern luxury boxes.
Activity Table
ID Activity
1 Baseball Stadium
2 Clear stadium site
3 Demolish building
4 Set up construction site
5 Drive support piling
6 Pour lower concrete bowl
7 Pour main concourse
8 Install playing field
9 Construct upper steel bowl
10 Install seats
11 Build luxury boxes
12 Install electronic
scoreboards
13 Stadium infrastructure
14 Construct steel canopy
Duration
Predecessor(s)
70 days --- 30 days 2 ___ days 3 120 days 2 ___ days 5 120 days 3,6 90 days 3,6 120 days 3,6
140 days 7,9 90 days 7,9 30 days 7,9
120 days 7,9 75 days 10
15 Light installation
16 Build roof supports
17 Construct roof
18 Install roof tracks
19 Install roof
20 Inspection
30 days 14 90 days 6 ___ days 16 90 days 16
Case Description - Avignon Baseball Stadium
90 days ___ days
17,18 8,11,13,15,19
The baseball stadium is an outdoor structure with a retractable roof. The project begins with
clearing the site (activity 2). Once the site is clear, work can start simultaneously on the structure
itself and demolishing an adjacent building site (activity 3). This demolition is necessary to
create a construction stage for storing materials and equipment (activity 4).
The work on the stadium begins by driving 160 support pilings (activity
5). Next comes the pouring of the lower concrete bowl (activity 6). Once this is done and the
construction site has been set up, then the pouring of the main concourse (activity 7)), the
installation of the playing field (activity 8), and the construction of the upper steel bowl can
occur (activity 9).
Once the concourse and upper bowl are completed, work can start simultaneously on building
the luxury boxes (activity 11), installing the seats (activity 10), installing the electronic
scoreboards (ac.
M- Burry started business on 1 March 2022- During the month of March 2.pdf
M. Burry started business on 1 March 2022. During the month of March 2022, he made the
following transactions: REQUIRED: (a) Illustrate the above transactions in the respective ledger
accounts (T-account format). (19 marks) (b) Explain why we cannot just prepare a Statement of
Financial Position and forget about making entries in any of the accounting books. (6 marks).
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CC I have been having terrible chest and arm pain for the .docx
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
2 points
QUESTION 2
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
3 points
QUESTION 3
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought.
1.CC I have been having terrible chest and arm pain for the pa.docx
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
1 of 2 Questions:
Why is HDL considered the “good” cholesterol?
QUESTION 2
1.
CC: “I have been having terrible chest and arm pain for the past 2 hours and I think I am having a heart attack.”
HPI: Mr. Hammond is a 57-year-old African American male who presents to the Emergency Department with a chief complaint of chest pain that radiates down his left arm. He states that he started having pain several hours ago and says the pain “it feels like an elephant is sitting on my chest”. He rates the pain as 8/10. Nothing has made the pain better or worse. He denies any previous episode of chest pain. Denies nausea, dyspnea, or lightheadedness. He was given 0.4 mg nitroglycerine tablet sublingual x 1 which decreased, but not stopped the pain.
Lipid panel reveals Total Cholesterol 324 mg/dl, high density lipoprotein (HDL) 31 mg/dl, Low Density Lipoprotein (LDL) 122 mg/dl, Triglycerides 402 mg/dl, Very Low-Density Lipoprotein (VLDL) 54 mg/dl
His diagnosis is an acute inferior wall myocardial infarction.
2 of 2 Questions:
Explain the role inflammation has in the development of atherosclerosis.
QUESTION 3
1.
A 45-year-old woman with a history of systemic lupus erythematosus (SLE) presents to the Emergency Room (ER) with complaints of sharp retrosternal chest pain that worsens with deep breathing or lying down. She reports a 3-day history of low-grade fever, listlessness and says she feels like she had the flu. Physical exam reveals tachycardia and a pleural friction rub. She was diagnosed with acute pericarditis.
Question:
What does the Advanced Practice Registered Nurse (APRN) recognize as the result of the pleural friction rub?
1 points
QUESTION 4
1.
A 15-year-old adolescent male comes to the clinic with his parents with a chief complaint of fever, nausea, vomiting, poorly localized abdominal pain, arthralgias, and “swollen lymph nodes”. States he has felt “lousy” for a couple weeks. The fevers have been as high as 102 F. His parents thought he had the flu and took him to an Urgent Care Center. He was given Tamiflu® and sen.
Similar to Mary has an IV solution of normal saline infusing in her left arm and.pdf (6)
CC I have been having terrible chest and arm pain for the .docx
CC I have been having terrible chest and arm pain for the .docx
1.CC I have been having terrible chest and arm pain for the pa.docx
1.CC I have been having terrible chest and arm pain for the pa.docx
More from PierschdJohnstonb
Match chemical structures of the following nucleotides (designated A-E.pdf
Match chemical structures of the following nucleotides (designated A-E) with their short names:
A D n OH OH QUESTON 2.
Match each bulleted item on the left with ALL of the items on the righ.pdf
Match each bulleted item on the left with ALL of the items on the right that are characteristic of
it. Each letter corresponds to the following list of characteristics:
A. spinal nerves
B. cranial nerves
C. fibrous appearance
D. somatic
E. pre-myotomal
Mandibular arch muscles? Branchiomeric muscles? appendicular muscles? epaxial body walll
muscles? hypobranchial muscles?
CHOICES: E, C, CDE, A, ABCE, ABCDE, ABC, D, ACE, B, ACD.
Masego Hadebe- a South African resident- passed away on 14 February 20.pdf
Masego Hadebe, a South African resident, passed away on 14 February 2023 at the age of 63. He was survived by
Thaisa Hadebe, his wife, and their two daughters, Mary Hadebe and Zuki Hadebe, who are all South African
residents.
The following donations were made by Masego during the 2023 year of assessment:
Date of donation:
Donation details:
22 March 2022:
R12 000 to Tsepiso Dlamini, Masego's loyal housekeeper on the
date of her retirement.
26 March 2022:
R45 000 in cash to Thabisa Hadebe.
R340 000 to Safe Animals, a public benefit organisation.
R110 000 cash to Mary Hadebe, then aged 36 years, to enable her to start her own business.
3 September 2022:
R19 000 in cash to a political party.
28 December 2022: Masego sold an asset worth R14 000 000 to his mother for
R2 000 000.
19 January 2023:
An insurance policy on Masego's life to the value of R1 200 000, under a duly registered post-nuptial contract, was
transferred to his wife.
28 January 2023:
R21 000 000 to his brother.
REQUIRED:
Separately for each transaction, discuss with references to the Income Tax Act:
Whether the above donations made by Masego Hadebe are exempt from donations tax or not.
Structure your answer per the date of the donation made.
Marks are awarded per donation as follows:
.
Mary Beth Maris- the manager of an apartment complex- feots overwheime.pdf
Mary Beth Maris, the manager of an apartment complex, feots overwheimed by the number of
complaints she is receiving Cick the icon to view the check sheet she has kept for the past 12
weeks Using this insormation, choose the correct Pareto chart below The Pareto chart indeates
that most of the complants; K, were coused by (round your response to one decimal place) Check
sheet.
Martin Corporation has the following amounts as of December 31-2018- (.pdf
Martin Corporation has the following amounts as of December 31 , 2018 . (Click the icon to
view the amounts.) Compute the debt to equity ratio at December 31,2018 . (Round the debt to
equity ratio to two decimal places, X . XX .) iquity ratio Data table.
Marina Andros works in the Financials Department of Eastern Mobile- a.pdf
Marina Andros works in the Financials Department of Eastern Mobile, a communications
company in Alexandria, Virginia. She is using an Excel workbook to analyze the company's
recent financial performance, and asks for your help in creating advanced types of charts and
PivotTables to provide an overview of mobile phone plans, customers, and orders. Go to the
Plans worksheet, which contains a column chart in the range F18:K31 showing sales of each plan
type in Quarter 2. Marina wants to create a similar chart showing the Quarter 1 data.
Provide a chart showing Quarter 1 data as follows:
Copy the Q2 Sales chart.
Paste the chart in cell A18.
Select the copied chart and drag the blue outline from the range G4:G16 to the range F4:F16 to
change the data shown in the chart.
The Ads table in the range I4:K16 compares the amount of advertising purchased in the previous
year and the number of mobile phone plans sold. Marina asks you to create a chart that shows the
relationship between the advertising spent and the plans sold.
Insert a Scatter chart that shows the relationship between the advertising amount (range J4:J16)
and the number of plans sold (range K4:K16).
Resize and position the Scatter chart so that it covers the range L3:R16.
Use Ad Amount and Plans Sold as the chart title.
Marina wants to analyze the relationship between advertising spent and the plans sold.
Add a Linear trendline to the scatter chart.
Go to the Customers worksheet, which contains customer details in a table named Customers.
Marina wants to display the payments customers made in each of five states where Eastern
Mobile does business.
Insert a recommended PivotTable based on the Customers table as follows:
Insert the Sum of Payment by State recommended PivotTable. [Mac Hint: Use the State field in
the Rows area, the Payments field in the Values area, and show grand totals for rows and
columns.]
Use Payments by State Pivot as the name of the new worksheet.
Apply the Light Orange, Pivot Style Medium 12 style to the PivotTable.
Add a second copy of the Payment field to the Values area of the Field List, and then change its
summary function to Average so that Marina can compare the average payments to the totals.
Change the Number format of the two value fields to Currency with 0 decimal places and the $
symbol.
Use Total Payments as the column heading in cell B3, and use Average Payment as the column
heading in cell C3.
Insert a PivotChart based on the new PivotTable as follows to help Marina visualize the data:
Insert a Combo PivotChart based on the Payments by State PivotTable.
Display the Total Payments as a Clustered Column chart and the Average Payment as a Line
chart.
Include a secondary axis for the Average Payment data.
Hide the Field List so that you can format the value axis of the chart.
Change the maximum bounds for the value axis on the left to 1,400.
Change the PivotChart colors to Monochromatic Palette 4.
Resize and position the chart so that it covers the range .
Mark (50) and Phoebe (30)- Cristina (45) and Michael (49)- and Jason (.pdf
Mark (50) and Phoebe (30), Cristina (45) and Michael (49), and Jason (52) and David (55) are all
friends. Cristina and Michael recently threw a party to celebrate the anniversary of Jason and
David. While at the party, Phoebe shared with Cristina and Jason that her and Mark have been
arguing continuously and she feels like they just cannot move from the "past". Cristina thinks
about how her and Michael never really argued, but as they have aged in their marriage - they no
longer have the "zest" they used to. Jason thinks that he can't relate as much, given that him and
Mark tend to resolve their conflicts, but have also been able to function by keeping their
identities separate (while enjoying spending time together and sharing in activities). Match the
type of marriage to each couple. Jason and David Mark and Phoebe Cristina and Michael.
Marin Company's income statement for the year ended December 31- 2025-.pdf
Marin Company's income statement for the year ended December 31. 2025, contained the
following condensed information. Marin's balance sheet contained the following comparative
data at December 31 . (Accounts payable pertains to operating expenses.) Prepare the operating
activities section of the statement of cash flows using the direct method. (Accountspayable
pertains to operating expenses) Prepare the operating activities section of the statement of cash
flows using the direct method..
Many people think the most widely used tool in a construction project.pdf
Many people think the most widely used tool in a construction project is a hammer, but it is more
likely a filing cabinet or fax machine. The construction industry has traditionally been paper-
intensive and manual. A complex project such as a large building requires hundreds of
architectural drawings and design documents, which can change daily. Costly delays because of
difficulty locating and accessing documents and other project information could make or break a
project. Now that's changing, and PCL Construction is at the forefront. Information technology
has transformed the way this business works, and it is a prime example of the new digital firm.
PCL is a group of independent general contracting construction companies, with over 4,400
employees in the United States, Canada, and Australia. The organization is active in the
commercial, institutional, multifamily residential, renewable energy, heavy industrial, historical
restoration, and civil-construction sectors. PCL has corporate headquarters in Edmonton,
Alberta, Canada and a United States head office in Denver, Colorado. At a PCL job site, you'll
now see employees using mobile devices, including smartphones, tablets, and laptops, to access
important information from PCL systems or input data. Digital touch-screen kiosks throughout
the job site and electronic plan rooms provide access to digitized, updated blueprints so team
members don't have to waste time tracking down paper versions. In the past, on-site trailers used
to house large paper blueprints for a project. Each time a project team member wanted to view
plans, that person had to visit a trailer. With up to 800 active construction projects running
simultaneously, PCL had trouble keeping project documentation up to date. Information on paper
forms to track small changes to project specifications or work requirements might not reach
project decision makers until 30 40 days from the time it was recorded. By then, it was too late -
decisions were made "from the location. Construction contractors, subcontractors, consultants,
suppliers, and clients can work from the same documents wherever they are. PCL uses its own
proprietary project management system for budgeting, costing, forecasting, subcontractor
tracking, production, and reporting. The project management system is linked to other PCL
systems, including the People and Projects database, client management and accounting systems,
and the BEST Estimatingsystem. BEST Estimating is PCL's in-house estimating program for
creating lump sum and unit price estimates and providing accurate resource and cost information.
PCL started moving its computing work to Microsoft Azure Cloud, which hosts the hardware
and software for running some of PCL's applications in remote computing centers managed by
Microsoft. Staff working on PCL projects can access information from cloud-based systems at
any time and location using mobile devices as well as conventional desktop machines and an
Internet.
Many aspects of aquaculture are regulated by federal legislation- Some.pdf
Many aspects of aquaculture are regulated by federal legislation. Sometimes natural predators
find that fish raised in outdoor ponds, raceways, and/or fenced-in portions of natural waterways
are an easy source of food. What piece of federal legislation protects these predators from harm
by owners of the aquaculture facility?.
Map this ERR model into a relational model visually- The investment co.pdf
Map this ERR model into a relational model visually.
The investment company has several branches. Each branch has a BranchId (which is unique),
address, phone and a manager. isfe?]? Each branch has a number of customer accounts, each of
which has a unique account number, owner and an employee who acts as portfolio advisor. An
account has only one owner. An employee may be the advisor for many accounts. [IS?P? Each
person (customer or employee) has SSN, name, address, and phone. Every customer has exactly
one account. Each person has a unique SSN. Due to conflict of interest, employees are prohibited
from having an account with the investment company. [L] [se? o Each account has within it a
number of stock holdings: stock symbol, name, and quantity. The quantity is further broken into
lots that were purchased together. Each lot has quantity, purchase price per unit share, and date
of purchase. For example, an account may have 500 shares of MSFT (Microsoft Corp), which
were purchased in 2 lots: 200 shares at $25.75/ share on 9/9/11 , and 300 shares at $26.20 /share
on 10/4/11 . is $ [ 1.
Many COVID-19 patients who die despite being intubated and put on a ve.pdf
Many COVID-19 patients who die despite being intubated and put on a ventilator die of acute
respiratory distress syndrome (ARDS). In these patients, the fluid that enters the alveoll a. is
transudatt b. does not contain cells and proteins c. lowers pulmonary diffusion capacity d. all of
the above statements are correct.
Many of the regulations you have read about this week were developed f.pdf
Many of the regulations you have read about this week were developed from prior actions within
the medical community that warranted changes to be made to protect patients, individuals,
investors, and other stakeholders. The Sarbanes-Oxley (SOX) Act of 2002 was born out of
several accounting scandals at the time. One of these accounting scandals was HealthSouth
Corp., the nation's largest provider of outpatient surgery, diagnostic and rehabilitative healthcare
services at the time (Sec.gov, 2003). Explain the importance of fair and accurate financial
reporting in the healthcare industry.
Managers may engage in classification shifting by- Multiple Choice rep.pdf
Managers may engage in classification shifting by: Multiple Choice reporting operating expenses
as nonoperating expenses to inflate reported operating income. reducing estimates of accrued
expenses to inflate reported net income. reporting sales to fictitious customers to inflate reported
revenues. increasing estimates of accrued expenses to inflate reported net income..
Make a Gantt Chart from the activities and tasks - Case Descriptio.pdf
Make a Gantt Chart from the activities and tasks :
Case Description
The City of Toronto has progressed on so many fronts since the October 2019 municipal election
saw a liberal-minded mayor elected to office. The dark, backward days of former Mayor Bobby
Bored and his conservative, hawkish brother are a distant memory.
In addition to new public transit plans, the city moved quickly to initiate a project to replace its
professional baseball stadium. The current stadium, built in the late 1980s is outdated and
generally recognized as the worst professional stadium in North America.
The G&E Company is preparing a bid to build the new 74,000 seat Avignon Stadium (named
after a beautiful town in southern France). The construction must start June 1 2020, and be
completed in time for the start of the 2024 season. A penalty clause of $100,000 per day of delay
beyond April 20, 2024, is written into the contract.
Ben Keith, the president of the company, expressed optimism at obtaining the contract and
revealed that the company could net as much as $5 million on the project. He also said if they are
successful, the prospects for future projects are quite good since there is a projected renaissance
in building classic baseball parks with modern luxury boxes.
Activity Table
ID Activity
1 Baseball Stadium
2 Clear stadium site
3 Demolish building
4 Set up construction site
5 Drive support piling
6 Pour lower concrete bowl
7 Pour main concourse
8 Install playing field
9 Construct upper steel bowl
10 Install seats
11 Build luxury boxes
12 Install electronic
scoreboards
13 Stadium infrastructure
14 Construct steel canopy
Duration
Predecessor(s)
70 days --- 30 days 2 ___ days 3 120 days 2 ___ days 5 120 days 3,6 90 days 3,6 120 days 3,6
140 days 7,9 90 days 7,9 30 days 7,9
120 days 7,9 75 days 10
15 Light installation
16 Build roof supports
17 Construct roof
18 Install roof tracks
19 Install roof
20 Inspection
30 days 14 90 days 6 ___ days 16 90 days 16
Case Description - Avignon Baseball Stadium
90 days ___ days
17,18 8,11,13,15,19
The baseball stadium is an outdoor structure with a retractable roof. The project begins with
clearing the site (activity 2). Once the site is clear, work can start simultaneously on the structure
itself and demolishing an adjacent building site (activity 3). This demolition is necessary to
create a construction stage for storing materials and equipment (activity 4).
The work on the stadium begins by driving 160 support pilings (activity
5). Next comes the pouring of the lower concrete bowl (activity 6). Once this is done and the
construction site has been set up, then the pouring of the main concourse (activity 7)), the
installation of the playing field (activity 8), and the construction of the upper steel bowl can
occur (activity 9).
Once the concourse and upper bowl are completed, work can start simultaneously on building
the luxury boxes (activity 11), installing the seats (activity 10), installing the electronic
scoreboards (ac.
M- Burry started business on 1 March 2022- During the month of March 2.pdf
M. Burry started business on 1 March 2022. During the month of March 2022, he made the
following transactions: REQUIRED: (a) Illustrate the above transactions in the respective ledger
accounts (T-account format). (19 marks) (b) Explain why we cannot just prepare a Statement of
Financial Position and forget about making entries in any of the accounting books. (6 marks).
M- Oriole Corporation has 10-000 shares of 9--$100 par value- cumulati.pdf
M. Oriole Corporation has 10,000 shares of 9% , $100 par value, cumulative preferred stock
outstanding at December 31,2022 . No dividends were declared in 2020 or 2021 . If M. Oriole
wants to pay $440 , 000 of dividends in 2022 , what amount of dividends will common
stockholders receive? Amount of dividend $.
Lonnie Shark has ensembled a money laundering team that travels around.pdf
Lonnie Shark has ensembled a money laundering team that travels around the world to launder
money generated from various crimes. Lonnie contracts with Hy Rhoades a travel agent to book
air travel for his money laundering gang. Ultimately, Lonnie is arrested and refuses to pay Hy.
Hy sues Lonnie. Which of the following is true? Hy is entitled to damages under freedom of
contract principles. Even if Hy was aware of Lonnie's activity, he is entitled to damages because
booking travel is not illegal. Although booking travel is not illegal, if Hy was aware of tonnie's
illegal purposen a court will not award him damages Athough the court will not entorce the
contract. it will award Hy equitable damages..
Louis and Pearl live in a one-story single-family dwelling located in.pdf
Louis and Pearl live in a one-story single-family dwelling located in a floodprone area. The
home is valued at $125,000, and the contents are valued at $40,000. The community in which
this dwelling is located is currently eligible under the National Flood Insurance Program's
(NFIP's) emergency program. Louis notices in his local newspaper that the community will soon
be eligible under NFIP's regular program.
a. What amounts of coverage are available for this dwelling under the emergency program?
b. If the community qualifies for the regular program, will additional coverage be available for
this dwelling?.
Loanable Funds Model Luxembourg- a small nation- registered the follow.pdf
Loanable Funds Model Luxembourg, a small nation, registered the following economic statistics
in 2021: Real GDP growth = 3% Inflation expectations = 1.5% Oil prices = $50/ bbl Corporate
bonds Government bonds 1. Assume an unexpected economic crisis takes hold and many
households in Luxembourg panic, becoming less willing to invest in risky assets. a. Show the
subsequent changes in the above diagram (indicate any shift of the curves and the new
equilibrium of two markets). b. What happens to the spread (difference) between corporate and
government borrowing rates in the new equilibrium?.
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Masego Hadebe- a South African resident- passed away on 14 February 20.pdf
Mary Beth Maris- the manager of an apartment complex- feots overwheime.pdf
Mary Beth Maris- the manager of an apartment complex- feots overwheime.pdf
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Mary has an IV solution of normal saline infusing in her left arm and.pdf
- 1. Mary has an IV solution of normal saline infusing in her left arm and oxygen by mask at 2 L/min. Last week she heard that her older cousin had passed away, and since then she has become extremely depressed. She refuses to eat or drink but continues to take her medications on a regular basis. This 80-year-old woman is dehydrated and somewhat confused. Her neighbor provides the history. The nurse finds that Mary has been taking a diuretic (hydrochlorothiazide), an antihypertensive (atenolol), and multivitamins daily. Vital signs are as follows: temperature = 38.6 C (101.4 F); apical pulse = 100 beats/min; respiratory rate = 32 breaths/min; and blood pressure 92/62 mmHg. Her skin is dry and warm to the touch, and her lips are pale, dry and chapped. She weighs 51.3 Kg (113 lbs) and her height is 1.7 m (5'7"). Her speech is quiet and slurred. Mary has not eaten anything during the past 24 hours and has only taken sips of water during the past 12 hours. She has voided once in 12 hours. The following laboratory tests are completed: urinalysis, blood urea nitrogen (BUN) and creatinine, complete blood count (CBC), and basal metabolic panel (BMP). Mary is prescribed IV rehydration fluid and is stabilized in the emergency department before being admitted to the hospital unit. This activity contains 5 questions: