Nursing homework help
Mandatory staffing ratios in hospitals
A nurse in the ICU comes on to her first of three shifts, and told that she is going to be receiving a transfer from a smaller hospital at some point in her shift. The patient that she is going to be receiving is a 79 year old patient that takes blood thinners and had a fall. Due to fall is believed to have both subdural hematoma and subarachnoid hematoma with a 1 cm x 1 cm midline shift. Currently on unit she is to receive report on a patient that is 66 years old that was extubated 2 hours earlier whom is having labored breathing with respiration rate of 52 breaths per minute. The third patient is a vented 64 year old patient that was admitted for acute respiratory failure related to COPD exacerbation due to lower lobe pneumonia.
RUBRIC
Statement of Issue: Present issue you have chosen in the context of a realistic, hypothetical patient scenario. A healthcare worker should be part of the scenario and is faced with the ethical/legal decision or is assisting someone who is facing the decision.
4.0 pts
This criterion is linked to a Learning OutcomeEthical Analysis: Discuss the ethical issues created by the chosen topic as described in your case scenario. A. Include in your analysis: relevant provisions and interpretative statements from the ANA Code of Ethics for Nurses; B. examine ethical principles, citing your assigned readings; and C. apply one of the ethical theories, citing your assigned readings
9.0 pts
This criterion is linked to a Learning OutcomeLegal Analysis: Explore relevant laws/legal issues, including emerging trends, if applicable, and laws from other jurisdictions and countries as needed, that relate to or impact your scenario. Use proper APA citation to cite legislation
9.0 pts
This criterion is linked to a Learning OutcomeEthical/Legal Decision: Reach a conclusion for the issue you presented which is supported by the ethical and legal analysis above.
4.0 pts
This criterion is linked to a Learning OutcomeScholarly Writing : A. Correct grammar, sentence structure, spelling, etc. B. Correct APA formatting C. A minimum of 5 current (published within the last 5 years), scholarly references. Case references are acceptable beyond 5 years if no cases more recent. D. Minimum of 5 pages of content – not including in the 5 pages: title page, Abstract & References
6.0 pts
Total Points: 32.0

Ms. A. Anemia Case Study
In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.
Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
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This Ms. A. Anemia Case Study  assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.
You are required to submit this Ms. A. Anemia Case Study  assignment to Turnitin.
Ms. A. Anemia Case Study
Ms. A. is an apparently healthy 26-year-old white woman. Since the beginning of the current golf season, Ms. A has noted increased shortness of breath and low levels of energy and enthusiasm. These symptoms seem worse during her menses. Today, while playing in a golf tournament at a high, mountainous course, she became light-headed and was taken by her golfing partner to the emergency clinic. The attending physician’s notes indicated a temperature of 98 degrees F, an elevated heart rate and respiratory rate, and low blood pressure. Ms. A states, “Menorrhagia and dysmenorrheal have been a problem for 10-12 years, and I take 1,000 mg of aspirin every 3 to 4 hours for 6 days during menstruation.” During the summer months, while playing golf, she also takes aspirin to avoid “stiffness in my joints.” Ms. A. Anemia Case Study.

Laboratory values are as follows:

Hemoglobin = 8 g/dl

Hematocrit = 32%

Erythrocyte count = 3.1 x 10/mm

RBC smear showed microcytic and hypochromic cells

Reticulocyte count = 1.5%

Other laboratory values were within normal limits.

Question

Considering the circumstances and the preliminary workup, what type of anemia does Ms. A most likely have? In an essay of 500-750 words, explain your answer and include rationale. Ms. A. Anemia Case Study

Group Company Project – Part II
The purpose of the second part of the comprehensive project is to compute financial statement ratios. Based on the company you selected in Part I, complete the following:

  1. Based on formulas in your textbook, compute the following ratios for two years. You may use Excel to compute your ratios.
    1. Debt ratio
    2. Gross profit margin
    3. Free cash flow
    4. Times interest earned
    5. Accounts receivable turnover
    6. Inventory turnover
  2. Prepare a DuPont Analysis of ROE for two years, including computations of
    1. Return on Sales
    2. Asset Turnover
    3. Return on Assets
    4. Financial Leverage
    5. Return on Equity

 

  1. Briefly evaluate the ratio trends. Indicate on your worksheet whether each ratio is:
    1. stronger / weaker
    2. quicker /slower
    3. more / less liquid
    4. more / less risk
  2. Write a 3-6 page report evaluating trends in all of the above ratios. Discuss whether your company’s profitability, efficiency, liquidity, and solvency are improving or deteriorating. Suggest ways the company can improve the ratios that show problems. The report should be well written with cover page, introduction, the body of the paper (with appropriate subheadings), conclusion, and reference page. References must be appropriately cited.

 
 
 
 
 
 
Submit Group Project Part III (Read Instructions):
Important: Turnitin is active. Turnitin score greater than 25% will be investigated. In addition, you may lose points if your Turnitin score is greater than 25%. 
Group Company Project Part III
The purpose of the third part of the comprehensive project is to use resources available to obtain industry averages for commonly used ratios. Additionally, you will compare company ratio results to industry averages.

  1. Obtain the four-digit primary SIC (Standard Industrial Classification) Code and industry title for your company. Record the primary SIC code and industry title at the top of the Ratio Analysis Worksheet.
  2. Obtain industry averages for commonly used ratios in the current period. Industry average information is reported by industry title or SIC code.
  3. Look up the following industry-average ratios:
    1. Current ratio
    2. Debt ratio
    3. Gross profit margin
    4. Times interest earned
    5. Accounts receivable turnover
    6. Inventory turnover
    7. Return on Sales
    8. Asset Turnover
    9. Return on Assets
    10. Financial Leverage
    11. Return on Equity

Note that some industry averages may not apply to your company.
Alternative to Industry Averages:
If you are not able to find the industry average for part 3 of your project, please consider the following:
Unfortunately, some of the websites where you can find industry averages will require you to pay for them. Instead of using industry average, calculate the same ratios for one of the competitors to the company you used in your project. That will give you the comparative information you need for Part 3 of the project. I believe this will help.

  1. Write a 3-5 page report comparing the above ratios to industry averages. Discuss whether your company’s profitability, efficiency, liquidity, and solvency are better than, or worse than, its peers. The report should be well written with cover page, introduction, body of paper (with appropriate subheadings), conclusion, and reference page. References must be appropriately cited. Format: Double-spaced, one-inch margins, using a 12-point Times New Roman font.

Group Project Part IV (Read Instructions)

Important: Turnitin is active. Turnitin score greater than 25% will be investigated. In addition, you may lose points if your Turnitin score is greater than 25%. 


Group Company Project Part IV: Final Written Paper
The final written paper requires you to prepare a well-written titled “Would You Advise a Friend to Invest in This Company?” based upon your research and analysis of this company’s financial information. You should identify at least 5-7 significant points that justify your conclusion. Support your points with a comprehensive explanation incorporating sound reasoning. The significant points you identified should be consistent with what you said in Parts I, II, and III.
Your final written paper should be 4-5 pages long. The report should be well written with cover page, introduction, the body of the paper (with appropriate subheadings), conclusion, and reference page. References must be appropriately cited. Format: Double-spaced, one-inch margins, using a 12-point Times New Roman font.

 Psychology homework help

Discussion—Integrating Pharmacotherapy in Treatment

While numerous psychotherapeutic methods for treating substance abuse are available, some patients also utilize pharmacotherapy to assist them in their recovery.
Using the module readings, Argosy University online library resources, and other scholarly resources from the Internet, evaluate the integration of pharmacotherapy in the treatment of substance use disorders. Then, respond to the following questions:

  • What are the costs and benefits of combining pharmacotherapy with psychotherapy in the treatment of substance use disorders?
  • How does abstinence apply to those users who are taking replacement therapy such as methadone maintenance or nicotine replacement treatments?
  • What counseling theories will work best alongside pharmacotherapies for substance use disorders?

Write your initial response in approximately 300–400 words. Apply APA standards to citation of sources.
Using the module readings, Argosy University online library resources, and other scholarly resources from the Internet, evaluate the integration of pharmacotherapy in the treatment of substance use disorders. Then, respond to the following questions:

  • What are the costs and benefits of combining pharmacotherapy with psychotherapy in the treatment of substance use disorders?
  • How does abstinence apply to those users who are taking replacement therapy such as methadone maintenance or nicotine replacement treatments?
  • What counseling theories will work best alongside pharmacotherapies for substance use disorders?
Death With Dignity Scenario and Reflection
To complete each scenario assignment:
Complete the entire scenario.
Compose your reflection in a Word document and be sure to address, at a minimum, the following questions:
Why do you feel the way you do about the issue presented?
Of the four responses offered in the scenario, which do you feel is the most ethical and why?
Support your conclusions with evidence and specific examples from the textbook, as well as other sources as needed.
Your reflection must be 1-2 pages in length and follow APA formatting and citation guidelines as appropriate.
Need Turnitin report to ensure that no plagiarism.
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    DeathwithDignityscenarioconversation.docx

 

The Case Requirements
From the time that Loxon became GLS’s auditor, there were several audit deficiencies. Please identify and describe the key audit deficiencies that led to GLS’s persistent financial statement fraud.
Requirement 2
Section 10A of the SEC Act of 1934 requires auditors to report to the SEC when, during an audit, an auditor detects: 1) illegal acts which have a material impact on the financial statements, and 2) appropriate action is not taken by management and the board of directors. Loxon had responsibilities to GLS, but also to other stakeholders, such as the SEC, the PRC, and investors. Do you believe that Loxon fulfilled their responsibilities to each of the four stakeholders mentioned?
Requirement 3
The PCAOB and SEC coordinate their efforts to ensure public firms’ compliance with their rules and regulations and to protect investors. Section 106 of the Sarbanes-Oxley Act of 2002 requires that auditors of a U.S. issuer registered with the PCAOB consent to produce workpapers when requested by either the SEC or the PCAOB. Among the common investigations by the PCAOB is the failure to cooperate with an inspection or investigation. Likewise, Rule 102(e) of the SEC “Improper Professional Conduct” gives the SEC the power to sanction auditors if there is professional misconduct.

  1. a)  What are the steps of conducting an inspection by the PCAOB?
  2. b)  What are the implications of violating the PCAOB inspections rules (types of sanctions) and
    discovery of audit deficiencies on Loxon?

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c) Under SEC – Rule 102(e), what are the implications to Loxon for improper professional conduct?
Requirement 4
In 2017, the PCAOB issued a new auditing standard to replace a portion of AS 3101 “The Auditor’s Report on an Audit of Financial Statements When the Auditor Expresses an Unqualified Opinion” and extended it with AS 3105 “Departures from Unqualified Opinions and Other Reporting Circumstances”. The purpose of the new standards is to expand auditor reporting and enhance its relevance to investors. AS 3101 is effective for audits of fiscal years ending on or after June 30, 2019 for large accelerated filers and on December 15, 2020 for all other firms. Please review the final ruling of the AS 3101 using this link “https://pcaobus.org/Rulemaking/Docket034/2017-001- auditors-report-final-rule.pdf” and answer the following questions:

  1. a)  Summarize the improvements in the expanded auditor report.
  2. b)  Define Critical Audit Matters (CAMs) and give examples from the present case.
  3. c)  Assume that Loxon had provided its last auditor report prior to resigning. Given the
    circumstances of this case, prepare Loxon’s last audit report in accordance with the new audit report standard AS 3105: Departures from Unqualified Opinions and Other Reporting Circumstances. You may refer to an example of auditor’s report that you can access through the PCAOB website by following this link:https://pcaobus.org/Standards/Auditing/Pages/AS3105.aspx
  4. d)  What are the implications of this new standard on the case study?

Requirement 5
Culture can be defined as: “the collective programming of the mind that distinguishes the members of one group or category of people from another” (Hofstede, 2001, p.9). According to Geert
page12image40737536 page12image40732736 page12image40744256
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Hofstede’s cultural model, societal values are affected by ecological values and influenced by external forces (trade and investment), and hence affect the business environment.

  1. a)  Describe the likely effects of the 6-D model of Geert Hofstede’s cultural dimensions on the
    development of financial reporting systems within the United States versus China. The link to the 6-D model of national culture by Geert Hofstede is shown below: https://geerthofstede.com/culture-geert-hofstede-gert-jan-hofstede/6d-model-of-national- culture/
  2. b)  Why are the financial statements in China considered State-sensitive information, while in the U.S. they are public information?
  3. c)  Countries all over the world are categorized by their regulatory and political systems, emerging as either common law countries, code law countries or mixed systems. Please describe the regulatory and political systems of the United States versus China.

Requirement 6

  1. a)  What are the most significant implication(s) of China’s State Secrecy Laws regarding the audit procedures and audit liability?
  2. b)  Do you think that Loxon was justified in their initial reluctance to provide the workpapers to the SEC?
  3. c)  Was the SEC justified in their reaction? Please support your answers.
  4. d)  Roger Silvers is an accounting professor at the University of Utah and had served as a visiting economist with the SEC. Professor Silvers recently wrote a comment letter to the SEC that includes recommendations for the SEC to follow in an effort to reduce the risks that investors face when investing abroad. The Comment Letter can be accessed via this link: https://www.sec.gov/comments/emerging-markets/cll9-7328594-218510.pdf. Please

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read the letter and explain which course(s) of action would be most effective in reducing risk when investing abroad.

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    ThePRCAuditingCase.pdf

The first step of the evidence‐based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.

For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer‐revised research articles, as indicated below. The PICOT question and six peer‐reviewed research articles you choose will be utilized for subsequent assignments.

Use the “Literature Evaluation Table” to complete this assignment.

  1. Select a nursing practice problem of interest to use as the focus of your research (use hypertension as a topic/problem). Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.
  2. Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (the project students must complete during their final course in the RN‐BSN program of study).
  3. The PICOT question will provide a framework for your capstone project. 
  4. Conduct a literature search to locate six research articles focused on your selected nursing practice problem of interest. This literature search should include three quantitative and three qualitative peer‐reviewed research articles to support your nursing practice problem.
BIOL 2263e Human Anatomy & Physiology Lab II
Respiration
Lung Capacity Lab 23 points
Measuring Tidal Volume
A. (1 pt) IN YOUR OWN WORDS describe or define Tidal Volume.
Method
1. Prepare the spirometer according to Spirometer Instructions (found in Content).
Also read: Laboratory Procedures for Primate Osteometrics
2. Sit near spirometer setup, breathing quietly for 2 minutes
3. Place the tubing mouthpiece between lips, inhale in a normal, unforced way, pinch the nose closed with your fingers, and exhale in a normal, unforced way, into the tube.
4. Calculate the displaced water volume (original volume – remaining volume).
5. Record the displaced volume in the space to the right of Trial 1.
6. (3 pt) Refill the jug and Repeat twice more (for total of three readings).
 
Trial
Tidal   Volume
 
1
 
2
 
3
 
Total
Expected/Normal   Value
 
Average   (total /3)
B. (1 pt) Briefly compare the subject’s Tidal Volume to expected / normal Tidal Volume
Measuring Expiratory Reserve Volume
A. (1 pt) IN YOUR OWN WORDS describe or define Expiratory Reserve Volume.
Method
1. Prepare the spirometer according to Spirometer Instructions.
2. Sit near spirometer setup, breathing quietly for 2 minutes.
3. Place the tubing between lips, plug the nose and take a normal breath or two through the mouth. After a normal exhalationexhale all additional air possible into the tube.
4. Calculate the displaced water volume (original volume – remaining volume).
5. Record the displaced volume in the space to the right of Trial 1.
6. (3 pt) Refill jug the jug and repeat twice more (for total of three readings)
 
Trial
Expiratory   Reserve Volume
 
1
 
2
 
3
 
Total
Expected/Normal   Value
 
Average   (total /3)
B. (1 pt) Briefly compare the subject’s Tidal Volume to expected / normal Expiratory Reserve volume
Measuring Inspiratory Reserve Volume
A. (1 pt) IN YOUR OWN WORDS describe or define Inspiratory Reserve Volume.
Method
1. Set up the spirometer for use.
2. Sit near spirometer setup, breathing quietly for 2 minutes.
3. Breathe in as deeply as possible, place tube between lips and exhale normally (without force)
4. Calculate the displaced water volume (original volume – remaining volume).
5. Subtract your AVERAGE tidal volume (from first Table) from the displaced volume to find the Inspiratory Reserve volume.
6. (3 pt) Record the calculated volume; refill the jug and repeat twice more (for total of three readings)
 
Trial
Inspiratory   Reserve Volume
 
1
 
2
 
3
 
Total
Expected/Normal   Value
 
Average   (Total/3)
B. (1 pt) Briefly compare the subject’s Inspiratory Reserve Volume to expected / normal Inspiratory Reserve value
Measuring Vital Capacity
A. (1 pt) IN YOUR OWN WORDS describe or define Vital Capacity.
Method
1. Set up the spirometer for use.
2. Subject stands near spirometer breathing slowly and deeply for a while
3. Breathe in as deeply as possible
4. Place the tube between lips and breathe out as forcibly as possible
5. (6 pts) Calculate and record the displaced volume (original volume – remaining volume); repeat twice more.
 
Vital   Capacity
 
Trial
Measured Vital Capacity
Calculated Vital Capacity*
 
1
 
2
 
3
 
Total
Expected/Normal   Value
 
Average   (total /3)
*Vital Capacity measurements can be checked by comparing to the sum of:
Tidal Volume + Expiratory Reserve Volume + Inspiratory Reserve Volume
B. (1 pt) Briefly compare the subject’s Vital Capacity to expected / normal Vital Capacity

Disorders and Treatment

Each disorder or injury on the topic list in Week 1 Assignment 3 involves some process of brain damage or chemical alteration. When a person is diagnosed with such a disorder, the focus is to find an effective treatment. The ideal treatment for a disorder or injury would involve a medicine that would stop or reverse the process that is causing damage or reset the chemical imbalance. In some cases, that is possible, such as when a person who has epilepsy is given a drug that stops the seizures. In other cases, such as with Alzheimer’s disease, the drug treatment involves symptom management because there is no effective way of slowing the brain damage that is occurring.

Assignment Specifics

Selected disorder: (Autism Spectrum Disorder)
Your goal for this assignment will be to research and find at least one medicine that is used for treatment or symptom management for your selected disorder or injury. Regardless of whether your treatment is a cure or a method of symptom management, you need to determine how the medicine works. Note that you do not need to be able to describe the specific mechanisms; however, you should be able to state the process in simplistic terms. For example, you might find that the medication does not alter the process of cell damage; however, it enables the neurotransmitters in the cells that remain to be used more effectively. After establishing how the treatment works, determine how effective the treatment is and how long the treatment will last. Will the person have to take the medicine for the rest of his or her life, or is it given during a brief time period? In some cases, the timing of medication application must be considered, for example, a clot-dissolving drug given in the early stages of clot formation in an ischemic stroke is more effective and leads to a better prognosis than when the drug is given later in the process.

Submission Details:

  • Use APA format.
  • Name your document: SU_PSY4490_W2_Project_LastName_FirstInitial
  • Submit your document to the Submissions Area by the due date assigned.