In which order will the nurse take these actions when caring for a patient in the emergency department with a right leg fracture after a motor vehicle accident?

You are working in the ED. Your patient is a 79 year old female coming from a nursing home. She is complaining of cough, fever, altered mental status. EMS reports the nursing home has had a covid breakout. EMS reports the patient is currently on CPAP, RR 34, SaO2 84%, HR 126 ST, 12 lead negative for ST elevation, BP 100/66, glucose 246. On arrival the patient is nonverbal, with head bobbing, initial vital signs match the EMS reported. She nods her head in response to questions. The physician orders a stat ABG to determine status. The result is; Ph‐ 7.32, CO2‐ 32, HCO3‐ 15. On exam, your patient is pale, slightly diaphoretic, temperature is 38.5C. The patient is alert but does not speak. Nods when asked if she is short of breath. She remains on CPAP for the moment. IV access is obtained, labs drawn, chest Xray taken, repeat vitals are unchanged. Lung sounds are diminished. Patient history; admission to nursing home 6 days ago for rehab on hip replacement following a fall. History of osteoporosis, HTN, NIDDM, and COPD. Medications; alendronate (Fosamax), Lisinopril, Coreg, Glucophage, Albuterol Allergies; sulfa, penicillin BMP; • BUN: 24 mg/dL (6‐ 20 mg/dl) • CO2: 22 mmol/L (23‐ 29 mmol/L) • Creatinine: 1.8 mg/dL (0.8‐ 1.2 mg/dL) • Glucose: 268 mg/dl (64‐ 100 mg/dL) • Serum chloride: 110 mmol/L (96 to 106 mmol/L) • Serum potassium: 7.2 mEq/L (3.7 to 5.2 mEq/L) /1 20 of 34 • Serum sodium: 152 mEq/L (136 to 144 mEq/L) • Serum sodium: 152 mEq/L (136 to 144 mEq/L) • Serum calcium: 8.0 mg/dL (8.5 to 10.2 mg/dL Lactate‐ 3.7 mmol/L (0.5‐2.2 mmol/L) Troponin‐ 0.2 (

You are on med surg. Your patient is a 58 year old man who is one day post knee replacement. He has been non‐compliant with knee exercises and movement stating “too much pain”. • Height: 5’10” (178 cm) • Weight: 210 lbs (95 kg) • Medical History: Hypertension, Type 2 Diabetes Mellitus, Hyperlipidemia, Smoking (1 pack/day for 30 years), Family history of cardiovascular disease. • Allegies: Cephalexin  • Medications: Metformin 500 mg BID, Lisinopril 20 mg daily, Atorvastatin 40 mg daily, Aspirin 82 mg daily, Lovenox 40mg daily The patient pushes the call bell and when you enter he states “my chest hurts”. He appears anxious, pale, and diaphoretic. • Blood Pressure; 160/95 • Heart Rate: 110 beats per minute, regular • Respiratory Rate: 22 breaths per minute • Oxygen Saturation: 94% on room air • Temperature: 98.6°F (37°C) The Rapid Response Team arrives and begins to treat the patient. The 12 lead ECG shows a pattern of a left ventricular MI. A cardiac alert is called. The first nitro decreases the patient’s chest pain from a 7/10 to a 6/10. His vitals supported repeat doses of nitro. He has had 3 doses of nitro, and 4mg of morphine. His chest pain is now 4/10. • Blood Pressure; 144/88 • Heart Rate: 106 beats per minute, regular • Respiratory Rate: 20 breaths per minute • Oxygen Saturation: 99% on oxygen /1 18 of 34 • Temperature: 98.6°F (37°C) Which of the following are priority interventions in preparing to transfer the patient to the cath lab? Choose ALL that apply. 

OPTION 2: Write at least one paragraph explaining three or four topics pertaining to form that you could teach from this piece. (Options include cadences, theme types, and the overall form, among other things.) Identify at least one specific example (with measure numbers) for each feature you mention. 

Which characteristic most distinguishes malignant tumors from benign tumors?

Mountain Home Systems, Inc. is a well-known and reputable supplier of integrated circuits to manufacturers of telecommunications devices. The firm is currently debating whether to change its credit policy. Terms are currently 2/10, net 60 and would be changed to 2/10, net 30. Currently, 60% of the customers on average pay at the end of the credit period (60 days) and the remaining customers would pay in 10 days to take advantage of the discount. Under the new policy, it is anticipated that customers will pay on average in 35 days and 50% of the customers will pay in 10 days to take advantage of the discount. All sales are credit sales and will remain so with the change of policy. Average annual sales of $8,000,000 a year are expected to fall to $6,000,000. Bad debt losses will drop from 3% of total sales to 2% of total sales. Variable production costs will remain at 80%. The opportunity cost of financing is 8%. Should Mountain Home Systems change its credit policy? Show all calculations. 

The city of Madison plans to build a Public Market at E Johnson St and First St by 2022. This is roughly 78.6 miles from Milwaukee’s Public Market (N Water St and E St Paul Ave). Express this distance in centimeters and write the answer in scientific notation. Keep two digits of accuracy. Show all supporting work and calculations. Hint: 1 kilometer = 0.621 miles

In 2020, an adult season pass lift ticket for Devil’s Head Ski Resort in Merrimac, WI costs $449. If lift ticket prices have grown proportionally to the Consumer Price Index (see table), what would a season pass have cost in the year 2005? Show calculations and explain your work.    Year       CPI Index       2000      172.2    2005      195.3    2009      214.5    2014      236.0    2020      259.9

State your answer in a complete sentence, explaining what sensitivity means in the context of the previous problem.

A truck filled with 41,000 pounds of chocolate chips flipped over and skidded 100 yards spilling all the chips onto the highway. How many cookies could have been made from the chips? You may use the following conversion facts: 1 dozen is 12 items 1 yard is 3 feet 6 ounces of chocolate chips can make 2.5 dozen cookies 1 pound is 16 ounces