A 68-year-old male who has a 5-year history of systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. He presents to the emergency department (ED) for shortness of breath (SOB) for the past 3 days. His shortness of breath has progressed from SOB with activity to becoming SOB at rest. The last two nights, he had to sleep in his recliner chair to rest comfortably with his head partially elevated. He can speak only a partial sentence and then tries to take a breath when talking. He has noted increased swelling in his lower legs and has gained 6 pounds in the last 3 days. He is being transferred from the ED to the cardiac step-down, where you are assigned to care for him. The health care provider prescribed:  1. Strict I & O 2. Furosemide (Lasix) 40 mg IV 3. Titrate oxygen to keep oxygen saturation above 92% Rank in order your implementations, what would you do first, second, and third?

The nurse has five patients. Which patient will the nurse assess first?

A patient who is newly diagnosed with diabetes received 6 units of lispro at lunchtime. An hour later, he complains of shakiness. What is the nurse’s priority action?

A patient is newly diagnosed with type 2 diabetes. The patient and family ask the nurse what type 1 diabetes is.  What explanation does the nurse give to them?

Which patient is most at risk of developing left-sided heart failure?

The nurse is about to do morning rounds after receiving the shift reports. Which of the following patients should the nurse assess first due to their greatest risk for dehydration?

Giant Electronics is issuing 20-year bonds that will pay coupons semiannually. The coupon rate on this bond is 7.8 percent. If the market rate for such bonds is 7 percent, what will the bonds sell for today? (Do not round intermediate computations. Round your final answer to the nearest dollar.)  

The current price per share divided by the firm’s earnings per share is known as the​    

When the contract interest rate at closing is less than the current market rate (i.e., mortgage rates have increased since the time of the loan commitment), the mortgage banker will have to sell the newly originated loan at a discount. This scenario best depicts the mortgage banker’s exposure to which of the following risks?

BCH4024 OC F25 E3 Q41: A 14-month-old child is brought to the clinic with swelling in the legs, irritability, and flaky skin lesions. The child was recently weaned and is now fed a maize-based porridge, which provides adequate caloric intake but is low in protein. Physical exam reveals a distended abdomen and sparse, depigmented hair. What is the most likely diagnosis?