...Post Op DVT Patient Initials: Z, Z A 35 y/o male was admitted via the Emergency Department for a fractured left femur. He was parasurfing and lost control, slamming into some rocks off shore. He was taken to the operating room the day after admission for an open reduction and internal fixation (ORIF) of his left femur. You are assigned to care for him on postoperative day two. He is not married but lives with his girlfriend of 5 years in a two story home. He is athletic and exercises 5 times a week. He is a construction worker and is in good health. His parents are alive and healthy. Healthcare Provider’s Orders: O2 2LPM nasal cannula to keep O2 sat >92% Activity as tolerated Regular diet Saline Lock Antiembolic knee-high stockings Alprazolam 0.5mg PO HS prn for anxiety or insomnia Ampicillin 3g in 100ml 0.9% NS IVPB q12h Hydromorphone 1mg IV q4h prn for severe pain Hydrocodone 5mg/acetaminophen325mg 1 tab PO q4h prn Diphenhydramine 25mg PO q4h prn for pruritus Ondansetron 4mg IV q6h for nausea Acetaminophen 650mg PO q4h prn for Temp greater than 38°C Docusate sodium 100mg PO BID (discontinue for loose stools) Questions to Prepare: 1. Describe the nursing management of the orthopedic postoperative patient. Include in this discussion potential complications, the risk factors and what is done to prevent these. 2. What is the pathophysiology of deep vein thrombosis (DVT)? 3. What is the medical and nursing management of the patient with a DVT...
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...Aghfhfnfvhudnjgkh kfnbvjglg djfvjidvhjsjjajnjdndefidf Jedjdnjhdkfnhhd Dnjkd Sm Yhjg Hg Rtyh Yh gdshf dh h j jhj kioh kj hjk hih ih uih uh uih uih ij ij io ji jij I ko ko k pl pl l p ko ko ko ko ko ko k ok ok ok okj h g ed4 f hju 5t6 5t tg gyhyu8 uj8 ju ju ju ju jui was An autotroph[α] ("self-feeding", from the Greek autos "self" and trophe"nourishing") or producer, is an organism that produces complexorganic compounds (such as carbohydrates, fats, and proteins) from simple substances present in its surroundings, generally using energy from light (photosynthesis) or inorganic chemical reactions (chemosynthesis). They are the producers in a food chain, such asplants on land or algae in water, in contrast to heterotrophs as consumers of autotrophs. They do not need a living source of energy or organic carbon. Autotrophs can reduce carbon dioxide to make organic compounds for biosynthesis and also create a store of chemical energy. Most autotrophs use water as the reducing agent, but some can use other hydrogen compounds such as hydrogen sulfide.Phototrophs (green plants and algae), a type of autotroph, convert electromagnetic energy from sunlight into chemical energy in the form of reduced carbon. Autotrophs can be photoautotrophs or chemoautotrophs. Phototrophs use light as an energy source, while chemotrophs utilize electron donors as a source of energy, whether from organic or inorganic sources; however in the case of autotrophs, these electron donors come from inorganic...
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...few questions, write down your answers and then we will be over is that ok? Yes, just call me lina and i'm ready so go ahead. 1). Did you ever think on this journey you’d become an orphan? No, I didn't think that at all. I thought this was going to be short, but obviously i was wrong. 2). Did you believe Andrius when he said “‘ I’ll see you.”’ ? I honestly did, most people would say “Oh, i doubt it.”. I truly did think I would see him again and here we are. 3). Do you think Kresky was forced to do what he did or..? It’s 50% 50%, honestly because if he did it by choice he’d be mean all the time. Then, if it was by choice he would be mean then realize “This can’t go on.” and start caring at the end. Which is exactly what happened. So yea, it’s 50% 50%....
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...| | Panera Bread Company | The observation and analysis of a fast food restaurant | Panera Bread Company | The observation and analysis of a fast food restaurant | Background Information Rationale I chose to observe operations at Panera Bread Company (Panera) based on two factors: 1) I like the food and overall ambiance – I think Panera uses ingredients that are fresher and of higher quality than more traditional fast food restaurants. I also like that customers can sit down to eat using proper silverware and plates rather than using plastic utensils eating off of paper wrappers and plastic forks. Many Panera locations also have a patio, for al fresco dining, a cozy fireplace, for the winter months, and a small section with upholstered chairs and sofas. 2) Panera offers free Wi-Fi – this was an important factor because I wanted to take notes during each visit without bringing attention to myself. Because Panera offers Wi-Fi, it is not unusual to see customers with laptops. Visits I visited three different Panera locations over the course of several weeks and spent approximately 2 hours at each location. Location | Date and time of visit | Order Placed | | | | 5600 Urbana Pike | April 6, 2010 | Cuban Chicken Panini with chips as a side, an unsweetened iced tea and a Toffee Nut Cookie | Frederick, MD 21704 | 2:40 PM | | 136 Nassau Street | April 11, 2010 | Tuna Salad Sandwich (standard condiments replaced with Dijon mustard and...
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...Wireless Router Setup Manual NETGEAR, Inc. 4500 Great America Parkway Santa Clara, CA 95054 USA 2006-03 © 2006 by NETGEAR, Inc. All rights reserved. Trademarks NETGEAR is a trademark of Netgear, Inc. Microsoft, Windows, and Windows NT are registered trademarks of Microsoft Corporation. Other brand and product names are registered trademarks or trademarks of their respective holders. Statement of Conditions In the interest of improving internal design, operational function, and/or reliability, NETGEAR reserves the right to make changes to the products described in this document without notice. NETGEAR does not assume any liability that may occur due to the use or application of the product(s) or circuit layout(s) described herein. ii v1.0, 2006-03 Contents Wireless Router Setup Manual Chapter 1 Connecting the Router to the Internet What’s in the Box? ..........................................................................................................1-1 The Wireless Router Label .......................................................................................1-1 The Front of the Wireless Router .............................................................................1-2 The Back of the Wireless Router .............................................................................1-3 What You Need Before You Begin ..................................................................................1-3 Two Setup Methods: 1) Smart Wizard Setup...
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...Statistics 100A Homework 1 Solutions Ryan Rosario Chapter 1 1. (a) How many different 7-place license plates are possible if the first 2 places are for letters and the other 5 for numbers? The first two places can contain any letter of alphabet, 1 of 26 possibilities. The last five places can contain any single digit number, 1 of 10 possibilities. 26 26 10 10 10 10 10 If we consider each place an experiment with ni outcomes, then the generalized basic principle of counting implies that the total number of possibilities 7 ni = 26 · 26 · 10 · 10 · 10 · 10 · 10 = 262 105 = 67,600,000 i=1 (b) Repeat part (a) under the assumption that no letter or number can be repeated in a single license plate. Again, the first two places can contain any letter of alphabet, 1 of 26 possibilities. Once we have drawn a letter for the first place, that letter is no longer available for the second place. The last five places can contain any single digit number, 1 of 10 possibilities. Once a number has been chosen for the first place, it is no longer available for the next place and so on. 26 25 10 9 8 7 6 7 ni = 26 · 25 · 10 · 9 · 8 · 7 · 6 = 19,656,000 i=1 2. How many outcome sequences are possible when a die is rolled four times, where we say, for instance, that the outcome is 3, 4, 3, 1 if the first roll landed on a 3, the second on 4, the third on 3, and the fourth on a 1? This is almost identical to the previous problem. Rather than each experiment being a place on a license plate, each...
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...PROJECT CHARTER TEMPLATE | | |PURPOSE OF THE DOCUMENT: | | | |The Project Charter will serve as an internal document that captures high level planning information (scope, deliverables, | |assumptions, etc.) about the Project. | | | |The Project Manager creates the Project Charter in the Initiation Phase of the Project, in consultation with the Business Manager. | |Its purpose is to recognize the existence of the project and to begin the planning process required to accomplish the Project | |goals. It is not intended to be shared with the customer as a formal contract or legal document. | | | |The Project Charter is an input to the Definition Phase of the Project where much of the information contained herein forms...
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...Chapter 2 Review Questions 1. Management is needed to perform risk assessments and spend and substantial amount of money to protect the day to day functioning of the organization. Technology does not set policies nor fix the various social issues 2. Data is the most important asset an organization possesses because it represents the daily transaction records and its ability effectively deliver value to its customers. Without data organizations would not be able to carry out day to day task. The functioning of the organization and the safe operation of applications, technology and people are other assets that require protection. 3. General management and IT management are both responsible for security implementations for organizations. 4. Business networks are now connected to other networks external to the organization which has made it easier for unauthorized access to the organizations networks creating vulnerability. 5. Information extortion occurs when a hacker performs an attack on your system and steals valuable information or compromising data. The hacker then contacts the person whose information it has stolen and demands compensation or some other form of recognition to get the personal information returned. 6. Employee’s mistakes can lead to the findings of classified data, internal errors entered, deletion or modification of data and the most recent the storage of sensitive data on unauthorized devices such as cell phones and laptops. 7. Individuals could protect...
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...Name: 529 Plans http://www.sec.gov/investor/pubs/intro529.htm http://www.savingforcollege.com/college_savings_201/ 1. What is a 529 plan? A 529 plan is a tax-advantaged savings plan designed to encourage saving for future college costs. 2. | Qualified higher education expenses allowed | Penalties for withdrawing for non-qualified expenses? | 529 College Savings Plan | Covers all "qualified higher education expenses," including: * Tuition * Room & board * Mandatory fees * Books, computers (if required) | | 529 Prepaid Tuition Plan | All plans cover tuition and mandatory fees only. Some plans allow you to purchase a room & board option or use excess tuition credits for other qualified expenses | Same as above. | 3. How does investing in a 529 plan affect state and federal taxes? Earnings in 529 plans are not subject to federal tax, and in most cases, state tax, so long as you use withdrawals for eligible college expenses, such as tuition and room and board. 4. Who is eligible for a 529 College Savings plan? Any U.S. resident or only residents of the state Who is eligible for a Prepaid Tuition Program? Any U.S. resident or only residents of the state 5. Name the top 7 benefits of 529 Plans. (click College Savings 101 or http://www.savingforcollege.com/college_savings_101/) All plans cover tuition and mandatory fees only. Some plans allow you to purchase a room & board option or use...
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...There are also newer forms of exploitation of indigenous peoples, and their cultures such as the theft and patenting of traditional knowledge and biological and genetic resources through the Trade-Related Aspects of Intellectual Property Rights and other mechanisms. Global economic restructuring such as trade lib- eralization, privatization, ‘free trade’ and deregulation has also considerably increased the pressure on indigenous territories. The dominant global economic system is based on continuous growth and thus requires an insatiable supply of natural resources and the world’s remaining and diminished resources are often located on indigenous territories. Deregulation of national resource extraction laws and regulations has resulted in a serious undermining of international instruments, constitutional provisions, national laws and policies safeguarding indigenous rights. The most central of these rights, the right to self-determi- nation of indigenous peoples has been questioned and undermined as national governments bind themselves to new global economic treaties. Many scholars have pointed out the links between the processes of global economic restructuring and rising levels of violence. Some have even suggested ‘a new paradigm of violence’ which is particularly evident in ten- sions and conflicts where ethnic and religious identities are or can be employed as a resource to propel into violence for political ends (Wieviorka 2003). Discussions of globalization and violence...
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...Study guide questions: Chapter 42: Important terms: Cardiac cycle, systole, diastole, cardiac output, heart rate, stroke volume, heart murmur (page 903); the sinoatrial (SA) node (pace maker) (page 904); vasoconstriction, vasodilation (page 907); hemoglobin (page 911, also 924), heart attack, stroke, hypertension, etherosclerosis (pages 913-915). 1. Distinguish between a) open and closed circulatory systems; b) single and double circulation; c) pulmonary and systemic circuits (Pages 889-901). 2. Coordinated cycles of heart contraction drive double circulation in mammals. De-oxygenated blood from the body enters the heart, which is then pumped to the lung to be oxygenated. The newly oxygenated blood enters the heart and then pumped to the whole body. Use the structures given below to describe the direction of blood flow. Start with the first structure that takes the de-oxygenated blood to the heart and end with the last structure that takes the oxygenated blood to the body (Pages 902, Fig 42.6). Left semilunar valve, right semilunar valve, left AV valve, right AV valve, left ventricle, right ventricle, left atrium, right atrium, pulmonary arteries, pulmonary veins, aorta, lungs, the superior/inferior vena cava. What specifically does each of the four valves of the heart do? 3. What percentage of the brains blood supply arrives from the hearts right half? 4. Label the figure given below (page 903, Fig 42.7). [pic] 5. In vertebrates...
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...Each area of knowledge uses a complex network of ways of knowing. A strong network of the ways of knowing is crucial for a knower to fully understand knowledge, because each way of knowing have significant weaknesses to them. However, if the ways of knowing are working with one another in a network, the weaknesses of one way of knowing can be supported by the strengths of others. This strong network of the ways of knowing allows the knower to obtain a strong understanding of a particular area of knowledge, depending on the ways of knowing that are being connected in this network. By using multiple ways of knowing in the network, the knower is able to develop multiple perspectives about the knowledge, creating more complete and comprehensible knowledge for the knower. Mathematics and religion are two areas of knowledge that are observable nearly every day in our lives and society. Ways of knowing enable the an individual to receive and retain knowledge. However, in order to fully understand this knowledge, a strong network of the ways of knowing are crucial for the knower. In mathematics, a equation or answer can be compromised with the smallest mistake in the mathematical process. This requires the knower to have a complete understanding of the process and concept they are being presented with. A strong network of ways of knowing is imperative for a knower to fully understand a question they are presented with, and ultimately come away with the correct answer. In order for...
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...P6-6B Revised Solution Note: This problem has a couple of remaining issues…First, on November 3, Yoshi only paid freight for 70 of the 80 units that were delivered on November 2. A possible explanation is that Yoshi called the supplier on November 2 and said that ten of the units received were damaged and the supplier agreed to pay the freight for the ten units and pick them up on the 9th. Second, we don't know if Yoshi took the discount on the units purchased on the 21st, but evidently not. Requirement 1 November 2 | | Debit | Credit | Inventory | 8,000 | | Accounts Payable | | 8,000 | (Purchase inventory on account) | | November 3 | | | | Inventory | 210 | | Cash | | 210 | (Pay freight-in) | | November 9 | | | | Accounts Payable | 800 | | Inventory | | 800 | (Return inventory on account) | | November 11 | | | | Accounts Payable | 7,200 | | Inventory | | 144 | Cash | | 7,056 | (Pay on account less 2% discount)($110 = $5,500 × 2%) | | November 16 | | | | Accounts Receivable | 13,000 | | Sales Revenue | | 13,000 | (Sell inventory on account) | | Cost of Goods Sold | 9,800 | | Inventory | | 9,800 | (Cost of inventory sold) | | ($9,800 = ($95 × 50 units) + ($101 × 50 units)) | | November 20 | | | | Cash | 13,000 | | Accounts Receivable | | 13,000 | (Receive cash on account) | | Problem 6-6B (continued) Requirement 1 (continued) November 21 | | Debit | Credit | Inventory...
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...Ruby Ladlow To what extent has the location of sovereignty in the UK changed in recent years? Sovereignty is in essence ultimate and unchallengeable power. Parliamentary Sovereignty, which makes Parliament the supreme legal authority in the UK, is threatened by devolution. Devolution was the transfer of power to subnational governments, this changed the UK into a quasifederal state; central government does not make all domestic policies, this means that laws passed in Westminster do not apply across the entire territory of the UK. The shift of Westminster’s power has led to a raft of different legislation emanating from these new bodies. This is illustrated by the fact that in England students pay fees for University whereas Scotland decided to keep university fees completely free. The devolution of power has put a constraint on Parliamentary Sovereignty. However it can be argued that devolution preserves in principle the sovereignty of Parliament. The Westminster Parliament could continue to legislate for Scotland, Wales or Northern Ireland even on devolved matters; and it can, if it wishes, simply abolish the devolved bodies by a simple Act of Parliament, as it did with the Northern Ireland Parliament in 1972. Secondly, the UK's legal sovereignty is challenged by the EU. The membership of the EU, along with the introduction of the Human Rights Act 1998, has diminished the supremacy of Parliament. The legal basis for British Membership was provided by the...
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...Yong Goo, a mentally ill father who accused of murder and rape successfully brings in her 7 years old daughter, Ye Seung, of course with a help by some friendly criminals in his cell. In this cell number 7, they have a mission to protect these two Father-Daughter and also to prove Yong Goo isn't a murder. This movie absolutely wins my heart. Every single scene successfully makes my heart flutter. Hats off to every actors in here, especially Ryu Seung Ryong ! His acting as a mentally ill father is really perfect. He isn't just bringing the character of a mentally ill father but also a character of father who loves her daughter so well. I also adore Kal So Won as Ye Seung child ! How can this cute little girl can act like that? She is very cute and smart, like her character. I can really feel the father-daughter bond. Everyone must be thinking at first that criminals in cell with Yong Goo are bad, but they aren't. In the end, all bad person in cell, including prisoner chief, are helping Yong Goo. I think it's because a sincere love between a father and a daughter. The movie started with a lady given a pile of files by a police officer who she later calls “Dad”. The files are for a case which the police officer said is gonna be tough because the case is not an easy one. Then the lady carrying the stack of files is walking out not just from a police station, but from a prison. It was snowing and she saw a balloon flying in the sky and got caught in the barbed wires.. It is...
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