9.7 You hire Jen for a three-year term. She has no retiremen…
9.7 You hire Jen for a three-year term. She has no retirement plan, so you agree to invest money immediately to allow her a stream of three payments beginning one year after her employment term ends. Draw a timeline! The money you invest for the full six years of this arrangement (three years of employment and three years of withdrawals) always earns 6% compounded annually. When Susan receives her third and last payment, the fund will be depleted and equal zero. The three payments she will receive are as follows: End of year 4: $25,000 End of year 5: $30,000 End of year 6: $37,000 Therefore, your goal is to have enough money in this account at the end of Susan’s three-year employment term to assure her of receiving these payments. How much money must you invest today to accomplish this strategy?
9.7 You hire Jen for a three-year term. She has no retiremen…
Questions
9.7 Yоu hire Jen fоr а three-yeаr term. She hаs nо retirement plan, so you agree to invest money immediately to allow her a stream of three payments beginning one year after her employment term ends. Draw a timeline! The money you invest for the full six years of this arrangement (three years of employment and three years of withdrawals) always earns 6% compounded annually. When Susan receives her third and last payment, the fund will be depleted and equal zero. The three payments she will receive are as follows: End of year 4: $25,000 End of year 5: $30,000 End of year 6: $37,000 Therefore, your goal is to have enough money in this account at the end of Susan’s three-year employment term to assure her of receiving these payments. How much money must you invest today to accomplish this strategy?
Scenаriо:Enrоute:Yоu аre dispаtched to a skilled nursing facility for a 65-year-old male with a history of COPD and ALS, who is ventilator-dependent via a tracheostomy. Staff report sudden difficulty breathing.On scene:On arrival, the patient is tachypneic, has increased accessory muscle use, and the ventilator is alarming. The patient presents with a respiratory rate of 40, SpO₂ of 84% on the ventilator, and diminished breath sounds over the tracheostomy site. Post scene:Despite successful tracheostomy replacement, the patient remains cyanotic. The patient is severely confused and has pale, cool, diaphoretic skin. The patient is not following commands. Eyes are open, and the pupils are 5 mm and reactive to light. The vital signs are BP 80/40, P 130, R 50, SpO2 70% on room air, and T 98°F (37°C). The blood glucose is 120 mg/dL.Post scene:After securing the airway and stabilizing the patient, which additional assessment is most important during transport?
Scenаriо:Enrоute:Yоu аre dispаtched to a private residence for a 56-year-old male with terminal cancer who is unresponsive. The family states he has been on high-dose pain management and may have taken too much medication. His breathing is slow, and his pulse is weak. You suspect an opioid overdose.Onscene:The patient (48 kilograms) is unresponsive in a bedroom at the end of the hallway with daughter next to the bed. The daughter states that the patient has been in severe pain all day. The patient has a history of Osteosarcoma, arthritis, and hyperlipidemia. Medications include Fentanyl patch, Morphine, Methadone, and Doxorubicin (chemotherapy). The patient has no allergies to iodine. The patient’s skin is pale with severe central and peripheral cyanosis. There are no signs of trauma, and the patient withdraws to painful stimuli. Eyes are closed, and the pupils are 1 mm and nonreactive to light. The vital signs are BP 100/60, P 58, R 6, SpO2 85% on room air, and T 98°F (37°C). The blood glucose is 70 mg/dL.Onscene:What is the first priority intervention?
Scenаriо:Yоu аre dispаtched tо a residential home for an 81-year-old male who fell and hit his head on a hardwood floor. According to the caregiver, he initially seemed fine but is now becoming increasingly confused and drowsy. His vital signs are:BP: 170/90HR: 60RR: 10, irregularSpO₂: 92% on room airGCS: 10 (E2, V3, M5)Post-Scene:During transport, what is the most important ventilatory strategy for this patient?