The admitting nurse is assessing a client with chronic obstructive pulmonary disease (COPD). The nurse notes that the client is breathing “really hard” despite being on 2 L of oxygen. The nurse performs an assessment on the client. Which of the following findings would indicate a need to notify the healthcare provider immediately?

The nurse knows that which  of the following assessment findings  an early manifestation of  hypoxia?

1.d) Bottleneck. Circle all of the statements which correctly complete the following sentence: The location of a bottleneck in a production system may depend on…

3) Bank call center A bank needs to make service capacity decisions for the call center that it uses for customer service. Currently, all calls are initially received at the “General Inquiries” call center. It is estimated that on average, the arrival rate of calls into this call center is 50 calls per hour at all times, with standard deviation of 50 calls per hour. Service times in the “General Inquiries” call center have a mean of 5 minutes per call and a standard deviation of 5 minutes per call. After receiving service at the “General Inquiries” call center (all calls need to first receive service in the “General Inquires” call center), it has been observed that 15% of the calls need to be routed to the “Investments” call center to continue service, while the remaining 85% of the calls are finished and do not need additional service. Service times in the “Investments” call center have a mean of 7 minutes per call and standard deviation of 7 minutes per call. Note: Please have the final answer for each part at the top of the answer box; show all working under that.

1.d) Bottleneck. Circle all of the statements which correctly complete the following sentence: The location of a bottleneck in a production system may depend on…

1.b) National Cranberry. In the National Cranberry Cooperative case, the bottleneck was the dryer. Suppose we doubled the number of Kiwani dumpers (this equipment was used to dump cranberries from the trucks into the Cooperative’s processing facility). What would be the impact on the system? Circle all that apply.

Consider the reaction of A being converted into B at

2. A patient in severe heart failure. Which prescription should the nurse question?

9. Which action is most appropriate when administering adenosine IV? 

3. The nurse is working with a student to care for a patient with heart failure who is experiencing an arrhythmia secondary to digoxin toxicity. Which action by the student does the nurse question in the care of this patient?