A nurse is observing a 65-year-old patient with chronic obstructive pulmonary disease (COPD). The patient is seated and leaning forward with their elbows resting on their knees, appearing to use accessory muscles to breathe. What does this finding most likely indicate?

During a physical assessment, a nurse discreetly counts a patient’s respiratory rate and observes retractions and the use of accessory muscles while breathing. Which of the following actions should the nurse take next?

A 75-year-old widow living on a fixed income reports difficulty maintaining a balanced diet. Which intervention best addresses the socioeconomic factors affecting their nutritional status?

Integration and Racial Justice: Drawing on relevant readings and interviews (Elizabeth Anderson, Denise James, and Tommie Shelby), discuss arguments for and against the thesis that racial integration is necessary in order to achieve racial justice. What are some burdens and challenges of integration, and who bears those burdens? Why does Anderson think integration is nonetheless necessary? Are there good alternatives to integration?

Referred pain occurs when the brain projects the sensation back to the location in the body where the pain originated.

After breaking her forearm, Riley lost motor function and feeling in her fourth and fifth phalanges as well as that side of her hand. What nerve has/have been damaged?

You have recently been promoted to the Senior Associate level within your public accounting firm and now have the responsibility to review staff accountant working papers.  A staff accountant has just documented your client’s change management processes and asks for your review.  Which of the following statements in the working paper are you going to need to follow-up on because it is false?

Which of the following statements about the COBIT 2019 domain, Evaluate, Direct and Monitor (EDM) is true?

Which employee logged into (i.e., accessed) the network, the most times, over a weekend (Saturday and Sunday)?  (Enter the last 5 digits of the employee’s number only – that is, employee number EE076411 should be entered as 76411).

Patricia is a salesperson for a security services company called Star Security and has just submitted a bid to the Texas Department of Licensing to provide security for the Jake Paul vs Mike Tyson ‘boxing’ match.  Patricia learns that the contract is between Star Security and another security firm.  Patricia contacts the purchasing agent at the Texas Department of Licensing and states that if Star Security is awarded the contract, Patricia will provide the purchasing agent with an all-expense-paid vacation package to some place sick like Tulsa or Little Rock (a Pitch Perfect 2 reference).   What type of fraud is Patricia performing in this situation?