ACCT 370-EXCEL3

Companies i selected are 

1.walt Disney 

2. comcast 

3. discovery. 

ALL OF THEIR INCOME STATEMENTS, BALANCE SHEETS AND CASH FLOWS ARE FROM 2018, 2019 AND 2020. PLEASE LINK ANSWERS TO PREVIOUS TABS. 

CAN YOU PLEASE FOLLOW ALL INSTRUCTIONS AND ANSWER ALL QUESTIONS? THANK YOU!

Excel Project: Part III Instructions

Common Sized Balance Sheets (Tabs 12), Common Sized Income Statements (Tab 13), Horizontal Analysis Balance Sheets (Tab 14), Horizontal Analysis Income Statements (Tab 15), and Projected Financial Statements (Tabs 16-18) 

· Continue in the same Excel workbook prepared in Week 4, adding the following tabs:

o The 12th tab in your Financial Statement Analysis Template must be labeled Common Sized Balance Sheets.

§ Set-up like the Historical Balance Sheets (Tab 3), this worksheet should use formulas to calculate the common sized percentages, linking to the Historical Balance Sheets for the calculations. “Total Assets” should be used as the base for all common sized calculations on the Balance Sheets. Common sized percentages should be calculated for all three historical years presented.

§ See Exhibit A for a partial example of this tab.

o The 13th tab in your Financial Statement Analysis Template must be labeled Common Sized Income Statements.

§ Set-up like the Historical Income Statements (Tab 2), this worksheet should use formulas to calculate the common sized percentages, linking to the Historical Income Statements for the calculations. “Revenue” or “Total Revenue” (depending on your company) should be used as the base for all common sized calculations on the Income Statements. Common sized percentages should be calculated for all three historical years presented.

o The 14th tab in your Financial Statement Analysis Template must be labeled Horizontal Analysis of Balance Sheets.

§ Start by copying and pasting the Historical Balance Sheets from Tab 3 to this worksheet. Then, add dollar and percentage change columns between each of the set of historical years.

§ See Exhibit B for an example of this tab.

o The 15th tab in your Financial Statement Analysis Template must be labeled Horizontal Analysis of Income Statements.

§ Start by copying and pasting the Historical Income Statements from Tab 2 to this worksheet. Then, add dollar and percentage change columns between each of the set of historical years.

o The 16th tab in your Financial Statement Analysis Template must be labeled Projected Income Statements. Three years of projected statements should be included, starting with the most recent year after the company’s last issued report. 

o The 17th tab in your Financial Statement Analysis Template must be labeled Projected Balance Sheets. Three years of projected statements should be included. Three years of projected statements should be included, starting with the most recent year after the company’s last issued report. 

o The 18th tab in your Financial Statement Analysis Template must be labeled Projected Statement of Cash Flows. Three years of projected statements should be included, starting with the most recent year after the company’s last issued report. 

§ Other information relating to projected tabs:

§ Projections should be based on research performed on your company and its industry. Use historical, trend, ratio data and current and future economic projections as well as information from the company’s MD&A to aid in preparing projections.

§ Clearly state your assumptions in a text box at the bottom of each tab. Cite sources for assumptions based on research. 

§ The statements should be consistent, reasonable, and accurate. Areas that will be checked for accuracy include:

· The Balance Sheets should balance for all years presented.

· Retained earnings should be properly calculated using the prior year’s balance, net income, and dividends.

· The Ending Cash Balance on the Statement of Cash Flows should agree to the Cash Balance shown on the Balance Sheet for the same year.

· Net Income on the Income Statements should match what is reported on the top of the Statement of Cash Flows (if indirect method is used).

o Other instructions:

§ The Excel workbook should be professionally formatted. Professional formatting includes:

· All numbers are formatted similarly. The use of decimals, commas for thousands, and other formatting is consistent.

· Dollar signs are included in the first and last numbers of each column.

· Subtotals and totals are preceded by a single underline. Totals are followed by a double underline.

· Line descriptions are indented/bolded in a manner that makes the spreadsheet easy to read. 

§ All common sized, horizontal analysis, and projection items should be calculated using formulas. Totals and subtotals should also be calculated using formulas.  For an example of which cells may need formulas, please see Exhibits A & B.

This assignment is due by 11:59 p.m. (ET) on Monday of Module/Week 6.

operations unit 4 discussion

 

Many discussion opportunities come up where you need to respond to other people’s opinions and comments. Respond to your Discussion topic after you have completed your Reading.

Facility Design

Operations managers must be concerned with more than final outcomes (the final product or service delivered). They must be involved in determining the processes used to develop and create the final product and how they can be created or manufactured within the current capacities of the organization.

Successful organizations appear complex because they are made up of a multitude of different departments with each having a specific responsibility in the creation and delivery of the final product or service.

For this Discussion, you will need to conduct research on capacity and facilities before you can prepare a complete response to the questions asked. Start this research by reviewing the Web Field Trip resources below.

Web Field Trip

The below relate to your Discussion topic for this week. Please spend some time reviewing these websites before you compose your response.

Store design & construction. (2016). Retrieved from http://supermarketnews.com/news/store-design-construction

Phillips, T. (2016). Phillips enterprises, Inc. Food market designs. Retrieved from http://www.foodmarketdesigns.com/

How to Layout Your Supermarket

Discussion topic

Be sure each of the questions below is addressed. Address each question individually and be careful not to combine your questions and answers:

  1. Identify a supermarket/grocery market to discuss for this Discussion topic.
  2. What departments within the market tend to be co-located (adjacent to one another)? Do you believe the co-location is planned? If so, why?
  3. What departments within the market tend to be distant from one another? What purpose is accomplished by separating these departments so far apart from each other?
  4. Why is the layout of the supermarket so important to the overall delivery of the products and services provided?
  5. What recommendations would you make to the layout of the supermarket to make the layout more effective or efficient?

Week 7 Assignment: Course Project Part II

Week 7 Project

Hypothesis Testing is the use of statistics to determine the probability that a given claim is true.

In Part II of this project, you will choose a data set, review claims and perform hypothesis testing and make a decision. You will then complete a write-up that includes the calculations.

The government logs the number of documented births, deaths, marriages and divorces however it is possible to have undocumented cases. In part II of this project, you are going to test claims about total births, deaths, marriages and divorces.

  1. Choose a Data Set.
  2. Go to https://www.cdc.gov/nchs/products/nvsr.htm (Links to an external site.)
  3. In the search bar type: Births, Marriages, Divorces, and Deaths

    screenshot of CDC website toolbar

  4. Pick a DataSet and download the PDF document and make note of the volume, number, and date.  For example,
    screenshot of National Vital Statistics Reports webpage
  5. Pick the same month/year combination for each data set. For example, choosing September of 2009. 

    screenshot of example dataset

  6. Preliminary Calculations
  7. Create a summary table for 1. Live Births, 2. Deaths, 3. Marriages, and 4. Divorces highlighting the mean, median, sample/population standard deviation, n = number of states that submitted data for each the data sets. You will have FOUR tables using the list of values of each state, the District of Columbia and Puerto Rico (You could have 52 numbers for each data set. You may have less data numbers if not all states/territories submitted data values.)

Summary Table for _________Mean Median Standard Deviation n (Number of States who submitted Data) 

  1. Hypothesis Testing

With the information that you gather from the summary tables, test the following (you can use excel when appropriate):

  1. Determine if there is sufficient evidence to conclude the average amount of births is over 5000 in the United States and territories at the 0.05 level of significance.
  2. Determine if there is sufficient evidence to conclude the average amount of deaths is equal to 6000 in the United States and territories at the 0.10 level of significance.
  3. Determine if there is sufficient evidence to conclude the average amount of marriages is greater or equal to 2500 in the United States and territories at the .05 level of significance.
  4. Determine if there is sufficient evidence to conclude the average amount of divorces is less than or equal to 4000 in the United States and territories at the 0.10 level of significance.

For each of the tests above, in your report, be sure to—

  1. Clearly state a null and alternative hypothesis
  2. Give the value of the test statistic
  3. Report the P-Value
  4. Clearly state your conclusion (Reject the Null or Fail to Reject the Null)
  5. Explain what your conclusion means in context of the data.

4. Make your OWN Claim (You are completing ONE more Hypothesis Test)

Lastly, propose and conduct your own test of hypothesis.

a) Pick one data set: Births, Deaths, Marriages OR Divorces.

b) Write a claim about the data set.

c) For your claim—

  1. Clearly state a null and alternative hypothesis
  2. Give the value of the test statistic
  3. Report the P-Value
  4. Clearly state your conclusion (Reject the Null or Fail to Reject the Null)
  5. Explain what your conclusion means in context of the data.

Rubric

Week 7 Project: Part IIWeek 7 Project: Part IICriteriaRatingsPtsThis criterion is linked to a Learning OutcomePart II: Choose a Data Set & Preliminary Data5 ptsProficient. Student correctly computes all 4 Preliminary Data Tables.4 ptsAbove Average. Student correctly computes 3 Preliminary Data Tables.3 ptsAverage. Student correctly computes 2 Preliminary Data Tables1 ptsNeeds Improvement. Student correctly computes 1 Preliminary Data Tables.0 ptsNo Effort. No Preliminary Data Tables were completed are all are incorrect.5 pts
This criterion is linked to a Learning OutcomePart II: Hypothesis Testing20 ptsProficient. Correctly completes 4 Hypothesis Tests highlighting the null/alternate hypothesis, value of test statistic, and reports the p-value.16 ptsAbove Average. Correctly completes 3 Hypothesis Tests highlighting the null/alternate hypothesis, value of test statistic, and report p-value.14 ptsAverage. Correctly completes 2 Hypothesis Tests highlighting the null/alternate hypothesis, value of test statistic, and report p-value.10 ptsNeeds Improvement: Correctly completes 1 Hypothesis Test highlighting the null/alternate hypothesis, value of test statistic, and report p-value.0 ptsNo Effort. No Hypothesis Tests were completed or none were completed correctly.20 pts
This criterion is linked to a Learning OutcomePart II: Hypothesis Testing Analysis10 ptsProficient. State correct conclusion (Reject/Fail to Reject) and valid explanations in context of the data for ALL 4 Problems.8 ptsAbove Average. State correct conclusion (Reject/Fail to Reject) and valid explanations in context of the data for 3 Problems.7 ptsAverage. State correct conclusion (Reject/Fail to Reject) and valid explanations in context of the data for 2 Problems.5 ptsNeeds Improvement. State correct conclusion (Reject/Fail to Reject) and valid explanations in context of the data for 1 Problem0 ptsNo Effort. No conclusion/explanations were given or all were incorrect.10 pts
This criterion is linked to a Learning OutcomePart II: Proposal and computations for new hypothesis test10 ptsProficient. Student correctly creates an original Hypothesis Test based on one of the data sets highlighting the null/alternate hypothesis, value of test statistic, report p-value, conclusion and explanation.8 ptsProficient. Student correctly creates an original Hypothesis Test based on one of the data sets and has MOST of the content: highlighting the null/alternate hypothesis, value of test statistic, report p-value, conclusion and explanation.7 ptsAverage. Student creates an original Hypothesis Test based on one of the data sets and MISSING MOST of the content: highlighting the null/alternate hypothesis, value of test statistic, report p-value, conclusion and explanation.5 ptsNeeds Improvement. Student creates an original Hypothesis Test based on one of the data sets but there are multiple mistakes and/or conclusions are not valid.0 ptsNo Effort. The student did not propose/compute a new hypothesis test.10 pts
Total Points: 45

JK1finalproject5

 

Final Guidance Plan

Your Final Guidance Plan should demonstrate your ability to think critically about a child’s behavior and implement developmentally appropriate strategies that will help support and guide the child in learning new ways to manage behavior.In a minimum of 6-pages (not counting the title page and reference page) address the following:

Step 1: Review Previous Assignments
  • Review your individual Course Project Assignments from Module 02, 03, and 04.
  • Revise your assignments based on the feedback received from your instructor.
Step 2: Write an Introduction
  • Write a short summary describing your Guidance Plan.
Step 3: Assemble Previous Assignments
  • Compile all revised Course Project Assignments into one (1) document. Organize in the following order:
  • Title Page
  • Introduction
  • Initial Thoughts
  • New Information About Jana
  • Establishing Goals and Strategies
  • Conclusion
  • References
Step 4: Write a Reflection
  • Reflect on the entire process, using examples from your Guidance Plan. What did you discover or learn about the process of planning for guiding behavior?
  • Share reasons for why you chose the developmentally appropriate strategies included in your Guidance Plan.
  • Describe why and how your Guidance Plan is effective for Jana.
  • Conclude with a short summary of your Guidance Plan.
Step 5: Compile References
  • Provide an APA formatted reference page containing the citations for all your research.

Unit III Proj Diversity

 

Instructions

Improving Organizational Culture: Acceptance of Religion and Orientation

Fig Technologies has identified concerns at several of their offices globally. Division has been noted on key teams based upon religion and sexual orientation. Several team members have complained that the non-Christian holidays and LGBT celebrations are not recognized by the established company celebrations or paid time off for observance. There have been complaints with regard to coworkers making harassing comments to this effect. The Executive Leadership Council has asked for you to draft an assessment of these concerns and then to propose a plan of action for addressing these concerns. Further, include a preliminary draft of policy to be included as an addendum to the organizational policy on discrimination and harassment. In your report, be sure to address the following:

  • Compare the impact of different religious beliefs and practices (choose three to four different religions) and how these affect the organizational culture, and describe how your new plan and policy will improve organizational culture through inclusion of different religious beliefs and practices.
  • Compare how belief systems of different gender orientations and sexual orientations may impact the organizational culture, and describe the effects of discrimination against any of these. In your plan of action, address how inclusion and assimilation of different orientations will improve organizational culture.

Support your recommendation through the use of at least two sources, one of which can be the textbook. Content should be two to three pages in length. Length does not include an assessment tool, if used, though it may be added as an addendum (recommended, not required). All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations. All references and citations used must be in APA style.

Have some fun with the assignment. Use your creative thinking along with your critical thinking to include your perspective of the findings and how to address the issue.

Cardiovascular System

Alterations of the cardiovascular system can cause serious adverse events and may lead to death when not treated in a timely and safe manner. Unfortunately, many patients with cardiovascular disorders are unaware until complications appear. In clinical settings, patients often present with symptoms of several cardiovascular disorders, making it essential for you, as the advanced practice nurse, to be able to recognize these symptoms and recommend appropriate drug treatment options.

To Prepare
  • Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your Instructor for this Assignment.
  • Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.

Write a 3- 4page paper that addresses the following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

Case Study: 

Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:

  • Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
  • Aspirin 81 mg daily
  • Metformin 1000 mg po bid
  • Glyburide 10 mg bid
  • Atenolol 100 mg po daily
  • Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.

  • Chapter 33, “Review of      Hemodynamics” (pp. 285–289)
  • Chapter 37, “Diuretics” (pp.      290–296)
  • Chapter 38, “Drugs Acting on the      Renin-Angiotensin-Aldosterone System” (pp. 297–307)
  • Chapter 39, “Calcium Channel      Blockers” (pp. 308–312)
  • Chapter 40, “Vasodilators” (pp.      313–317)
  • Chapter 41, “Drugs for      Hypertension” (pp. 316–324)
  • Chapter 42, “Drugs for Heart      Failure” (pp. 325–336)
  • Chapter 43, “Antidysrhythmic      Drugs” (pp. 337–348)
  • Chapter 44, “Prophylaxis of      Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize      Cholesterol and Triglyceride Levels” (pp. 349–363)
  • Chapter 45, “Drugs for Angina      Pectoris” (pp. 364–371)
  • Chapter 46, “Anticoagulant and      Antiplatelet Drugs” (pp. 372
  • –388)

 Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references.  

Read instruction due today no plagerism due at 7:30pm TODAY 2 pages

 

To Prepare
  • Review the Resources for this module and consider the legal and ethical implications of prescribing prescription drugs, disclosure, and nondisclosure.
  • Review the scenario assigned by your Instructor for this Assignment.
  • Search specific laws and standards for prescribing prescription drugs and for addressing medication errors for your state or region, and reflect on these as you review the scenario assigned by your Instructor.
  • Consider the ethical and legal implications of the scenario for all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Think about two strategies that you, as an advanced practice nurse, would use to guide your ethically and legally responsible decision-making in this scenario, including whether you would disclose any medication errors.
By Day 7 of Week 1

Write a 2- to 3-page paper that addresses the following:

  • Explain the ethical and legal implications of the scenario you selected on all stakeholders involved, such as the prescriber, pharmacist, patient, and patient’s family.
  • Describe strategies to address disclosure and nondisclosure as identified in the scenario you selected. Be sure to reference laws specific to your state.
  • Explain two strategies that you, as an advanced practice nurse, would use to guide your decision making in this scenario, including whether you would disclose your error. Be sure to justify your explanation. 
  • Explain the process of writing prescriptions, including strategies to minimize medication errors.

NUR504- REPLY TO LORAINNE

Female Genitourinary & Musculoskeletal

As a clinician in one of the hospitals, it is first important for me to evaluate the information given by a patient before coming up with a diagnosis. In the case study provided, the patient complains of a tumor on her left breast and denies any chills or fever. However, to confirm her fears, I need to obtain more subjective information to correct the diagnosis. Such personal data may include whether the patient has noticed any changes in the lump’s size. Moreover, I would also want to know if she has noticed any thickening of the skin around her left breast, and if there has been any discoloration (Andsoy & Gul, 2014). The reason for obtaining this information is to diagnose the patient correctly. 

In terms of objective findings, I would examine if there has been puckering or dimpling of the skin around her left breast. I will also check if the lump has a different texture or appearance than the rest of the breast and axillary masses on her left breast (Andsoy & Gul, 2014). On the other hand, I would also assess if the patient’s bones are affected. Here, I would ask the woman whether she is experiencing joint pain or decreased sensitivity in her hands or legs due to low calcium levels. Finally, I would observe if the patient is experiencing extreme fatigue, swelling of the feet, or extreme abdominal girth. 

Once I have conducted and obtained both objective and subjective findings, the next step is to order various diagnostic tests. I would first order a biopsy test since it helps make a definite diagnosis compared to others. The test involves taking a small sample of tissue from the left breast for testing in the laboratory. It will help me confirm if some sample of the tissue taken is abnormal. The next test is conducting diagnostic mammography, which involves taking pictures of the affected breast, especially if the nipple has some discharge (Andsoy & Gul, 2014). Ultrasound is another diagnostic exam that I might order since it involves soundwaves to create an image of the breast tissue. It is essential since it distinguishes between a solid mass, cancerous, and a fluid-filled cyst, which may not be cancerous. Lastly, I will order an MRI test to use magnetic fields to produce detailed images of the body.

After conducting the diagnostic tests, I will evaluate different diagnoses based on the patient’s present symptoms. The first differential disease will be circumscribed breast lesions. It is a cancerous lump illness that affects the breast. Masses are made up of connective and glandular tissues that appear like a small, round sandstone in the breast. Circumscribed breast lesions are similar in breast cancer characteristics since the lump is moveable under the skin (Chalasani, 2020). The next differential diagnosis is benign breast disease, which comprises a cyst that grows in the breast milk duct (Chalasani, 2020). The tumor causes the breast to produce a discharge, leading to breast swelling and a lump behind or close to the nipple. Lastly, metastasis is another differential diagnosis that involves cancer cells spreading to other areas of the body. Metastatic cancer comprises soft, movable lumps that do not cause any pain but can be confused with breast cancer since they have similar characteristics.

Once I have evaluated differential diagnoses, the next step is to educate the patient on preventing and managing breast cancer. I will recommend the woman maintain a proper diet and exercise in the context of teachings often (Farma et al., 2017). I will also advise her to attend breast cancer screening regularly and do yearly mammogram screening.

References 

Andsoy, I. I., & Gul, A. (2014). Breast, cervix and colorectal cancer knowledge among nurses in Turkey. Asian Pacific Journal of Cancer Prevention, 15(5), 2267-2272. https://doi.org/10.7314/apjcp.2014.15.5.2267 (Links to an external site.)

Chalasani, P. (2020). Breast cancer differential diagnoses. Medscape. https://emedicine.medscape.com/article/1947145-differential (Links to an external site.)

Farma, K. K. F., Jalili, Z., Zareban, I., & Pour, M. S. (2014). Effect of education on preventive behaviors of breast cancer in female teachers of guidance schools of Zahedan city based on health belief model. Journal of Education and Health Promotion, 3, 77. https://doi.org/10.4103/2277-9531.139240

Medication Errors Led to Disastrous Outcomes

  

homework is due in 5 hours from now ( 120 words or more)

  • All discussion boards should be submitted in APA style (7th      edition).  
  • discussion board response posts      require at least one outside­­­­      and peer-reviewed article as a reference in your      posts. Please choose a reliable source, sources such as Wikipedia are      unacceptable.  

Guidelines for your response posts:

  • Respond to at least one classmates’ posts      prior to Sunday midnight.
  • Response posts must      be at least 100 words (equivalent to at least 1/4-page of      double-spaced 12-pt. font text) or more.

Here is the post to rely to below (support the paper or refute with respect)

Medication Errors

Nurses and physicians are affected immensely by medication errors. Kim Hiatt was affected so much that she ended up committing suicide (Saavedra, 2015). Secondly, experience does not shield nurses or physicians from making medication errors. An experienced nurse made a calculation error simply because she was involved in a conversation when calculating calcium chloride calculations.

The principle of beneficence can apply to these cases when analyzing the actions of the nurses from an ethical lens. Were the actions of the nurses aimed at the good of the patients? In both cases, it is apparent that the nurses did not intend adverse outcomes. Julie Thao committed the error partly because of her efforts to lower the patient’s anxiety levels. Thus, beneficence and benevolence should be considered when investigating and assessing the culpability of the nurses. The administrator handled the situations legally in both cases. However, their actions could be deemed lacking from an ethical perspective.

Compassion is a virtue that may have helped Thao and Hiatt. Had their colleagues and employers shown them compassion instead of treating them as criminals and incompetent nurses, the adverse outcomes that the nurses suffered would have been avoided. Prudence, by the colleagues of the two nurses, the investigators, and the administrators, would have afforded them greater mental flexibility to accept that errors can happen in clinical settings and consider the weight or burden it placed on the two nurses.

The personal virtues that may have helped the second victims navigate the grieving process include honesty and reverence. Honesty would have helped the second victims accept that medication errors can occur. It may have also helped them be more accepting of their role in the adverse outcomes. Reverence could have helped them see their negative experiences as means to making them better nurses. It would have helped them generate some positives out of their negative experiences.

Nursing 110

  

Case Study for SOAPIER Note.

Read the case study. Write a progress note using the SOAPIER format.

SJ came to the ER you are working at with complaint of severe pain in his left leg. When you asked him what happened, he said “I was sled riding in the snow with some friends. I lost control and went over the hill and hit a tree. My leg is killing me.”

You do an assessment. SJ is alert and oriented to person, place and time. He has no known allergies (NKA).Skin is warm and dry. Color appropriate for ethnicity. Neuro checks are normal. Denies hitting his head. Has full range of motion in both arm and right leg. EMS has a stabilizing splint on his right leg. Bilateral toes are pink and capillary refill is quick to return. Distal extremities pulses are strong and bounding. Bowel sounds are positive in all four quadrants. 

Vital signs are 97.8 orally. Heart rate is 110 and regular. Heart sounds S1 and S2 heard. Respirations are 24 and unlabored. Lung sounds are clear. Blood pressure is 172/96. He asks “Please can you give me something for pain?” Rates his pain a “10” on the 0 -10 numeric scale. You give him 4 milligrams of morphine IV as prescribed by the physician. 

The xray results come back and he has a complete fractured tibia. He is admitted to the medical/surgical unit and scheduled for surgery tomorrow. Report given to RN “Mary” on the medical/surgical unit.