Consider a city’s parks and recreation department. During ex…

Consider a city’s parks and recreation department. During executive preparation of the operating budget, agencies are often asked to provide two sets of requests: base budget and new needs (as defined in the lectures).  Which of the following is/are probably most appropriate for inclusion in the department’s base budget request for an upcoming fiscal year:

To reduce a budget gap for an upcoming fiscal year, a state…

To reduce a budget gap for an upcoming fiscal year, a state decides to eliminate all optional services (e.g., dental services for adults)  in its Medicaid program.  It estimates that total Medicaid expenditures for optional services is about $100 million per year.  The Feds reimburse this state for 50% of all such expenditures.   So, eliminating such services suggests (assuming no adverse health impacts leading to other state budgetary health care costs):

A client is diagnosed with Chronic Obstructive Pulmonary Dis…

A client is diagnosed with Chronic Obstructive Pulmonary Disease (COPD) exacerbation.  The client is on a Nasal Cannula at 2L/min, has progressed in becoming fatigued, respirations went from 40 breaths per minute to 10 breaths per minute, SpO2 82%.   Which arterial blood gas (ABG) best correlates with this client? 

The nurse is caring for a client after having a Coronary Art…

The nurse is caring for a client after having a Coronary Artery Bypass Graft (CABG) surgery.  The nurse assesses the chest tubes and mediastinal tubes. The nurse assesses increasing sanguineous drainage from the tubes. The nurse is concerned about the client going to hypovolemic shock. What else should the nurse assess for in concern of hypovolemic shock? 

The appropriation to the State Library System (fiscal year s…

The appropriation to the State Library System (fiscal year starts July 1) for fiscal year 2011  was $15,000,000.  Budget reports through Dec. 31, 2010 showed expenditures of $7,500,000 and encumbrances outstanding of $1,000,000.  Quarterly allotments were as follows: Q1(July-Sept)—$3,750,000; Q2(Oct-Dec)–$4,500,000; Q3(Jan-Mar)–$3,750,000; and Q4(Apr-June)–$3,000,000.  In terms of committed vs. planned expenditures/spending,  what is the overall budget status of the library system through Dec 31, 2010?

The nurse is caring for a client reporting dizziness and the…

The nurse is caring for a client reporting dizziness and their heart is racing.  The nurse connects the client to the cardiac monitor and review the rhythm strip below.  The nurse identifies it is fast, around 250 beats per minute and regular.  The client’s blood pressure is 125/75 mmHg, SpO2 97% on Room Air.  The nurse should first implement: