A nurse is cаring fоr а 74-yeаr-оld female client whо reports experiencing increased shortness of breath. Nurses' Notes 1310: A&O x 3. Skin cool, clammy, pale. Respirations labored at 30/min, shallow. Coarse crackles throughout bilateral lung fields. O2 saturation 88% on room air. Jugular vein distention (JVD) present bilaterally. Heart sounds moderate and regular, rate 98/min. BP 114/78 mm Hg. Temperature 37.8º C (99.9º F). Denies pain. Medical History 1000: 74-year-old female who is obese admitted with increased weight gain of 4.5 kg (10 lb) over the last 4 days. Diet has consisted of canned soup and cold meat sandwiches. Denies shortness of breath at rest, dyspnea on exertion. Respirations slightly labored at 22/min. O2 saturation 95% on room air. Few fine rales auscultated bilateral bases. Heart sounds moderate and regular. 3+ pitting edema present bilateral lower extremities. Skin cool, dry, and intact. Abdomen distended, denies discomfort on palpation. Alert and oriented x 3. PERRLA. Past medical history: hypertension x 20 years that is controlled with medication, coronary artery disease (CAD), left ventricular hypertrophy and right-sided heart failure, COPD. History of smoking 2 packs of cigarettes a week. Current medications: Losartan/Hydrochlorothiazide 50/12.5 mg PO dailyAspirin 81 mg PO dailyNitroglycerin 0.3 mg sublingual PRN chest pain What actions would need to be taken? Select the two that apply
Bоnus questiоn (5 pоints) Ref: https://www.electricchoice.com/mаp-deregulаted-energy-mаrkets/ The above map shows the status of electricity deregulation in the United States (August 15, 2025). Some people support continued regulation of electricity markets—as seen in the states that remain non-deregulated on U.S. electricity maps—because the electric power industry exhibits characteristics of a natural monopoly. Electricity generation can sometimes be competitive, but transmission and distribution (the “wires”) are natural monopolies. Duplicating them would raise costs, not lower them. A natural monopoly arises when one firm can serve the entire market more efficiently than multiple firms— typically due to very large fixed costs and strong (1)____________________(economies of scale or diseconomies of scale), which explain why unit cost (i.e., long-run average total cost) (2)____________________(increases or decreases) as output increases. Overall, before starting a business, it is critical to analyze the industry’s market structure and regulatory environment.