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Week 6 Assignment Hca/240


Appendix D

HCA/240 Version 4


 Axia College Material 

 Appendix D

Read each scenario and write a 25- to 50-word answer for each question following the scenarios.Use at least one reference per scenario and format your sources consistent with APA guidelines.

Scenario A

Acute renal failure: Ms. Jones, a 68-year-old female, underwent open-heart surgery to replaceseveral blocked vessels in her heart. On her first day postoperatively, it was noted that she hadvery little urine output.1.What is happening to Ms. Jones’s kidneys, and why is it causing the observed symptom?

Ms Jones is experiencing acute renal failure caused by a decreased blood flow tothe kidneys. Significant signs of acute renal failure are characterized by a suddendrop in urine volume (Zelman, etc, 2010).

2.What other symptoms and signs might occur?

Ms Jones may experience the following symptoms: headache, gastrointestinaldistress, the odor of ammonia on the breath caused by accumulation in the blood of nitrogen-containing compounds, and hyperkalemia, or elevated blood potassiumwhich causes muscle weakness and can slow the heart to the point of cardiac arrest(Zelman, etc, 2010).

3.What is causing Ms. Jones’s kidney disease?

Ms Jones’ open heart surgery is causing her kidney disease. She is experiencingsurgical shock following an incompatible blood transfusion, which causes acute renalfailure (Zelman, etc, 2010).

4.What are possible treatment options, and what is the prognosis?

Treatment for acute kidney failure typically requires a hospital stay and includesrestoring the blood to normal volume with the use of necessary electrolytes, restricteddietary fluid intake, and dialysis as needed (Mayo Foundation for Medical Educationand Research, 2011).

Scenario B

Chronic renal failure:

Mr. Hodges, a 73-year-old man, has had congestive heart failure for thepast 5 years. His doctor has told him that his heart is not functioning well, needing more and moremedicine to maintain circulatory function. He has noticed that he is not urinating more than once aday.5.Why is the condition of Mr. Hodges’s kidneys affecting the rest of his body?


Why is time such an important factor in financial matters? The time factor of money is very important consideration because a dollar today is worth more than a dollar tomorrow. This factor is important in valuation of net present value of future cash flow and the compounding factor of interest among other things. How would you use the time value of money to your financial benefit? You would be able to use the time value of money to your financial advantage by taking advantage of compound interest. Compounding interest is important because the interest you earn in the first year is added to the total balance and that new balance earns interest in the second year. So, you’re earning interest on money you never contributed-your interest has compounded. Part II: Complete the following table by calculating the ratios. Present Value Amount Compounding period Rate of interest Present value $100,000 Annual 6% for 10 years 10000 $70,000 Annual 4% for 15 years 70000 Internal Rate of Return Initial cost of investment Periods of useful life Estimated annual net cash inflow generated Look-up table value Rate of interest $75,000 10 $10,190 0.51 7.00% $56,000 6 $12,115 0.75 5.00% Payback Period: Assume there are no income taxes for both scenarios. Purchase price of equipment Period of useful life Annual revenue generated per year Operating costs associated with revenue Depreciation expense per year Payback period result $550,000 10 years $100,000 $32,000 $55,000 130000 $350,000 10 years $80,500 $36,000 $35,000 95000

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