Author: Anonymous

A 45-year-old presents with a mole on the thigh. It is symmetrical, has smooth borders, uniform tan color, and measures 5 mm. The patient reports no changes over the past 10 years. What is the most appropriate management?

SSRIs/SNRIs are a good choice for first line therapy for the treatment of depression and anxiety. Which of the following is considered a general benefit of this class of medication?

A 45-year-old male truck driver presented 3 days ago with acute low back pain. He denied trauma, fever, weight loss, or bowel/bladder dysfunction. His pain improved when lying down, and neurologic exam was normal. He was managed conservatively with PRICE (protection, rest, ice, compression, elevation), NSAIDs, and a muscle relaxant. Today he messages that the pain is unchanged and he is frustrated with the slow progress, though no new symptoms have developed. What is the best next step in management?

A 65-year-old patient with a history of diabetes mellitus, (who has not received the current season’s influenza vaccine), presents to your clinic one day after known exposure to influenza.  The patient reports a fever, watery, red eyes. What is the most appropriate initial action for the APRN in managing this patient?

Please briefly explain the issue of double marginalization in supply chain (in your own words) and provide an example

Consider the hospital example above. What will be the resulting change in the reorder point with the decrease in service level?

One warehouse supplies 50 dealers with parts used by the dealers to repair their customers’ heavy equipment. Dealers currently place orders about once a week, because the ordering process is somewhat cumbersome – it is a paper process that must be filled out manually and faxed to the warehouse. The firm will implement a new system that will allow dealers to submit orders electronically. Because this process should be less cumbersome, it is expected that the dealers will submit orders more frequently, maybe some of them even daily. The new system is not expected to change customer demands for parts (i.e., the dealers’ demand processes will be unaffected). What change is this likely to have on the characteristics of the warehouse’s total daily demand (i.e., the total of the dealers’ orders on any given day)?

Weekly demand for bottles of blood type O- at a hospital is distributed with mean 5 and standard deviation 2. The lead time to obtain bottles of this rare blood type is 3 weeks. The hospital, which employs a continuous review system, is weighing whether to decrease the service level for blood type O-, from 99.7% to 97.5%. What will be the direction of change in the optimal order quantity with the decrease in service level?

When quoting long sections of material (e.g., of more than 40 words):          

A patient is receiving PRBCs. Ten minutes into the transfusion the patient reports, “I feel cold,” begins shivering, complains of back pain, and becomes short of breath.