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Post-thyroidectomy stridor with difficulty swallowing within hours of surgery most likely indicates wound hematoma compressing the trachea β a surgical emergency.
Post-thyroidectomy complications to differentiate:
| Complication | Timing | Signs |
|---|---|---|
| Wound hematoma | First few hours | Stridor, tracheal deviation, neck swelling, cyanosis |
| Hypocalcemia (tetany) | 24β72 hrs post-op | Tingling, Chvostek's, Trousseau's, muscle cramps |
| RLN damage | Immediate post-op | Hoarseness, voice change (not stridor) |
| Thyroid storm | During or shortly after surgery | Fever, tachycardia, agitation, hypertension |
Nursing action for hematoma: Call surgeon STAT, prepare for emergency wound opening at bedside (suture removal kit should be at bedside).
Which stakeholders focus mainly on the liquidity of a business?
- Government
- Lenders
- Public and environmental bodies
- Suppliers
Option D (2 and 4) is correct.
- Lenders: Need to know if the business can meet short-term obligations and repay loans.
- Suppliers: Need to know if the business can pay its bills on time.
Government focuses on profitability/tax. Public/environmental bodies focus on social impact.
Benner's Five Stages of Nursing Expertise (1984):
| Stage | Description |
|---|---|
| Novice | No background; follows rules rigidly without context; no clinical judgment |
| Advanced Beginner | Has some experience; follows guidelines but cannot prioritize well or adapt to unexpected situations |
| Competent | 2-3 years experience; deliberate planning; efficient but lacks speed and flexibility |
| Proficient | Sees situations as wholes; perceives deviations from expected patterns; decision-making improved |
| Expert | Intuitive grasp of situations; no longer relies on rules; deep experiential understanding |
\(r_n = a_0 \cdot \dfrac{n^2}{Z}\) β \(r \propto n^2\)
\(E_n = -13.6 \cdot \dfrac{Z^2}{n^2}\) eV β \(E \propto -\dfrac{1}{n^2}\)
As orbit number increases, radius increases (electrons move farther out) while energy becomes less negative (electrons become less tightly bound). For hydrogen (Z=1): \(r_1 = 0.529\) Γ (Bohr radius).
Vehicle X cost $80,000, useful life 5 years, residual value $5,000, depreciated straight-line. After 3 years, part-exchange value was $20,000. What was the loss on disposal?
Option B ($15,000) is correct.
Annual depreciation = ($80,000 − $5,000) ÷ 5 = $15,000
Accumulated depreciation after 3 years = $45,000
Carrying value = $80,000 − $45,000 = $35,000
Loss on disposal = $35,000 − $20,000 = $15,000
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