Case Study: A 87 year-old client is hospitalized with metastatic small cell lung cancer that has spread to her bones. She was transferred from a skilled nursing facility after fracturing her right humerus in a fall. Her diagnoses include chronic obstructive pulmonary disease (COPD), Type 2 Diabetes, Osteoporosis, Hypercholesterolemia, and Hypertension. She has not improved with physical therapy, and for the last two weeks, she reports fatigue and anorexia. The client is experiencing diminishing breath sounds, increasing dyspnea, generalized weakness, stage 2 and stage 4 pressure injuries, and severe pain (9/10) in her right arm.  Vital Signs   Time On admission After Morphine Temp 99.2 99.2 P 110 62 RR 28 16 B/P 150/90 98/70 Pulse oximeter 89% on 2L 92% on 4L Medications   Morphine 4 mg IV q 6 hours Codeine 30 mg one po every 4 hours Tylenol 650 mg one to two po every 4 hours The client’s labs indicate poorly controlled Diabetes (glucose 259, HgbA1C is 9.2%). Order for Oxygen per nasal canula to keep O2 saturation above 92%. After discussing care goals, the client and her family choose hospice. She is now comfortable on Morphine (Pain 1/10), sleeping much of the time, with decreased eating and non-labored breathing. She appears peaceful; vital signs have decreased further, see (after medication). Her family expresses concern about her low oral intake. Which statements to the client’s family about her decreased eating are appropriate? (Select all that apply)

A nurse is caring for a client who has cancer and has a prescription for transcutaneous electrical nerve stimulation (TENS) for pain management. Which of the following actions should the nurse take?  Select all that apply.

Case Study: A 87 year-old client is hospitalized with metastatic small cell lung cancer that has spread to her bones. She was transferred from a skilled nursing facility after fracturing her right humerus in a fall. Her diagnoses include chronic obstructive pulmonary disease (COPD), Type 2 Diabetes, Osteoporosis, Hypercholesterolemia, and Hypertension. She has not improved with physical therapy, and for the last two weeks, she reports fatigue and anorexia. The client is experiencing diminishing breath sounds, increasing dyspnea, generalized weakness, stage 2 and stage 4 pressure injuries, and severe pain (9/10) in her right arm.  Vital Signs   Time On admission After Morphine Temp 99.2 99.2 P 110 62 RR 28 16 B/P 150/90 98/70 Pulse oximeter 89% on 2L 92% on 4L Medications   Morphine 4 mg IV q 6 hours Codeine 30 mg one po every 4 hours Tylenol 650 mg one to two po every 4 hours The client’s labs indicate poorly controlled Diabetes (glucose 259, HgbA1C is 9.2%). Order for Oxygen per nasal canula to keep O2 saturation above 92%. After discussing care goals, the client and her family choose hospice. She is now comfortable on Morphine (Pain 1/10), sleeping much of the time, with decreased eating and non-labored breathing. She appears peaceful; vital signs have decreased further, see (after medication). Her family expresses concern about her low oral intake. What are functions of the interdisciplinary Hospice team for the client? (Select all that apply)

A nurse is caring for a client who has kidney cancer that has metastasized. The client asks the nurse, “What does metastasis mean?” Which of the following responses should the nurse provide?

News of the Papa John’s organization has emerged and it paints the culture as one that is toxic and unsafe for women and minorities. Which of the following statements is TRUE of the Papa John’s culture?

Which of the following is NOT a way that organizations can work to maintain organizational culture?

Carolyn was hired as a customer service associate at a large technology company. Even though her interview was extensive and her references all believed she’d be a good fit for the role, Carolyn just didn’t seem to “click” with the work or those around her. She left the organization within six months of starting. Which process does this example best reflect?

Blake often needs to re-order inventory to ensure that his staff can keep their trucks loaded for timely delivery. However, to actually place an order, Blake needs to get a purchase proposal form from his supervisor. In this example, Blake lacks which dimension of work quality?

Coleman works in Finance at a bicycle manufacturing company. He’s recently been placed on a product team for a new trail bike. His participation means that he reports to two managers – one is his finance manager and the other is a product manager for the trail bike. In this example, Coleman is part of a(n) ____________ type of organizational design.

The low turnover rate and high employee satisfaction of employees is a(n) ________ of its organizational culture.