A nurse is caring for a client who recently began radiation…
A nurse is caring for a client who recently began radiation therapy for Stage I Hodgkin’s lymphoma. The client reports, “My arms and hands feel tight and heavy. I can’t put my ring on, and I’m having trouble doing daily tasks because my fingers won’t move normally.” The nurse should recognize that the client is most likely experiencing which of the following complications related to cancer and its treatment?
Read DetailsCase Study: A 87 year-old client is hospitalized with metast…
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)
Read DetailsCase Study: A 87 year-old client is hospitalized with metast…
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)
Read DetailsCarolyn was hired as a customer service associate at a large…
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?
Read DetailsBlake often needs to re-order inventory to ensure that his s…
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?
Read Details