not have regular periods while taking this medication. C. I should return in approximately 6 months for my next injection. Correct D. Because it is highly effective, I can use this medication for many years. Correct E. Depression is a side effect, and I should let my doctor know if I experience any mood changes. Incorrect Rationale: Medroxyprogesterone is an injectable progestin given every 3 months to prevent ovulation and pregnancy. It suppresses ovulation for 15 weeks, and therefore, timing of the next injection is very important and should be no longer than exactly 3 months. Although medroxyprogesterone is highly effective, it should not be taken for more than 2 years due to the risk of osteoporosis. Weight gain, irregular periods, and depression are all known side effects. Test-Taking Strategy: Note the strategic words, need for further teaching. These words indicate a negative event query and the need to select the incorrect client statements. Specific knowledge about this medication is needed to answer correctly. Remember that it needs to be given every 3 months and should not be taken for more than 2 years due to the risk of osteoporosis. Review: medroxyprogesterone injections Level of Cognitive Ability: Evaluating Client Need: Health Promotion and Maintenance Integrated Process: Teaching and Learning Content Area: Pharmacology: Reproductive Medications Priority Concepts: Client Education, Reproduction HESI Concepts: Sexuality/Reproduction, Teaching and Learning/Patient Education Reference: Rosenjack Burchum, Rosenthal (2016), pp. 760-761.Awarded -1.0 points out of 2.0 possible points. 2.ID: 8 Following thyroid surgery, the nurse notes this response (refer to figure) when taking the clients blood pressure. On further assessment, which laboratory finding would the nurse expect to find? A. Serum calcium of 8.4 mg/dL (2.1 mmol/L) B. Correct C. Sodium level of 138 mEq/L (138 mmol/L) D. Serum potassium of 5.1 mEq/L (5.1 mmol/L) E. F. Thyroid Stimulating Hormone (TSH) of 1.5 mU/L Incorrect Rationale: Hypocalcemia is characterized by tetany, or sustained muscle contractions. Chvosteks sign is facial contractions seen after a light tap of the facial nerve in front of the ear. Trousseaus sign is carpal contraction when a blood pressure cuff is inflated. These two signs are observed in hypocalcemia. Test-Taking Strategy: Focus on the subject, thyroid surgery and the signs of hypocalcemia. Use knowledge of signs of muscle contractions and its association with a low calcium level. Note that hypocalcemia is a known complication after thyroid surgery and serum calcium levels should be closely monitored. Review: hypocalcemia. Level of Cognitive Ability: Synthesizing Client Need: Physiological Integrity Integrated Process: Nursing Process/Analyzing Content Area: Fundamentals of Care: Fluids & ElectrolytesPriority Concepts: Cellular Regulation, Fluid and Electrolytes HESI Concepts: Cellular Regulation, Fluids and Electrolytes Reference: Lewis, S., Dirksen, S., Heitkemper, M., & Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problems (9th ed., pp. 298-299). St. Louis: Mosby. Awarded 0.0 points out of 1.0 possible points 
- Explain how Success will be measured in the following ways: Quarterly 360 Feedback sessions for the leadership team. Quarterly town halls Company profitability Employee Engagement Survey
- How does a materialistic point of view change the way we understand historical events ? Compare the way things look from an idealist point of of view and the way the same thing looks from a materialistic point of view quotes from communist manifesto
- Describe the needs to be clear and having consistent messaging through out the entire process in order to ensure all parties are on the same page an understand what is expected on both sides.
- Explain the groups with employee groups of various tenure, rolls and demographics to get their input and buy in on the process.
- Describe the Company-wide communication effort through town halls, and link supplemental materials