On the Morse Fall Scale, a secondary diagnosis indicates an increase in the final score by how many points?
A) 25 points
B) 20 points
C) 15 points
D) 10 points
C
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During a physical examination of a female patient's reproductive system, the nurse detects a thick white discharge from the labia. The patient's vulva appears inflamed. How should the nurse document this finding?
A) Symptoms of trichomonal vaginitis B) Symptoms of candidal vaginitis C) Symptoms of bacterial vaginosis D) Symptoms of primary syphilis
An infant with tetralogy of Fallot is having a hypercyanotic episode. Which of the following nursing interventions should the nurse implement? Select all that apply
1. Place the child in knee-chest position. 2. Draw blood for a serum hemoglobin. 3. Administer oxygen. 4. Administer morphine and propranolol intravenously as ordered. 5. Administer Benadryl as ordered.
The patient at term has a suspected small pelvis. The fetus has an estimated weight of 4200 g (9 pounds 4 ounces). Spontaneous labor has begun, and the patient is now at 6 cm
The nurse understands that the most important nursing action for this patient is to: 1. Assist the patient to squat during the second stage. 2. Encourage oral fluids and carbohydrate intake. 3. Assess the cervix for change every 8 hours. 4. Inform the couple that labor might be prolonged.
Which finding in the client with HIV disease who is receiving highly active antiretroviral therapy (HAART) indicates that the treatment is effective?
A. Increased CD4+ cells. B. Decreased CD4+ cells. C. Increased CD8+ cells. D. Decreased CD8+ cells.