Braden scale high score - Study guides, Class notes & Summaries

MULTIPLE CHOICE 1. The admitting nurse gives the new long-term care facility resident a score of 20 on the Braden Scale for Predicting Pressure Sore Risk. These scores indicate that the resident has which risk for pressure injury? a. A high probability of developing a pressure injury b. A moderate risk of developing a pressure injury c. A low risk of developing a pressure injury d. At least one pressure injury at the time of admission ANS: C Scores of 20 on the Braden Scale ind...

Your client has a Braden scale score of 17. Which is the most appropriate nursing action? 1. Assess the client again in 24h; the score is within normal limits. 2. Implement a turning schedule; the client is at increased risk for skin breakdown. 3. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk for skin breakdown. 4. Request an order for a special low-air-loss bed; the client is at very high risk for skin breakdown. - Answer 2. Implement a turn...

STOP-BANG questionnaire - correct answer The STOP-BANG screening questionnaire surveys reported snoring, tiredness, and observed apnea (STOP) in addition to high blood pressure, BMI, age, neck circumference, and gender (BANG) The SPICES - correct answer Assessment of sleep is important to the overall nursing care of the older adult. The SPICES (Sleep disorders, Problems with eating or feeding, Incontinence, Confusion, Evidence of falls, Skin breakdown) Braden Scale - correct answer Most wi...

Practice Test Questions Chapter 36; Skin Integrity & Wound Care Exam With Solutions Your client has a Braden scale score of 17. Which is the most appropriate nursing action? 1. Assess the client again in 24h; the score is within normal limits. 2. Implement a turning schedule; the client is at increased risk for skin breakdown. 3. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk for skin breakdown. 4. Request an order for a special low-air-loss be...

Practice Test Questions Chapter 36; Skin Integrity & Wound Care questions and answers Your client has a Braden scale score of 17. Which is the most appropriate nursing action? 1. Assess the client again in 24h; the score is within normal limits. 2. Implement a turning schedule; the client is at increased risk for skin breakdown. 3. Apply a transparent wound barrier to major pressure sites; the client is at moderate risk for skin breakdown. 4. Request an order for a special low-air-loss b...

When do you asses skin? - On admission, and on every shift. Asses ALL skin Stage 1 Pressure Ulcer - intact skin with nonblanchable redness Stage 2 Pressure Ulcer - Partial Thickness loss with serous drainage Stage 3 Pressure Ulcer - Open lesion with subcutaneous tissue exposed Stage 4 Pressure Ulcer - Full thickness tissue loss with exposed muscle and bone necrotic tissue - dead tissue Braden Scale - A tool for predicting pressure ulcer risk Severe Risk for pressure ulcer on Braden Scale ...

Sherpath: Activity and Movement: Implement and Take Action; Evaluate Questions and Answers 100% Pass Which action would the nurse take for a newly admitted patient who is unsteady when transferring from the wheelchair to the bed? Initiate a fall prevention plan for the patient. Which action would the nurse take first when assisting a patient who has been in bed for several days after surgery to transfer from the bed to the chair? Allow the patient to dangle. Ambulating Isotonic K...

A nurse instructing teenage boys on the female anatomy, should state fertilization is expected: Fallopian tube The last menstrual period was December 06, 2022. Using the Naegele's rule estimate the date of delivery? (subtract 3 months, add 7 days, add 1 year) september 13, 2023 The nurse determined that the client understands the function of the placenta if the followig statement is made: It gives the baby food and oxygen Which chemical hormone keeps the corpus luteum al...

ATI Fundamentals Exam 2024/2025 Questions and Answers (Already Graded A+). 1. MISSING 2. A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse? a. “This test will indicate if you are at risk for developing blood clots b. “This test will determine if your heart is performing properly” c. “This test will provide i...

Sherpath: Activity and Movement: Implement and Take Action; Evaluate Exam Questions and Answers  Which action would the nurse take for a newly admitted patient who is unsteady when transferring from the wheelchair to the bed? Initiate a fall prevention plan for the patient. Which action would the nurse take first when assisting a patient who has been in bed for several days after surgery to transfer from the bed to the chair? Allow the patient to dangle. Ambulating Isotonic K...