Braden scale - Study guides, Class notes & Summaries

Exam 4: NUR257/ NUR 257 (New 2024/ 2025 Update) Aging and Chronic Illness in Nursing |Complete Guide with Questions and Verified Answers| 100% Correct| A Grade - Galen QUESTION Pressure Ulcers- Most often occur on the? Those with peripheral arterial disease are at high risk for? other areas may include? Answer: •sacrum, heels, and greater trochanters •heel ulcers • the lateral condyles of the knees and the ankles, the pinna of the ears, occiput, elbows, and scapul...

Core Concepts Exam 4 5 factors affecting skin integrity - genetics & heredity - age - chronic illness & treatment - medications - poor nutrition 3 risk assessment tools for pressure ulcers - Braden scale - Norton scale - Waterlow scale Anything less than ___ on the Braden scale is a high risk for a pressure injury 18 Anything greater than ___ on the Braden scale is a low risk for a pressure injury 19 The Braden scale has a possibility of ___ possible points 23 ...

Types of wound drains - 1. Vacuum Assisted Closure 2. Jackson Pratt drain (JP drain) 2. Hemovac drain 3. Penrose drain???? 7 rights of medication administration - Right medication Right dose Right patient Right route Right time Right documentation Right indication Ac - Ac = before meal, "A comes before p, C = consumption" Ad lib - as desired Adenovirus, Rotavirus, Enterovirus - Contact Precaution Adult safety med admin - -Review med hist. And simplify if possible -Keep instruct...

Hesi: NSG122/ NSG 122 (Latest 2024/ 2025 Update) Nursing Fundamental Concepts Exam | Guide with Questions and Verified Answers| 100% Correct| Grade A- Herzing Q: Factors Affecting Risk for Infection Answer: Factors affecting the risk for infection include: integrity of mucous membranes, pH levels of the gastrointestinal and genitourinary tracts, immune response, age, sex, race, heredity, level of fatigue, nutritional status, stress level, use of invasive or indwelling medical devices an...

Leukocytosis Correct Answer-increase in the number of white blood cells Wood's lamp Correct Answer-Filtered black light that is used to illuminate skin disorders, fungi, bacterial disorders, and pigmentation. Patch testing Correct Answer-A method used to identify a patient's sensitivity to contact materials (e.g., soaps, pollens, dyes). Shear Correct Answer-The force produced when adjacent surfaces slide across one another. Shearing force Correct Answer-Pressure exerted on the skin...

Exam 1: NUR242/ NUR 242 (2024/ 2025 Update) Med-Surg | Guide with Questions and Verified Answers| 100% Correct- Galen QUESTION Braden Scale - use to determine risk for ulcers - < 6 high risk - Diabetes, spinal cord injury, b12 deficiency QUESTION Albumin and pre albumin Answer: - 3.5-5 - Albumin tells for a while back - Pre albumin has short half life and is used to determine sufficiency of interventions QUESTION Wound Vac Answer: - risk fo...

Core Concepts Exam 4 5 factors affecting skin integrity - genetics & heredity - age - chronic illness & treatment - medications - poor nutrition 3 risk assessment tools for pressure ulcers - Braden scale - Norton scale - Waterlow scale Anything less than ___ on the Braden scale is a high risk for a pressure injury 18 Anything greater than ___ on the Braden scale is a low risk for a pressure injury 19 The Braden scale has a possibility of ___ possible points 23 ...

- Temp/warmth - Low/High CBC - Increased HR - Low BP - Increased respiratory rate - Redness - Answer- Infection S/S - Rotate patient every 2 hours - Reposition - Padding - PROM - Barrier cream - Keep dry - Move using a lifting device - Answer- Nursing interventions to decrease risk of pressure injuries CD4 will be lower not less than 200 CD8 will be normal - Answer- HIV labs CD4 will be less than 200 CD8 will be increased. - Answer- AIDS labs - Prevents the virus from mu...

what places patients at risk for pressure ulcers/impaired skin integrity -ANSWER pressure intensity, pressure duration, tissue tolerance, impaired sensory perception, impaired mobility, alteration in LOC, shear, friction, moisture layers of the skin -ANSWER epidermis, dermis (collagen) body's defenses against infection -ANSWER normal flora, inflammatory response, immune response comprehensive wound assessment -ANSWER -ongoing assessment from time of injury, wound care, any condition ch...

Using the Braden Scale for Predicting Pressure Sore Risk, the nurse assesses several factors. Select all that apply. a. Nutrition b. Mobility c. Moisture d. Activity e. Sensory perception f. Friction and shear Correct Answer-nutrition, mobility, moisture, activity, sensory perception, friction and shear A patient comes to the urgent care center stating that he feels his left leg is swollen. A fundamental assessment guideline when inspecting his left leg is which of the following? a. Us...