A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
"The higher the score, the higher the pressure injury risk."
"The scale measures six elements."
"The client's age is part of the measurement."
"Each element has a range from one to five points."
The Correct Answer is B
B. The Braden scale is an evidence-based tool used in healthcare to assess a patient's risk for developing pressure injuries. It evaluates six factors: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
A. The higher the score, the lower the risk of pressure injury.
C. the client's age is not part of the measurement
D. Each element is rated from 1 to 4, not 1 to 5.
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Related Questions
Correct Answer is B
Explanation
B. Trochanter rolls are positioning devices placed alongside the hips and thighs to prevent external rotation of the legs, which can lead to hip dislocation or pressure injuries. Using trochanter rolls helps maintain proper alignment of the lower extremities and reduces the risk of musculoskeletal complications.
A. Crossing the client's ankles when lying supine can increase the risk of pressure injuries, particularly over bony prominences such as the ankles, and impair circulation.
C. Placing the client's arms at their side is not typically recommended as it does not facilitate proper body alignment and can lead to discomfort.
D. Logrolling the client every 4 hours is a technique used for clients with spinal injuries or after certain types of spinal surgery and may not be necessary for all immobile clients.
Correct Answer is B
Explanation
B. Metabolic syndrome is a cluster of conditions that occur together, increasing the risk of heart disease, stroke, and type 2 diabetes. These conditions include high blood pressure, high blood sugar levels, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.
A. Participation in competitive sports may promote cardiovascular health through physical activity, reducing the risk of cardiovascular disease in most cases.
C. Family history of alcohol use disorder is not a direct risk factor for cardiovascular disease. However, excessive alcohol consumption itself can contribute to cardiovascular problems.
D. Hypotension, or low blood pressure, is not typically considered a risk factor for cardiovascular disease. In fact, it may be associated with a reduced risk of certain cardiovascular conditions such as hypertension and coronary artery disease. However, severe hypotension may lead to inadequate blood flo to the heart and brain, potentially causing cardiovascular complications.
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