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?
"Each element has a range from one to five points."
"The client's age is part of the measurement."
"The higher the score, the higher the pressure injury risk
The scale measures six elements
The Correct Answer is D
The Braden scale is a commonly used tool for assessing a patient's risk of developing pressure injuries (also known as pressure ulcers or bedsores). It evaluates six specific elements to determine the patient's risk level. These elements include sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Each element is assessed and assigned a score, with a lower score indicating a higher risk for developing pressure injuries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
When administering medications via an NG tube to a client who is receiving a continuous tube feeding, it is important to flush the tube with water before and after each medication to ensure that the medication is delivered and to prevent any medication from remaining in the tube and causing a blockage. Flushing the tube with 5 mL of sterile water prior to administration will help clear the tube and ensure that the medication is delivered effectively.
Mixing the medications together in a single syringe or combining the medications with the formula in the feeding bag can lead to medication interactions or decreased medication efficacy. Diluting each crushed medication with sterile water may not be necessary, as long as the medication is crushed into a fine powder and flushed properly before and after administration
Correct Answer is A
Explanation
An IVP is a radiographic procedure that involves injecting a contrast dye into the vein to visualize the urinary tract. Metal objects can interfere with the imaging process and may need to be removed or avoided during the procedure. The nurse should assess the client for any metal objects, such as jewelry or clothing accessories, and ensure they are removed before the procedure to ensure accurate imaging.
Monitoring the client for pain in the suprapubic region is not directly related to an IVP. Suprapubic pain may be associated with other urinary tract procedures or conditions, but it is not a specific concern during an IVP.
Assisting the client with a bowel cleansing is not necessary for an IVP. Bowel cleansing is typically done for procedures involving the lower gastrointestinal tract, such as colonoscopy or barium enema.
Administering oral contrast before the procedure is also not necessary for an IVP. In an IVP, the contrast dye is administered intravenously, not orally. Oral contrast is typically used for imaging studies of the gastrointestinal tract, such as an upper GI series or CT scan of the abdomen.
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