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 client's age is part of the measurement."
The scale measures six elements."
"Each element has a range from one to five points.
"The higher the score, the higher the pressure injury risk."
The Correct Answer is B
This response shows that the newly licensed nurse knows the components of the Braden scale, which are sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,A,B,D
Explanation
The correct sequence of steps for palpating a client's systolic blood pressure using brachial artery is as follows:
- Palpate brachial pulse site.
- Inflate blood pressure cuff to 30 mm Hg beyond where brachial pulse was last felt. - Deflate blood pressure cuff slowly until brachial pulse is detected.
- Discontinue palpation of brachial pulse.
Correct Answer is C
Explanation
Rationale: Parenteral nutrition (PN) is a method of providing essential nutrients to the body through a central vein. PN is indicated for clients who cannot take oral or enteral nutrition due to intestinal failure or other conditions. PN requires a central venous line because the solution is hypertonic and can cause thrombophlebitis or damage to peripheral veins. A central venous line also allows for better monitoring of fluid balance and electrolyte levels.
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