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."
"Each element has a range from one to five points."
"The higher the score, the higher the pressure injury risk."
"The scale measures six elements."
The Correct Answer is D
Choice A rationale:
The client's age is not a part of the measurement in the Braden scale.
Choice B rationale:
Each element in the Braden scale has a range from one to four points, except for friction and shear, which is scored from one to three points.
Choice C rationale:
The lower the score, the higher the risk of developing pressure injuries.
Choice D rationale:
The Braden scale is a tool that helps nurses assess the risk of developing pressure injuries in clients. It consists of six elements: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Room number is not a specific client identifier and does not ensure accurate identification.
Choice B rationale:
Age is not a unique identifier and may not differentiate between clients with the same age.
Choice C rationale:
Bed number alone is not sufficient for accurate client identification.
Choice D rationale:
A photograph is a reliable client identifier and ensures accurate identification before administering medication or performing procedures.
Correct Answer is C
Explanation
Choice A rationale:
Recapping the needle before disposal is not recommended due to the risk of needlestick injuries.
Choice B rationale:
Placing the needle on the bedside table poses a safety risk and is not an appropriate action.
Choice C rationale:
Discarding the needle in a puncture-proof container is the correct action for safe disposal.
Choice D rationale:
Removing the needle from the syringe may be necessary for disposal but should be done carefully and in accordance with safety protocols.
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