The nurse assesses a patient using the Braden scale. The patient scores a 13 . What action is most important to add to the patient's care plan?
a. Encourage high-protein meals and snacks
b. Turn the patient every to 2 hours
c. Assess the patient's skin daily
d. Monitor patient's prealbumin weekly
B
A Braden scale score of 13 indicates high risk for developing a pressure ulcer. The most impor-tant intervention is to turn the patient frequently. Good nutrition is important for wound healing and prevention, but a high-protein snack and monitoring prealbumin do not immediately impact the patient's skin condition. Assessing the skin will not prevent an ulcer.
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