Which tool is used to determine risk for impaired skin integrity?

a. Braden scale
b. Glasgow scale
c. Vanderbilt scale
d. MMSE scale


ANS: A
The Braden scale is used to determine risk for impaired skin integrity: The Glasgow is a coma scale, the Vanderbilt is a behavior scale, and the MMSE is the mini-mental exam to determine cognitive status.

Nursing

You might also like to view...

A patient with Parkinsonism has been told that the levodopa prescribed is no longer controlling the disease. What drug would the nurse question if ordered as adjunctive therapy?

A) Diphenhydramine (Benadryl) B) Pramipexole (Mirapex) C) Trihexyphenidyl (Artane) D) Vitamin B6

Nursing

The partner of a client at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he's having a hard time relating to his partner's fatigue and food aversions

Which of the following statements would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy." 2. "My husband had no problem with this. What was your childhood like?" 3. "You might need professional psychological counseling. Ask your physician." 4. "Many men feel this way. Feeling the baby move will help make it real."

Nursing

Which medication should the nurse expect to administer to a child admitted with sickle cell pain?

1. Morphine sulfate (Duramorph) 2. Meperidine (Demerol) 3. Acetaminophen (Tylenol) 4. Ibuprofen (Advil)

Nursing

The nurse is palpating the abdomen of a patient newly admitted to the unit. What would be an abnormal finding?

A) Softness B) Guarding C) Nonpalpable organs D) Nontender areas

Nursing