The nurse assesses a patient using the Braden scale. A patient having a majority of which number indicates being at great risk for pressure sores?
a. 1
b. 2
c. 3
d. 4
A
A score of 1 out of 3 or 4 signifies that the patient is at risk of having a specific problem such as sensory perception, moisture, activity, mobility, nutrition, or friction and shear. A 4 is the highest score possible and indicates no problem in that category. Scores of 2 and 3 aren't as low and aren't as critical.
You might also like to view...
Sequence the intensity of these psychiatric treatments from highest to lowest:
A. Clinic visits at a community mental health center B. Psychosocial rehabilitation program C. Partial hospitalization D. Crisis stabilization
A woman in the 34th week of pregnancy says to the nurse, "I still feel like having intercourse with my husband." The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:
A) It is safe to have intercourse at this time B) Intercourse at this time is likely to cause rupture of membranes C) There are other ways that the couple can satisfy their needs D) Intercourse at this time is likely to result in premature labor
MC The nurse is working with the local community to establish an immunization program, and is developing a tool to evaluate the quality of the planned nursing care. The tool that the nurse is developing to use in evaluating the quality of the planned
nursing care should include standards of care for community health nursing practice. Therefore, the tool would reflect the standards of: (Select all that apply.) A. Autonomy. B.* Research. C.* Advocacy. D.* Leadership. E.* Collegiality.
Asphyxiation can occur when respiratory centers in the ______ are inhibited.
A. cerebellum B. lungs C. medulla D. forebrain