Which of the following are subscales on the Braden Scale for predicting pressure ulcers? (Select all that apply.)
a. Nutrition
b. Moisture
c. Mobility
d. Age
e. BMI
ANS: A, B, C
The six subscales of the Braden Scale are sensory perception, activity, mobility, moisture, friction and shear, and nutrition.
You might also like to view...
An elderly client in the hospital is diagnosed with leukemia and is treated with chemotherapy. The client develops stomatitis secondary to receiving the anticancer drugs. The most appropriate nursing diagnosis related to stomatitis is
A) impaired dentition. B) fluid volume deficit. C) altered physical mobility. D) impaired oral mucous membrane.
Which criteria will the nurse use when assessing for atrial fibrillation on the ECG strip?
1. Ventricular rate is usually regular in R to R distancing. 2. Atrial rate runs 300 to 500 with an unequal ratio of P to QRS. 3. P waves are regular and vary in ratio to QRS. 4. QRS width is wide due to a conductivity delay.
A 50-year-old male recently underwent a liver transplant and is taking immunosuppressive drugs
He now has painful vesicular eruptions on the face and trunk. He reports that he had chickenpox as a child. Which of the following is the most likely diagnosis based on his chicken pox history? a. Erysipelas b. Poliomyelitis c. Warts d. Herpes zoster
The nurse is completing an assessment for a prenatal visit. Which client statement indicates that further teaching is necessary?
1. "Now that I've felt fetal movement, I should feel movement regularly." 2. "Because I'm in my third trimester, I should return to the clinic in a month." 3. "Alcohol is possibly harmful to my baby, even at the end of my pregnancy." 4. "Before I take any over-the-counter medications, I should contact my doctor."