A nurse is completing a risk assessment on a new admission. Which standardized scale will the nurse use to calculate the client's risk for pressure ulcers?
Morse Scale
Braden Scale
Bristol Scale
Hendrich II scale
The Correct Answer is B
A. Morse Scale:
The Morse Scale, also known as the Morse Fall Scale, is used to assess a patient's risk of falling. It evaluates various factors such as history of falling, secondary diagnosis, ambulatory aids, IV therapy, gait, and mental status. It is primarily focused on assessing the risk of falls, not pressure ulcers.
B. Braden Scale:
As previously mentioned, the Braden Scale assesses a patient's risk for developing pressure ulcers. It takes into account sensory perception, moisture, activity, mobility, nutrition, and friction/shear. The scale helps healthcare providers determine the level of risk a patient has for developing pressure sores and guides interventions to prevent them.
C. Bristol Scale:
The Bristol Stool Scale is used to classify the form of human feces into seven categories. It is a medical aid designed to classify the form of human feces into seven categories. This scale is primarily used to assess bowel movements and is unrelated to pressure ulcers.
D. Hendrich II Scale:
The Hendrich II Fall Risk Model is a tool designed to identify patients at risk for falls. It includes factors such as confusion, symptomatic depression, altered elimination, dizziness, male gender, and the use of antiepileptics, benzodiazepines, or non-opioid analgesics. Similar to the Morse Scale, it focuses on assessing the risk of falls, not pressure ulcers.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["165"]
Explanation
To calculate the low range of the dosage, we need to use the lower end of the dosage range provided (1.5 mg/kg) and the client's weight in kilograms.
1 lb is approximately equal to 0.45 kg. So, to convert the client's weight from pounds to kilograms:
245 lbs * 0.45 kg/lb = 110.25 kg
Now, to calculate the low range dosage:
Low range dosage = 1.5 mg/kg * 110.25 kg = 165.375 mg
Rounding to the nearest whole number, the nurse should administer 165 mg for the low range of the dosage.
Correct Answer is A
Explanation
A. Broccoli with cheese
Broccoli is a good source of calcium and is also low in lactose, making it suitable for lactose-intolerant individuals. Advising the client to consume broccoli with cheese provides a calcium-rich option without relying on dairy products. Cheese can contribute additional calcium to the diet, and for many lactose-intolerant individuals, small amounts of cheese can be well-tolerated.
B. Glazed carrots - Carrots are not a substantial source of calcium.
C. Grilled cabbage - While cabbage is a healthy vegetable, it does not contain a significant amount of calcium compared to other sources.
D. Fried potatoes - Potatoes do not contain a significant amount of calcium and are not a suitable choice for increasing calcium levels.Explanation:
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