A nurse is teaching a group of newly licensed nurses about the Braden scale. Which of the following responses by a newly licensed nurse indicates an understanding of the teaching?
"Each element has a range from one to five points."
"The client's age is part of the measurement."
"The higher the score, the higher the pressure injury risk
The scale measures six elements
The Correct Answer is D
The Braden scale is a commonly used tool for assessing a patient's risk of developing pressure injuries (also known as pressure ulcers or bedsores). It evaluates six specific elements to determine the patient's risk level. These elements include sensory perception, moisture, activity, mobility, nutrition, and friction/shear. Each element is assessed and assigned a score, with a lower score indicating a higher risk for developing pressure injuries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Delirium is an acute confusional state that develops rapidly over a short period of time, often within hours or days. It is characterized by a disturbance in consciousness and attention, along with changes in cognition and perception.
Delirium can significantly impact a client's perception of their environment. Clients with delirium may experience hallucinations, delusions, and misinterpretations of their surroundings. They may become disoriented, have difficulty recognizing familiar people or places, and exhibit altered levels of awareness and attention.
As mentioned earlier, delirium has an abrupt onset, meaning it develops rapidly. Delirium is usually a transient condition that fluctuates throughout the day, with symptoms varying in severity.
Delirium can disrupt a client's sleep-wake cycle. Clients with delirium may experience disturbances in their sleep patterns, such as difficulty falling asleep, frequent awakening during the night, or excessive sleepiness during the day.
Correct Answer is C
Explanation
The client needs assistance with morning ADLs, and an occupational therapist is an interprofessional team member who can assist with activities of daily living. Physical therapists focus more on mobility and range of motion exercises, registered dieticians focus on nutrition, and speech-language pathologists work with clients who have difficulty with speech and swallowing.
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