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 C
Explanation
When administering medications via an NG tube to a client who is receiving a continuous tube feeding, it is important to flush the tube with water before and after each medication to ensure that the medication is delivered and to prevent any medication from remaining in the tube and causing a blockage. Flushing the tube with 5 mL of sterile water prior to administration will help clear the tube and ensure that the medication is delivered effectively.
Mixing the medications together in a single syringe or combining the medications with the formula in the feeding bag can lead to medication interactions or decreased medication efficacy. Diluting each crushed medication with sterile water may not be necessary, as long as the medication is crushed into a fine powder and flushed properly before and after administration
Correct Answer is B
Explanation
A. Mixing medications in a syringe can lead to potential drug interactions, changes in medication efficacy, or altered drug absorption. Each medication should be administered separately to maintain their individual therapeutic effects.
B. Each medication should be diluted with sterile water to ensure it can pass through the NG tube without clogging and to facilitate proper absorption.
C.Flushing the NG tube with 5 mL of sterile water is generally not enough. The tube should be flushed with a sufficient amount of water (usually 15-30 mL) before and after administering medications to ensure that the medications are delivered properly and to prevent clogging.
D.Medications should not be combined with the formula in the feeding bag. This can alter the effectiveness of both the medications and the feeding formula.
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