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?

"The scale measures six elements."

"The client's age is part of the measurement."

"The higher the score, the higher the pressure injury risk."

"Each element has a range from one to five points."

Answer and Explanation

The Correct Answer is A

A.   The Braden scale does evaluate six elements: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.
B.   The client's age isn't directly part of the Braden scale; it assesses various risk factors, but age isn't one of them.
C.   In contrast, the lower the Braden scale score, the higher the risk of pressure injuries.
D.   Each element in the Braden scale is rated on a scale from one to four or one to three, depending on the element, not from one to five points.

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Correct Answer is ["B","C","D"]

Explanation

A. Comparing at the end of the shift might lead to missing administration discrepancies during the shift.
B. Comparing the medication label with the administration record is essential when removing the medication to ensure accuracy.
C. Checking immediately before administering ensures the right drug, dosage, and patient match.
D. Reconciling counts of controlled substances ensures accountability and accuracy.
E. Comparing during medication dosage preparation is important but may not catch last-minute changes or discrepancies.

A. Prime the client's primary IV tubing with lactated Ringer's. B. Confirm the identity of the client with the blood bank technician. C. Check that the client has a small gauge IV catheter in place. D. Check the blood product's compatibility with the client's blood type.

Correct Answer is D

Explanation

A. Priming the IV tubing with lactated Ringer's isn't necessary for administering packed RBCs.
B. Confirming the client's identity with the blood bank technician is crucial but typically done before receiving the blood product.
C. Ensuring the client has a suitable IV catheter is important but isn't the priority before starting the infusion of packed RBCs.
D. Checking the blood product's compatibility with the client's blood type is critical to prevent adverse reactions before starting the infusion.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer packed RBCs to a client who has a low hemoglobin level. Which of the following actions should the nurse take prior to the start of the infusion?

Correct Answer is D

Explanation

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