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."
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
A. An intravenous pyelogram is a diagnostic test that uses an injection of contrast material to evaluate the kidneys, ureters, and bladder. A bowel cleansing is not necessary.
B. This is important in ensuring that the metal objects do not interfere with the images.
C. Administering oral contrast might be used in other imaging procedures, but for an IVP, the contrast is typically injected, not given orally.
D. Monitoring for pain in the suprapubic region could be an important assessment after the procedure, but it's not a preparatory action.
Correct Answer is B
Explanation
A. Advising to discuss with the provider doesn't address the immediate concern of potential harm.
B. Asking about thoughts of self-harm assesses the client's immediate safety.
C. Inquiring about medication discontinuation is important but not as urgent as addressing suicidal ideation.
D. While understanding the relationship is important, it's not the priority when a client expresses suicidal thoughts.
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