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 A

Explanation

A. Bowel cleansing is often required prior to an intravenous pyelogram to remove fecal matter that can obscure visualization of the urinary tract. A clear field improves the accuracy of imaging and helps ensure diagnostic quality.

B. Removing metal objects is important for procedures such as MRI or X-rays of certain areas, but it is not the primary preparation specific to an intravenous pyelogram. The focus is on visualization of the urinary system using contrast.

C. Intravenous pyelogram involves the administration of contrast dye intravenously, not orally. Giving oral contrast is associated with gastrointestinal imaging studies, not urinary tract imaging.

D. Monitoring for suprapubic pain is not a routine or priority nursing action specific to this procedure. Post-procedure care focuses more on monitoring for contrast reactions and ensuring adequate hydration.

A. Allow space for three fingers under the ties when securing. B. Use a quick-release knot to secure the ties. C. Extend the client's neck while securing the ties. D. Cut the old ties after the new ties are secured.

Correct Answer is D

Explanation

A. Allowing space for three fingers is not a standard practice for tracheostomy ties. The ties should be snug but not overly tight, typically allowing for one or two fingers’ width to ensure proper fit and comfort.
B. A quick-release knot is not typically used for securing tracheostomy ties for safety reasons.
C. Extending the client's neck while securing the ties could cause discomfort and is not necessary.
D. This is the safest method to prevent accidental dislodgement of the tracheostomy tube. By securing the new ties first, the tracheostomy tube remains in place, reducing the risk of complications.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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