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 higher the score, the higher the pressure injury risk."
"The scale measures six elements."
"The client's age is part of the measurement."
"Each element has a range from one to five points."
The Correct Answer is B
B. The Braden scale is an evidence-based tool used in healthcare to assess a patient's risk for developing pressure injuries. It evaluates six factors: sensory perception, moisture, activity, mobility, nutrition, and friction and shear.
A. The higher the score, the lower the risk of pressure injury.
C. the client's age is not part of the measurement
D. Each element is rated from 1 to 4, not 1 to 5.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale
B. Weight is a key component of the anthropometric assessment as it provides important information about the client's nutritional status, growth patterns, and overall health. Changes in weight can indicate changes in body composition, hydration status, or underlying health conditions.
A. Respiratory rate is not part of the anthropometric assessment
C. level of orientation is not part of the anthropometric assessment
D. current pain level is not part of the anthropometric assessment.
Correct Answer is ["A","C","D","F"]
Explanation
C. Elevated cholesterol levels, as indicated by a total cholesterol level of 250 mg/dL, are a risk factor for heart disease. High cholesterol levels contribute to the buildup of plaque in the arteries (atherosclerosis), leading to narrowed or blocked arteries and an increased risk of heart attack and stroke.
D. Hyperlipidemia refers to elevated levels of lipids (fats) in the blood, including cholesterol and triglycerides. It is a significant risk factor for heart disease, as high levels of lipids contribute to the development of atherosclerosis and increase the risk of cardiovascular events.
F. A family history of heart disease, especially in first-degree relatives (parents or siblings), increases an individual's risk of developing heart disease. Genetic factors can influence the risk of heart disease, including conditions such as coronary artery disease and familial hypercholesterolemia.
B. Rheumatoid arthritis (RA) is an autoimmune disease that primarily affects the joints. While RA itself is not a direct risk factor for heart disease, chronic inflammation associated with RA can increase the risk of cardiovascular events.
E. While elevated fasting glucose levels can indicate impaired glucose metabolism or prediabetes, they are more directly associated with an increased risk of type 2 diabetes rather than heart disease.
However, individuals with diabetes are at higher risk for heart disease due to various factors, including obesity, high blood pressure, and dyslipidemia.
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